HysterosalpingographyHysterosalpingography

Alicia McFarlandAlicia McFarland

Radiology Period 7Radiology Period 7

ProcedureProcedure

A speculum is inserted into the A speculum is inserted into the vaginavagina

A catheter is then inserted into the A catheter is then inserted into the cervixcervix

Contrast material is injected into the Contrast material is injected into the uterine cavity through the catheteruterine cavity through the catheter

Fluoroscopic images are then takenFluoroscopic images are then taken

Uses of Uses of HysterosaplingographyHysterosaplingography

Most commonly used to evaluate patients Most commonly used to evaluate patients with difficulty becoming pregnant or with with difficulty becoming pregnant or with frequent miscarriagesfrequent miscarriages

Used to evaluate uterine abnormalitiesUsed to evaluate uterine abnormalities Congenital uterine anomaliesCongenital uterine anomalies Fibroids or tumor massesFibroids or tumor masses AdhesionsAdhesions

Used to evaluate tubal patencyUsed to evaluate tubal patency Following tubal ligation reversal procedureFollowing tubal ligation reversal procedure Following pelvic inflammatory diseaseFollowing pelvic inflammatory disease

Risks and BenefitsRisks and Benefits

Minimally invasive procedure with rare Minimally invasive procedure with rare complications complications

Can provide valuable information regarding Can provide valuable information regarding infertility or problems carrying a fetus to infertility or problems carrying a fetus to term term

Minimal exposure to radiationMinimal exposure to radiation Effective radiation dose ~ 1 mSv (comparable to Effective radiation dose ~ 1 mSv (comparable to

average amount of background radiation over 4 average amount of background radiation over 4 mo)mo)

Should not be performed if patient is Should not be performed if patient is pregnant at the time of the procedurepregnant at the time of the procedure

Normal Normal HysterosalpingogramHysterosalpingogram

Normal Normal HysterosalpingogramHysterosalpingogram

Normal Normal HysterosalpingogramHysterosalpingogram

Abnormal Abnormal HysterosalpingogramHysterosalpingogram

Abnormal Abnormal HysterosalpingogramHysterosalpingogram

Abnormal Abnormal HysterosalpingogramHysterosalpingogram

Abnormal Abnormal HysterosalpingogramHysterosalpingogram

Abnormal Abnormal HysterosalpingogramHysterosalpingogram