Recent uterine or tubal surgery
Acute pelvic Infection
Hysterosalpingogram is shown in the image.
Hysterosalpingogram (HSG) is a fluoroscopic examination of the uterus and the Fallopian tubes, most commonly used in the investigation of infertility or recurrent spontaneous abortions.
The procedure should be performed during the proliferative phase of the patient’s menstrual cycle (days 6-12), when the endometrium is thinnest
- this improves visualisation of the uterine cavity, and also minimises the possibility that the patient may be pregnant 1
- if there is any uncertainty about the patient’s pregnancy status, a beta hCG is warranted prior to commencing.
- Infertility to assess uterine morphology and tubal patency.
Conditions which may be detected with HSG include:
- uterine congenital anomalies
- submucosal uterine fibroids
- uterine malignancy
- intrauterine adhesions
- uterine (endometrial) polyps
- obliteration of fallopian tubes : usually secondary to previous pelvic inflammation. It must be differentiated from incomplete tubal opacification due to tubal spasm, or underfilling of the uterus with contrast
- tubal polyps
- tubal malignancy
- salpingitis isthmica nodosa (SIN)
- tubal spasm : can be physiological