General

Synonym/Acronym:
Hysterogram, uterography, uterosalpingography.

Rationale
To visualize and assess the uterus and fallopian tubes for obstruction, adhesions, malformations, or injuries that may be related to infertility.

Patient Preparation
There are no food, fluid, or activity restrictions unless by medical direction. Instruct the patient to take a laxative or a cathartic, as ordered, on the evening before the examination.

Regarding the patient’s risk for bleeding, the patient should be instructed to avoid taking natural products and medications with known anticoagulant, antiplatelet, or thrombolytic properties or to reduce dosage, as ordered, prior to the procedure. Number of days to withhold medication is dependent on the type of anticoagulant. Note the last time and dose of medication taken. Protocols may vary among facilities.

Normal Findings

• Contrast medium flowing freely into the fallopian tubes and from the uterus into the peritoneal cavity
• Normal position, shape, and size of the uterine cavity.

Critical Findings and Potential Interventions
N/A