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Hysterosalpingogram (HSG)
What is a hysterosalpingogram?
A hysterosalpingogram is an X-ray study of the
uterus and Fallopian tubes for detection of abnormalities of these
structures. It is most often used to confirm tubal abnormalities or
obstructions that may be the cause of infertility. The
hysterosalpingogram must be scheduled at our Puyallup Imaging Center
seven to ten days after the first day your menstrual period. Bleeding
must have stopped before the exam is scheduled. It is also important
that you should not have unprotected intercourse between the onset of
your period and the examination.
You
are advised to wear a two-piece outfit and are requested to douche and
bathe before the examination. You may be asked not to eat for several
hours before the exam, and may possibly be given a laxative and/or a
sedative. Please allow at least one hour for this exam.
Also,
please make arrangements to keep your children at home on the day of
your appointment. There are no childcare services on-site, and due to
the presence of radiation, children are not allowed to enter exam rooms
during imaging procedures.
What should I expect?
After checking in with the receptionist and
putting on a special gown in a dressing booth, you will meet in a
private X-ray room with a female Technologist for questions and
discussion. The Technologist will be present during the entire
procedure. You will then be introduced to Radiology Practitioner
Assistant or Radiologist who will perform the examination.
The
exam begins very much like a pelvic examination. You will be positioned
on the X-ray table lying on your back. The vaginal area and cervix will
be cleansed and a small catheter passed into the uterus for injection
of contrast medium.
Contrast medium (a
liquid solution) is then introduced into the uterine cavity. This flows
into and outlines the uterus and Fallopian tubes. If the Fallopian
tubes are blocked, the point of obstruction will be visible on the
fluoroscope. You may experience some cramping during the injection.
Relax as much as possible and breathe deeply when instructed.
The
Radiologist will review your images. Sometimes additional images may be
necessary. When no further images are needed, you can change into your
regular clothes and return home. You will be given a sanitary napkin to
wear home. You may have some drainage of the contrast medium or
spotting. This is normal.
Drainage
will not be a full menstrual type of flow, and should last only a day
or two. If, however, the spotting becomes excessive, you have any
increasing discomfort in the pelvic area or develop a fever, please
call your referring physician or healthcare provider.
Exam
results are usually available three working days after the procedure.
Please contact your referring physician for results at that time.
Which location provides the service?
Puyallup Imaging Center
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