Hysterosalpingography is a test performed to evaluate the condition of your uterus and fallopian tubes. X-ray contrast is injected into your uterus, and an X-ray is taken to determine if the cavity is normal and ensure the fluid spills out of your fallopian tubes.

With this test your doctor will be able to confirm that a woman’s fallopian tubes are open and also that the uterus has a normal shape. It can also make sure the cavity is not affected by fibroids, polyps or scar tissue.

How is the test performed?

At the start of the procedure, the cervix is visualized with a speculum inserted into the vagina and cleaned with an antiseptic solution. A thin, plastic catheter is placed inside the cervix and a small amount of contrast dye is passed through the catheter into the cervix, filling the uterus and fallopian tubes.

Then with an X-ray the practitioner can watch as the dye fills the uterus and travels into the tubes. The tubes are considered open when the dye is able to move completely through the length of the tube, spilling the dye out on the other side.

Side effects and Risks:

There are some common side effects such as pain and/or discomfort, abdominal pain or cramps and vaginal spotting and/or watery discharge. There is an uncommon risk of infection. If you have bleeding that resembles a period or develop a fever, or continue to feel pain for more than a few days, you should contact your physician.

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