Hysterosalpingography: X-ray of the uterus

A Hysterosalpingography is a special X-ray using dye to look at the womb (uterus) and fallopian tubes.

How to prepare?
Your doctor may give you antibiotics to take before and after the test. This helps prevent infections. You may also be given medicines to take on the day of the procedure to help you relax.

The test will often be scheduled a few days or weeks after you start your period to make sure you are not pregnant. Doing it at this time also reduces the risk of infection.

Tell your doctor or nurse if you have had an allergic reaction to contrast dye before.

You can eat and drink normally before the test.

During the procedure
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 as you do during a pelvic exam. A tool called a speculum is placed into the vagina.

After the cervix is cleaned, the doctor 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 X-rays.

You may have some discomfort when the speculum is inserted into the vagina. This is similar to a pelvic exam with a Pap smear.

Some women have cramps during or after the test, like those you may get during your period.

You may have some pain if the dye leaks out of the tubes, or if the tubes are blocked.

Why the test is performed?
This test is done to check for blockages in your fallopian tubes or other problems in the womb and tubes. It is often done as part of an infertility examination. It may also be done after you have your tubes tied to confirm that the tubes are fully blocked.

Considerations
This test should not be performed if you have the pelvic inflammatory disease (PID) or are experiencing unexplained vaginal bleeding.

After the test, report any signs or symptoms of infection to your healthcare provider immediately. These include foul-smelling vaginal discharge, pain, or fever.

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