Hysterosalpingography (HSG) is a radiological procedure used to examine the uterine cavity and the patency of fallopian tubes using a fluorescent dye. It is indicated for various diagnoses including uterine malformations, cervical incompetence, and abdominal pregnancy. The procedure involves several steps, requires a patient to have an empty bladder, and may lead to complications such as pelvic pain and infection.

1. Hysterosalpingography
Dr.Yashika

2. Hysterosalpingography
(HSG)
Hystero+Salpingo+Graphy
• HSG is a radiological procedure done to assess the interior
anatomy of the uterine cavity and the shape and patency of
thefallopiantubes.
• It is a radiographic study using fluorescent dye to visualise
theanatomyofuterusandfallopiantubes.

3. Indications:
• Assessmentoftubalpatency.
• Detectionofuterinemalformation.
• Diagnosisofcervicalincompetence.
• DetectionoftranslocatedIUD.
• Diagnosisofuterinesynechiae.
• Diagnosisofuterinefibroid,uterinepolyp.
• Diagnosisofabdominalpregnancy.

4. Uterine Malformation

5. Steps of operation
1. The patient is asked to remain empty bladder.
2. Operation is done under general anaesthesia.
3. The patient is placed in lithotomy position.
4. Local antiseptic cleaning is done.
5. Posterior vaginal speculum is introduced.
6. Anterior lip of cervix is grasped with Allis tissue forcep.

6. 7. HSG cannula is fitted with a syringe containing radio
opaque dye. About 5- 10 ml of dye is slowly introduced.
8. The passage of the dye is observed by using X-ray
intensifier and a video display unit.
9. Two radiographic X-rays are taken. First one to show the
filling of uterine cavity and other one 10-15 mins after the
completion of procedure.
Timing of procedure :
HSG is done between D6 and D10 of cycle.
Antibiotics are given one day prior the procedure up to 5 days.

7. Contrast media

8. Complications
• Peritonealirritation.
• Pelvicpain.
• Vasovagalattack.
• Intravasationofdyeintothevenousorlymphatic
channels.
• Flaringupofpelvicinfections.