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<article><div id="d-article"><div class="page-info"><div class="page-title"><a name="start" id="start">
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</noscript></div><div class="main"><div id="ency_summary"><p>Hysterosalpingography is a special x-ray using dye to look at the womb (uterus) and fallopian tubes.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>How the Test is Performed</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>This test is done in a radiology department. You will lie on a table beneath an x-ray machine. You will place your feet in stirrups, like you do during a pelvic exam. A tool called a speculum is placed into your <a test="test" href="./002342.htm">vagina</a>.</p><p>After the <a test="test" href="./002317.htm">cervix</a> is cleaned, the health care provider places a thin tube (catheter) through the cervix. Dye, called contrast, flows through this tube, filling the womb and fallopian tubes. X-rays are taken. The dye makes these areas easier to see on <a test="test" href="./003337.htm">x-rays</a>.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>How to Prepare for the Test</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Your provider may give you antibiotics to take before and after the test. This helps prevent infections. You may also be given medicines to take the day of the procedure to help you relax.</p><p>The best time for this test is in the first half of the menstrual cycle. Doing it at this time enables the provider to see uterine cavity and tubes more clearly. It also reduces the risk for infection, and ensures that you are not pregnant.</p><p>Tell your provider if you have had an allergic reaction to contrast dye before. </p><p>You can eat and drink normally before the test.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>How the Test will Feel</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>You may have some discomfort when the speculum is inserted into your vagina. This is similar to a pelvic exam with a Pap test.</p><p>Some women have cramps during or after the test, like those you may get during your period. </p><p>You may have some pain if the dye leaks out of the tubes, or if the tubes are blocked.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Why the Test is Performed</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>This test is done to check for blockages in your fallopian tubes or other problems in your womb and tubes. It is often done as part of an infertility exam. It may also be done after you have your tubes tied to confirm that the tubes are fully blocked after you have had a hysteroscopic tubal occlusion procedure to prevent pregnancy. </p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Normal Results</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>A normal result means everything looks normal. There are no defects. </p><p>Talk to your provider about the meaning of your specific test results.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>What Abnormal Results Mean</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>Abnormal results may be due to:</p><ul><li>Developmental disorders of the structures of the uterus or fallopian tubes</li><li>Scar tissue (adhesions) in the uterus or tubes</li><li>Blockage of the fallopian tubes</li><li>Presence of foreign bodies</li><li>Tumors or polyps in the uterus </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Risks</h2></div><div class="section-button"><button type="submit" aria-controls="section-7" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-7"><p>Risks may include:</p><ul><li>Allergic reaction to the contrast</li><li>Endometrial infection (<a test="test" href="./001484.htm">endometritis</a>)</li><li>Fallopian tube infection (<a test="test" href="./000888.htm">salpingitis</a>)</li><li>Perforation of (poking a hole through) the uterus </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Considerations</h2></div><div class="section-button"><button type="submit" aria-controls="section-8" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-8"><p>This test should not be performed if you have <a test="test" href="./000888.htm">pelvic inflammatory disease</a> (PID) or have unexplained <a test="test" href="./003156.htm">vaginal bleeding</a>.</p><p>After the test, tell your provider right away if you have any signs or symptoms of infection. These include foul-smelling <a test="test" href="./003158.htm">vaginal discharge</a>, pain, or fever. You may need to take antibiotics if this occurs.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>HSG; Uterosalpingography; Hysterogram; Uterotubography; Infertility - hysterosalpingography; Blocked fallopian tubes - hysterosalpingography</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/19263t.jpg" alt="Uterus" title="Uterus" class="side-img"/><a href="../imagepages/19263.htm">Uterus</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Fauser BCJM, Broekmans FJ. Female infertility: evaluation and management. In: Robertson RP, ed. <em>DeFroot's Endocrinology</em>. 8th ed. Philadelphia, PA: Elsevier; 2023:chap 123.</p><p>Fettinger S, Fanelli L. Hysterosalpingography and sonohysterography. In: Fowler GC, ed. <em>Pfenninger and Fowler's Procedures for Primary Care</em>. 4th ed. Philadelphia, PA: Elsevier; 2020:chap 134.</p><p>Lobo RA. Infertility: etiology, diagnostic evaluation, management, prognosis. In: Gershenson DM, Lentz GM, Valea FA, Lobo RA, eds. <em>Comprehensive Gynecology</em>. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 40.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 3/31/2024</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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