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
patencyofthefallopiantubes.
• It is a radiographic study using fluorescent dye to
visualisetheanatomyofuterusandfallopiantubes.

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.