Hysterosalpingogram
The hysterosalpingogram (HSG) study takes about 5 minutes to perform. However the test is usually done in the radiology department of a hospital there is additional time for the woman to register at the facility and fill out a questionnaire and answer some questions covering her medical history.
The HSG Test is performed in these steps:
* The woman lies on the table on her back and brings her feet up into a “frog leg” position similar to the Pap Procedure position.
* The doctor places a speculum in the vagina and looks at the cervix.
* Either a soft, thin catheter is placed through the cervical opening into the uterine cavity or an instrument called a tenaculum is placed on the cervix and then a narrow metal cannula is inserted through the cervical opening.
* Contrast is slowly injected through the cannula or catheter into the uterine cavity. An x-ray picture is taken as the uterine cavity is filling and then additional contrast is injected so that the tubes should fill and begin to spill into the abdominal cavity. More x-ray pictures are taken as this “fill and spill” occurs.
* When both tubes spill dye, the woman is often asked to roll to one side or the other slightly to give a slightly oblique x-ray image which can further delineate the anatomy.
* The procedure is now complete. The instruments are removed from the cervix and vagina.
* The woman usually remains on the table for a few minutes to recover from the cramping caused by injection of the contrast.
* The results of the test can be immediately available. The x-ray pictures can usually be reviewed with the woman several minutes after the procedure is done.
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