How It Is Done
A hysterosalpingogram usually is done by a Reference radiologist Opens New Window in the X-ray room of a hospital or clinic. A radiology technologist and a nurse may help the doctor. A Reference gynecologist Opens New Window or a doctor who specializes in infertility (Reference reproductive endocrinologist Opens New Window) also may help with the test.
Before the test begins, you may get a Reference sedative Opens New Window or ibuprofen (such as Advil) to help you relax and to relax your uterus so it will not cramp during the test. You will need to take off your clothes below the waist and drape a gown around your waist. You will empty your bladder and then lie on your back on an examination table with your feet raised and supported by stirrups. This allows your doctor to look at your genital area.
Your doctor will put a smooth, curved speculum into your vagina. The speculum gently spreads apart the vaginal walls, allowing him or her to see the inside of the vagina and the Reference cervix Opens New Window. The cervix may be held in place with a clamp called a tenaculum. The cervix is washed with a special soap and a stiff tube (cannula) or a flexible tube (catheter) is put through the cervix into the uterus. The X-ray dye is put through the tube. If the fallopian tubes are open, the dye will flow through them and spill into the belly where it will be absorbed naturally by the body. If a fallopian tube is blocked, the dye will not pass through. The X-ray pictures are shown on a TV monitor during the test. If another view is needed, the examination table may be tilted or you may be asked to change position.
After the test, the cannula or catheter and speculum are removed. This test usually takes 15 to 30 minutes.
|By:||Reference Healthwise Staff||Last Revised: Reference August 1, 2012|
|Medical Review:||Reference Sarah Marshall, MD - Family Medicine
Reference Deborah A. Penava, BA, MD, FRCSC, MPH - Obstetrics and Gynecology