Hysterosalpingography (HSG), i.e. uterosalpingography, which is applied within the scope of infertility assessment and provides to achieve the best findings on whether the tubes are blocked or not, is a radiological diagnostic method to visualize the uterus and the fallopian tubes.
The ovaries of women who want to have a child should produce egg each month, their uterus shape does not have any abnormality and their fallopian tubes should be open in order to reach their desire. If there is any problem in these mechanisms, pregnancy cannot occur. In case of blocked fallopian tubes, sperm cannot reach into and fertilize the egg. HSG, which has an important role in determining the functionality of the blocked fallopian tubes due to various reasons, is a method that reliable and successful results can be obtained.
How Is Hysterosalpingography Taken?
Women should take painkiller and antibiotic 1 hour before uterine X-ray is taken. Obstetricians and gynecologists will give necessary directives about it. Women lie on the table under an X-ray viewer called “fluoroscopy” at the beginning of the procedure. The speculum is inserted into the vagina after lying in the gynecological examination position and the cervix is cleaned with a special solution. After the cervix is cleaned, a tubular device called cannula is inserted into the cervix and special liquid containing iodine is added into it to appear brightly during the X-ray film. The liquid is sent from the uterus to the fallopian tubes. As the fallopian tubes are open, the liquid continues to circulate, resulting in lack of any blockage in the fallopian tubes. It should be noted that the process of the uterine X-ray lasting 5 – 10 minutes in total has an important role in the diagnosis of infertility and is not a painful procedure when performed by an experienced specialist, although many women worry about it.
HSG is a diagnostic method that can be considered safe, but can also lead to complications such as all procedures. After the X-ray is taken, radiologists share the results with gynecologists. “Laparoscopy” may be recommended in case of blockage of the fallopian tubes. Also, one of the in vitro fertilization (IVF) methods can be used.
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