Hysterosalpingography

When is the exam performed according to a women's cycle?

Between days 4 and 10 days of a women's cycle

What are some indications for performing a hysterosalpingogram?

Infertility Recurrent miscarriages Follow up on tubal surgery

What are some contraindications for performing a hysterosalpingogram?

Pelvic inflammation Vaginal or cervical infection Uterine bleeding Pregnancy Pre or post menstral phase

What are some complications that can occur with hysterosalpingograms?

Perforation Pain (more with water soluble contrast) Infection to uterus or peritoneum Bleeding Abortion of pregnancy Tube rupture Intravasation

How can a hysterosalpingogram be therapeutic?

Procedure can restore patency of occluded tubes, straighten kinks, stretch adhesions or dilate narrow tubes

What kind of contrast media is used for a hysterosalpingogram?

Water soluble iodine (ionic fine) 30% or oily iodine (less irritating and painful if it gets in peritoneum)