Hysterosalpingography, also called uterosalpingography, is an X-ray examination of a woman’s uterus and fallopian tubes. It is primarily used to examine women who have difficulty becoming pregnant by allowing the radiologist to evaluate the shape and structure of the uterus, the openness of the fallopian tubes and any scarring within the peritoneal cavity.

A speculum is inserted into the vagina, the cervix is cleansed and a catheter is then inserted into the cervix. The speculum is removed and the patient is carefully situated underneath the fluoroscopy device. The contrast material then begins to fill the uterine cavity, fallopian tubes and peritoneal cavity through the catheter and fluoroscopic images are taken. The exam generally takes 30 to 60 minutes.

How Should I Prepare for the Procedure?

The hysterosalpingogram procedure is best performed 1 week after menstruation but before ovulation to make certain that you are not pregnant during the exam. It is important not to have intercourse in the timeframe between your menstruation and your scheduled appointment.

What Are Some Common Reasons for the Procedure?

  • Investigate repeated miscarriages
  • Tumor masses
  • Adhesions
  • Uterine fibroids
  • Blockage of the fallopian tubes due to infection or scarring

For Your Safety, Be Sure to Inform the Technologists Of:

  • Your allergies
  • Bleeding problems
  • Pregnancy or possible pregnancy
  • Any previous surgeries
  • Any medications you are taking (blood thinners, aspirin, etc.)

After Your Exam

Most women experience vaginal spotting and cramping for a few days after the examination. You may resume normal activity after the procedure.