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Hysterosalpingography
Marc S. Tubay, MD
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KEY FACTS

  • Terminology

    • Pre-Procedure

      • Procedure

        • Post-Procedure

          TERMINOLOGY

          • Abbreviations

            • Hysterosalpingogram (HSG)
          • Definitions

            • Fluoroscopic evaluation of uterine cavity and fallopian tubes
          • Advantages

            • Best method to assess fallopian tube patency
            • Relatively easy to perform
            • Medications are typically not required
          • Disadvantages

            • Invasive procedure
            • Uses ionizing radiation
            • May be uncomfortable

          PRE-PROCEDURE

          • Indications

            • Contraindications

              • Getting Started

                PROCEDURE

                • Patient Position/Location

                  • Equipment Preparation

                    • Procedure Steps

                      • Findings and Reporting

                        • Alternative Procedures/Therapies

                          POST-PROCEDURE

                          • Expected Outcome

                            • Things to Do

                              OUTCOMES

                              • Problems

                                • Complications

                                  Selected References

                                  1. Maheux-Lacroix S et al: Hysterosalpingosonography for diagnosing tubal occlusion in subfertile women: a systematic review protocol. Syst Rev. 2:50, 2013
                                  2. Trad M et al: Müllerian duct anomalies and a case study of unicornuate uterus. Radiol Technol. 84(6):571-6, 2013
                                  3. Carrascosa PM et al: Virtual hysterosalpingography: a new multidetector CT technique for evaluating the female reproductive system. Radiographics. 30(3):643-61, 2010
                                  4. ACOG Committee on Practice Bulletins--Gynecology: ACOG practice bulletin No. 104: antibiotic prophylaxis for gynecologic procedures. Obstet Gynecol. 113(5):1180-9, 2009
                                  5. Chalazonitis A et al: Hysterosalpingography: technique and applications. Curr Probl Diagn Radiol. 38(5):199-205, 2009
                                  6. Lindheim SR et al: Hysterosalpingography and sonohysterography: lessons in technique. AJR Am J Roentgenol. 186(1):24-9, 2006
                                  7. Perquin DA et al: Routine use of hysterosalpingography prior to laparoscopy in the fertility workup: a multicentre randomized controlled trial. Hum Reprod. 21(5):1227-31, 2006
                                  8. Simpson WL Jr et al: Hysterosalpingography: a reemerging study. Radiographics. 26(2):419-31, 2006
                                  9. Spring DB et al: Enhanced fertility after diagnostic hysterosalpingography may be a myth. AJR Am J Roentgenol. 183(6):1728, 2004
                                  10. Unterweger M et al: Three-dimensional dynamic MR-hysterosalpingography; a new, low invasive, radiation-free and less painful radiological approach to female infertility. Hum Reprod. 17(12):3138-41, 2002
                                  11. Ubeda B et al: Hysterosalpingography: spectrum of normal variants and nonpathologic findings. AJR Am J Roentgenol. 177(1):131-5, 2001
                                  12. Mol BW et al: Comparison of hysterosalpingography and laparoscopy in predicting fertility outcome. Hum Reprod. 14(5):1237-42, 1999
                                  13. Strandell A et al: The assessment of endometrial pathology and tubal patency: a comparison between the use of ultrasonography and X-ray hysterosalpingography for the investigation of infertility patients. Ultrasound Obstet Gynecol. 14(3):200-4, 1999
                                  14. Cundiff G et al: Infertile couples with a normal hysterosalpingogram. Reproductive outcome and its relationship to clinical and laparoscopic findings. J Reprod Med. 40(1):19-24, 1995
                                  15. Swart P et al: The accuracy of hysterosalpingography in the diagnosis of tubal pathology: a meta-analysis. Fertil Steril. 64(3):486-91, 1995
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Pre-Procedure

                                      • Procedure

                                        • Post-Procedure

                                          TERMINOLOGY

                                          • Abbreviations

                                            • Hysterosalpingogram (HSG)
                                          • Definitions

                                            • Fluoroscopic evaluation of uterine cavity and fallopian tubes
                                          • Advantages

                                            • Best method to assess fallopian tube patency
                                            • Relatively easy to perform
                                            • Medications are typically not required
                                          • Disadvantages

                                            • Invasive procedure
                                            • Uses ionizing radiation
                                            • May be uncomfortable

                                          PRE-PROCEDURE

                                          • Indications

                                            • Contraindications

                                              • Getting Started

                                                PROCEDURE

                                                • Patient Position/Location

                                                  • Equipment Preparation

                                                    • Procedure Steps

                                                      • Findings and Reporting

                                                        • Alternative Procedures/Therapies

                                                          POST-PROCEDURE

                                                          • Expected Outcome

                                                            • Things to Do

                                                              OUTCOMES

                                                              • Problems

                                                                • Complications

                                                                  Selected References

                                                                  1. Maheux-Lacroix S et al: Hysterosalpingosonography for diagnosing tubal occlusion in subfertile women: a systematic review protocol. Syst Rev. 2:50, 2013
                                                                  2. Trad M et al: Müllerian duct anomalies and a case study of unicornuate uterus. Radiol Technol. 84(6):571-6, 2013
                                                                  3. Carrascosa PM et al: Virtual hysterosalpingography: a new multidetector CT technique for evaluating the female reproductive system. Radiographics. 30(3):643-61, 2010
                                                                  4. ACOG Committee on Practice Bulletins--Gynecology: ACOG practice bulletin No. 104: antibiotic prophylaxis for gynecologic procedures. Obstet Gynecol. 113(5):1180-9, 2009
                                                                  5. Chalazonitis A et al: Hysterosalpingography: technique and applications. Curr Probl Diagn Radiol. 38(5):199-205, 2009
                                                                  6. Lindheim SR et al: Hysterosalpingography and sonohysterography: lessons in technique. AJR Am J Roentgenol. 186(1):24-9, 2006
                                                                  7. Perquin DA et al: Routine use of hysterosalpingography prior to laparoscopy in the fertility workup: a multicentre randomized controlled trial. Hum Reprod. 21(5):1227-31, 2006
                                                                  8. Simpson WL Jr et al: Hysterosalpingography: a reemerging study. Radiographics. 26(2):419-31, 2006
                                                                  9. Spring DB et al: Enhanced fertility after diagnostic hysterosalpingography may be a myth. AJR Am J Roentgenol. 183(6):1728, 2004
                                                                  10. Unterweger M et al: Three-dimensional dynamic MR-hysterosalpingography; a new, low invasive, radiation-free and less painful radiological approach to female infertility. Hum Reprod. 17(12):3138-41, 2002
                                                                  11. Ubeda B et al: Hysterosalpingography: spectrum of normal variants and nonpathologic findings. AJR Am J Roentgenol. 177(1):131-5, 2001
                                                                  12. Mol BW et al: Comparison of hysterosalpingography and laparoscopy in predicting fertility outcome. Hum Reprod. 14(5):1237-42, 1999
                                                                  13. Strandell A et al: The assessment of endometrial pathology and tubal patency: a comparison between the use of ultrasonography and X-ray hysterosalpingography for the investigation of infertility patients. Ultrasound Obstet Gynecol. 14(3):200-4, 1999
                                                                  14. Cundiff G et al: Infertile couples with a normal hysterosalpingogram. Reproductive outcome and its relationship to clinical and laparoscopic findings. J Reprod Med. 40(1):19-24, 1995
                                                                  15. Swart P et al: The accuracy of hysterosalpingography in the diagnosis of tubal pathology: a meta-analysis. Fertil Steril. 64(3):486-91, 1995