Hysterosalpingography

What you should know

Hysterosalpingography (HSG) is a procedure to look inside your uterus and fallopian tubes.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

Risks

During your HSG procedure, your body may react to the dye. A reaction may cause nausea, skin itching, hives, or breathing problems. Tell your caregiver right away if you have any of these symptoms after you have received the dye. You could also bleed more than expected or get an infection. Even after you have an HSG, you may need other tests to find the cause of your health problem. Without this procedure, caregivers may not know the cause of your medical condition. The signs and symptoms you presently have may continue and become worse.

Getting Ready

The week before your procedure:

  • Write down the correct date, time, and location of your procedure.

  • Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.

  • Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.

  • Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.

  • Ask your caregiver how many days before the procedure you need to stop having sexual intercourse.

  • Dye will be used during your procedure to let caregivers see your uterus and fallopian tubes better. Tell the caregiver if you have ever had an allergic reaction to contrast dye.

  • You may need to have a urine test, ultrasound, and blood tests. Talk to your caregiver about these or other tests you may need. Write down the date, time, and location for each test.

The night before your procedure:

  • You may be given medicine to help you sleep.

  • Ask caregivers about directions for eating and drinking.

  • Bowel cleansing may be needed. You may be given medicine to drink or an enema that will empty your bowel. An enema is liquid put into your rectum.

The day of your procedure:

  • Ask your caregiver before taking any medicine on the day of your procedure. These medicines include insulin, diabetic pills, high blood pressure pills, or heart pills. Bring a list of all the medicines you take, or your pill bottles, with you to the hospital.

  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.

  • Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.

  • An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.

Treatment

What will happen:

You will lie on a table. Your legs will be put up in stirrups. Your caregiver will insert a gloved hand to check your vagina and cervix. He will gently put in a warmed speculum to widen and hold open your vagina. A catheter will then be inserted into your cervix. Once the catheter is inserted, the speculum may be removed. Your caregiver will then inject a dye through the catheter and several x-ray pictures will be taken. After the x-rays are taken, the catheter will be removed. You will need to wear a sanitary pad to absorb blood or dye that drains after the procedure.

After your procedure:

You may stay in bed or sit until you are completely comfortable. Caregivers will monitor you closely for any problems. Do not get out of bed until your caregiver says it is okay. When your caregiver sees that you are okay, you will be able to go home. You will need to keep the vaginal pad in place after your procedure.

Contact a caregiver if

  • You cannot make it to your procedure.

  • You have a fever.

  • You get a cold or the flu.

  • You have questions or concerns about your procedure.

Seek Care Immediately if

  • You have blood, pus, or foul-smelling odor coming out from your vagina.

  • You have sudden severe abdominal or vaginal pain.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Hysterosalpingography (Precare)

Hide
(web3)