Hysterosalpingography

Hysterosalpingography is a topic covered in the Davis's Lab & Diagnostic Tests.

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Synonym/Acronym:
Hysterogram, uterography, uterosalpingography.

Rationale
To visualize and assess the uterus and fallopian tubes to assess 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.

Note: If iodinated contrast medium is scheduled to be used in patients receiving metformin or drugs containing metformin for type 2 diabetes, the drug may be discontinued on the day of the test and continue to be withheld for 48 hr after the test.

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.

Patients on beta blockers before the surgical procedure should be instructed to take their medication as ordered during the perioperative period. Protocols may vary among facilities.

Ensure that barium studies were performed more than 4 days before the hysterosalpingography.

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

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