Hysterography of the uterus, also known as hysterosalpingography (HSG), is a specialized procedure used to examine the interior of the uterus and fallopian tubes. This procedure is often part of infertility investigations, helping doctors identify potential blockages or abnormalities in the reproductive system that might affect a woman’s ability to conceive. Here is how hysterography of the uterus is performed and why it is important

Hysterography involves using a contrast dye injected into the uterine cavity to provide clear  images of the uterine and fallopian structures. It is a minimally invasive procedure that allows healthcare providers to detect issues like blocked fallopian tubes, uterine fibroids, polyps, or other structural abnormalities.

How is Hysterography of the Uterus Performed?

Preparation:

  • The procedure is typically scheduled after a woman’s menstrual period and before ovulation to ensure that she is not pregnant. Patients may be advised to take an over-the-counter pain reliever before the procedure to minimize discomfort.

Procedure:

  • The patient lies on table, and a speculum is inserted into the vagina to visualize the cervix.
  • A thin catheter is then inserted through the cervix into the uterus.
  • A contrast dye is gently injected into the uterine cavity through the catheter.
  • images are taken as the dye fills the uterus and fallopian tubes, allowing the doctor to assess their shape and any blockages.

Post-Procedure:

  • After the procedure, patients may experience mild cramping or spotting. They are usually able to resume normal activities shortly afterward.
  • The results are typically discussed with the patient to plan further treatment if necessary.

Importance of Hysterography of the Uterus

  • Diagnosis of Infertility Issues: Hysterography is a key diagnostic tool for identifying the causes of infertility, such as tubal blockages or uterine abnormalities.
  • Assessment of Tubal Patency: It helps determine if the fallopian tubes are open, which is crucial for natural conception.
  • Guiding Treatment Plans: The information gathered from hysterography can guide treatment decisions, including surgical interventions or assisted reproductive technologies like IVF.

Hysterography of the uterus is an essential procedure in reproductive medicine, providing valuable insights into the female reproductive anatomy. By identifying potential barriers to conception, it enables healthcare providers to tailor treatment plans effectively, improving the chances of a successful pregnancy