Tubal Assessment - Hysterosalpingogram – An X-ray of the Fallopian tube and Uterus

Introduction 

It is an X-ray conducted to observe and examine the fallopian tube and uterine cavity. It checks whether there is no barrier in the fallopian tube and whether everything functions normally in the uterine cavity.

Risks factor associated with Tubal Assessment - Hysterosalpingogram

Though this X-ray is very safe, but are always expected and observed risks involved with any test. They are as follows – 

  • Occurrence of pelvic infection if you have had a disease in the past.
  • Chances of you getting fainting during the process.
  • You may get exposed to radiation from an X-ray, and though it is very minimal and harmless, pregnant women are advised not to undergo such a process.
  • You may get rashes and experience itching due to an allergy to iodine.
  • You may experience spotting after a few days from this process
  • There are chances of you getting an injury in the uterus due to insertion.

Preparation for Tubal Assessment - Hysterosalpingogram

This requires preparation on various fronts. They are as follows –

  1. Patient –It requires fulfilment of the following checklist – 
  • Whether are you pregnant?
  • Have you had any allergies?
  • Are you suffering from a pelvic infection at present?
  • What medication you are consuming?
  1. Preparation for process – This involves the fulfilment of the following checklist –
  • The exam should be conducted after a week or ten days from the last menstrual cycle.
  • You should be advised to take antibiotics or pain killers few hours before the process to get ease from discomfort
  • Before the test, the expert should counsel you about the procedure and objective of the test
  1.  Conduction of test – It involves the following step –
  • You will lie down on a table in a position in which your knees will be bent but your legs will be open.
  • A device called a speculum will be inserted in your vagina to open it more by expanding its wall.
  • The doctor will slowly insert a thin plastic tube with a balloon in the rear of it. Once inserted the balloon will inflate to hold the tube in the cervix. The doctor will remove the speculum and ask you to straighten your legs.
  • Now the dye will be pumped into the uterus and the doctor will operate the machine on the pelvic area for X-rays. He may ask you to change your position to access the working solution in a fallopian tube.
  • If the fallopian tube is open, the solution will split out and if blocked it won’t split out.
  • After completion of the process, the tube will be taken out.

What is expected from Tubal Assessment - Hysterosalpingogram?

After the conduction of the test, you may experience the following - 

  • You may experience fever and feel pain in the lower abdomen area
  • You might have a discharge along with a bad smell.
  • You might have stomach pain and vomiting.
  • You may experience cramps and feel weakness

Possible result of Tubal Assessment - Hysterosalpingogram

The result of this process can either be any of the two –

  • The fallopian tubes are open
  • The fallopian tubes are blocked

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Conclusion

This X-ray helps in the identification of any blockage or problem in the fallopian tube and uterus. This is the primary step of diagnosis. On the basis of its result, further tests are prescribed.

1. What does the dye do in this test?

It acts as an on-field agent and identifies the problem if exists. It is easily detectable in X-ray.

2. Is this process harmful?

No, this process is not harmful.

3. Are pregnant women allowed to conduct such tests?

No, pregnant women are not allowed to undergo a such test.

4. Does this process clear the blockage?

No, it does not clear the blockage but only identifies if there is one.

5. When this test is performed?

It is performed after a week or ten days from the last menstrual cycle.

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