McKesson Clinical Reference Systems: Women's Health Advisor 2002.2
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What is hysterosalpingography?

Hysterosalpingography is an x-ray procedure used to examine the uterus and fallopian tubes. Contrast dye is injected through the cervix and into the uterus so that these organs can be seen on an x-ray.

When is it used?

This procedure is usually done to discover the cause of infertility, heavy bleeding, painful menstruation, or amenorrhea (missed menstrual periods).

How do I prepare for hysterosalpingography?

• Eat a light meal such as soup or salad the night before the procedure. Do not eat or drink anything the morning before the procedure.
• Take a laxative the night before the procedure.
• Urinate just before the test.
• Tell the doctor if you know you are allergic to contrast dye or seafood.
• An hour or two before the procedure the doctor may give you a suppository or enema. You may also be given a pain medication and a drug to relax your muscles.

What happens during the procedure?

The test is performed immediately after your menstrual period.

Before injecting any dye into your uterus and fallopian tubes, the doctor takes an x-ray of your abdomen. Then you lie on an exam table and put your feet in stirrups, just as you would for a pelvic exam. The doctor opens up the vagina using a tool called a speculum and cleans the cervix (the opening of the uterus). The doctor inserts a slender tube into the vagina and then into the cervix and injects dye into the uterus and fallopian tubes while x-rays are taken.

What happens after the procedure?

Someone should drive you home after the procedure. You may feel nauseated or dizzy and have some cramps for 1 or 2 days. You may also have some bloody vaginal discharge. Your doctor may give you a mild pain medication to take home with you.

Ask your doctor what steps you should take and when you should come back for a checkup.

What are the benefits of this procedure?

This procedure will not cure the problem, but it may help your doctor discover if you have any problems in the uterus or fallopian tubes and how to treat the problem.

What are the risks associated with this procedure?

• Your abdominal cavity may be irritated, causing cramps or a fever.
• In rare cases, you may have an allergic reaction to the dye. The symptoms of an allergic reaction are:
  • swelling of the skin
  • hives
  • nausea
  • fainting
  • shortness of breath.

You should ask your doctor how these risks apply to you.

When should I call the doctor?

Call the doctor immediately if:

• You develop a fever.
• You have an allergic reaction to the dye.

Call the doctor during office hours if:

• You have questions about the procedure or its result.
• You want to make another appointment.

This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.