Which abnormalities can be detected with Hysterosalpingography?
Uterine abnormalities that can be detected at HSG include congenital anomalies, polyps, leiomyomas, surgical changes, synechiae, and adenomyosis. Tubal abnormalities that can be detected include tubal occlusion, salpingitis isthmica nodosum, polyps, hydrosalpinx, and peritubal adhesions.
What does normal hysterosalpingogram mean?
A hysterosalpingogram or HSG is an x-ray procedure used to see whether the fallopian tubes are patent (open) and if the inside of the uterus (uterine cavity) is normal. HSG is an outpatient procedure that usually takes less than 5 minutes to perform.
For what conditions do radiologists assess when performing a Hysterosalpingography?
Hysterosalpingography is primarily used to examine women who have difficulty becoming pregnant by allowing the radiologist to evaluate the shape and structure of the uterus, the openness of the fallopian tubes, and any scarring within the peritoneal cavity.
What is the most common pathological indication for the hysterosalpingogram?
Indications for hysterosalpingography: Infertility (most common indication, in particular when fallopian tube pathology is suspected).
Can HSG detect polyps?
HSG is not able to diagnose polyps, septum and submucous fibroids with significant accuracy. Therefore hysteroscopy is indicated for confirmation.
What are the indications for hysterosalpingogram?
HSG has long been recognized for its use in detecting tubal patency, polyps, submucosal leiomyomas, synechiae, müllerian anomalies, hydrosalpinges, salpingitis isthmica nodosum (SIN), and peritubal adhesions.
Can hysterosalpingogram clear blockage?
One theory is that the dye flushes out the fallopian tubes, clearing minor blocks in some women. (Though HSG cannot repair or open the serious blockages.) If this is the case, the HSG test result will show unblocked fallopian tubes. However, some contrast may seem to stop and then continue on the x-ray.
When should a hysterosalpingogram be done?
It is best to have HSG done in the first half of the menstrual cycle (days 1 to 14). This timing reduces the chance that you may be pregnant. During HSG, a contrast agent is placed in the uterus and fallopian tubes.
What is the contraindication of HSG?
The major contraindications are active pelvic infection, active bleeding, and pregnancy. HSG should be done during the follicular phase of menstrual cycle, when pregnancy is unlikely. Spillage of contrast into the pelvis is normal and indicates patency of fallopian tubes. Only one tube needs to be patent for fertility.
Can HSG give false result?
Furthermore, results of HSG were false-negative in 52.6% of patients, false-positive in 18.6% (Table 3) and accuracy was 71%.
Can HSG detect uterine abnormalities?
As a test for the detection of uterine cavity abnormalities, HSG in comparison with hysteroscopy had 60% sensitivity, 90% specificity, 10% false positive value and 40% false negative value. HSG is not able to diagnose polyps, septum and submucous fibroids with significant accuracy.
Why is hysterosalpingogram done?
Hysterosalpingography (HSG) is an X-ray procedure that is used to view the inside of the uterus and fallopian tubes. It often is used to see if the fallopian tubes are partly or fully blocked. It also can show if the inside of the uterus is a normal size and shape.
What happens after a hysterosalpingogram?
After the test, you may continue to have cramps similar to those experienced during a menstrual cycle. You may also experience vaginal discharge or slight vaginal bleeding. You should use a pad instead of a tampon to avoid infection during this time. Some women also experience dizziness and nausea after the test.
What are the complications of HSG?
What are the risks associated with HSG? Severe problems after an HSG are rare. They include an allergic reaction to the dye, injury to the uterus, or pelvic infection.