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A hysterosalpingogram is an X-ray of the uterus and the fallopian
tubes. It can show such things as areas of scarring inside
the fallopian tubes and abnormalities of the uterus. Additionally
a hysterosalpingogram may highlight endometrial polyps, submucus
fibroids, intrauterine and pelvic adhesions and actual blockage
in the fallopian tubes.
A small amount (about a tablespoon) of X-ray dye is injected
into your uterus. This allows the X-ray pictures of the uterus
to more clearly show any problems that are present. The amount
of flow of the dye into the fallopian tubes gives an indication
of the quality of the tubal structure and the status of the
tubal lining.
Care must be taken to ensure that you are not pregnant when
this test is performed. It needs to be scheduled according
to your menstrual cycle. Your physician will discuss any pre-surgery
preparations with you. You may experience some cramping during
and after the procedure. There will be a sticky vaginal discharge
for a few days after the surgery; this will be the X-ray dye
being discharged from your uterus.
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