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Tumor Therapy China

Hysterosalpingography(HSG)

If you are considering hysterosalpingography in China and would like to get know more information about hysterosalpingography, please complete the inquiry form or email us at info@shmtppp.com

Overview

Hysterosalpingography (HSG) is a radiologic procedure to investigate the shape of the uterine cavity and the shape and patency of the fallopian tubes. It entails the injection of a radio-opaque material into the cervical canal and usually fluoroscopy with image intensification. A normal result shows the filling of the uterine cavity and the bilateral filling of the fallopian tube with the injection material. To demonstrate tubal rupture spillage of the material into the peritoneal cavity needs to be observed.

Procedure

The procedure involves ionizating x-rays. It should be done in the follicular phase of the cycle.[1] It is contraindicated in pregnancy. It is useful to diagnose uterine malformations, Asherman's syndrome, tubal occlusion and used extensively in the work-up of infertilewomen. It has been claimed that pregnancy rates are increased in a cycle when an HSG has been performed. Using catheters, an interventional radiologist can open tubes that are proximally occluded.

The test is usually done with radiographic contrast medium (dye) injected into the uterine cavity through the vagina and cervix. If the fallopian tubes are open the contrast medium will fill the tubes and spill out into the abdominal cavity. It can be determined whether the fallopian tubes are open or blocked and whether the blockage is located at the junction of the tube and the uterus (proximal) or whether it is at the end of the fallopian tube (distal).

Complications

Complications of the procedure include infection, allergic reactions to the materials used, intravasation of the material, and, if oil-based material is used, embolisation. Air can also be accidentally instilled in to the uterine cavity by the operator, thus limiting the exam due to iatrogenically induced filling defects. This can be overcome by administering the Tenzer Tilt which will demonstrate movement of the air bubbles to the non-dependant portion of the uterine cavity.

If you are considering hysterosalpingography in China and would like to get know more information about hysterosalpingography, please complete the inquiry form or email us at info@shmtppp.com