HYSTEROSALPINGOGRAPHY

REASON FOR VISIT:

• Infertility
• Recurrent Abortion
• To Monitor The Effects of Tubal Surgery

RISK ASSESSMENT

• Active Pelvic sepsis

• Severe Renal Disease
• Cardiac Disease
• Sensitivity to Contrast Media
• Recent Dilatation or Curettage
• Pregnancy
• The week prior and the week following to the menstruation

PREPARATION OF THE PATIENT:

• Blood tests
• Urine tests
• Chest X-ray
• ECG
• Renal function tests
• USG
• Pregnancy test

ANESTHESIA:

Local anesthesia

POSITION OF THE PATIENT:

Lithotomy position

THE PROCEDURE

• The patient was positioned in lithotomy position

• A speculum was introduced into the vagina
• The cannula was introduced into the cervix
• The speculum was removed
• The patient carefully moved up the table so that she lies in a
supine position
• The contrast medium was injected while the radiologist
screens the procedure.
• Films were taken at the most opportune time
• One or two films were taken to show the cervical canal the
body of the uterus, the Fallopian tubes, and the spread of
contrast medium on to the peritoneum.

FINDINGS:

The Normal Histerosalpingogram

• Uterine cavity was triangular, with sides of ______cm.

• The cervical canal has a length of about ____ cm
• The cornua of the uterus ____
• The pouch of Douglas was _______

The Abnormal Histerosalpingogram

UTERUS
• Congenital anomalies of the uterus
• Anteflexed uterus
• Retroflexed uterus
• Uterine fibroids submucous/ interstitial/ sub serous
 • Mucosal polyps
• Early pregnancy

FALLOPIAN TUBES

• Salpingitis/hydrosalpinx
• Tuberculous Salpingitis
• Salpingitis Isthmica Nodosa
• Tubal Blockage
• Tubal spasm
• Fimbrial adhesions
• Tubal pregnancy
• Tubal tumors
• Sterilization
CERVIX_____

DURATION

_________ min

COMPLICATIONS

• Pain
• Venous intravasation
• Exacerbation of Pelvic Infection
• Uterine perforation