How is a hysterosalpingogram performed?

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Currently, gynecological diseases and infertility in women are quite common. Diagnosis and finding the cause has become easier thanks to modern medicine, in which hysteroscopy is a highly effective technique. Are you curious about how to scan the uterus and fallopian tubes? Are you hurt? Let's find out with BSCKI Nguyen Gia Hoang Anh, Obstetrician and Gynecologist, Vinmec Times City International Hospital through the video below.
Video content is professionally consulted by BSCKI Nguyen Gia Hoang Anh, Obstetrician and Gynecologist, Vinmec Times City International Hospital

1. Learn about the hysterosalpingogram technique

Hysterosalpingogram is a technique to help evaluate whether the uterus or fallopian tubes are damaged, blocked, polyps in the uterine cavity or not? This test is only done for people who:
Suspected infertility (continuous intercourse for 1 year without using contraception but no pregnancy) Suspected ovarian malformation People with a history of miscarriage, pregnancy This technique is NOT INDICATIONS if you are pregnant, have an active genital tract infection, have genital bleeding (menstrual or vaginal bleeding), have a sexually transmitted disease sex .
Doctor Nguyen Gia Hoang Anh shared that before taking the photo, you should clearly inform your health status so that the shooting process goes smoothly and has the most accurate results.

2. Procedure for performing a hysterosalpingogram

A hysterosalpingogram is like a routine gynecological exam. You may first be given a sedative or ibuprofen to relax your body (if needed) and relax the uterine muscles to prevent contractions.
You will be in the obstetric position. The doctor will insert the instrument into the patient's vagina, clean the cervix with an antiseptic solution, and insert the catheter into the cervical opening.
Next inject a little solution containing contrast material through this catheter into the uterus
If the fallopian tubes are clear, the contrast solution will enter the fallopian tubes and abdomen. In the abdominal cavity, the contrast material will be absorbed naturally by the body. If the fallopian tubes are blocked, the contrast medium will not be able to pass through.

During the scan, X-ray images will be displayed on a dedicated computer screen. The doctor can take pictures in many positions to get the best view. After the scan is complete, the doctor will remove the speculum and catheter.
Your doctor may ask you to stay for about 30 minutes to monitor your condition and make sure you are stable again.
In order for the X-ray of the uterus and fallopian tubes to be carried out smoothly and for the most accurate results, before performing this method, you need to inform your doctor about the condition of your body such as: pregnant or suspected of being pregnant You have a pelvic infection or sexually transmitted disease such as gonorrhea, Chlamydia , genital warts ... Or you are being treated for diabetes or have a history of diabetes sugar, kidney disease or not. In addition, about 5 days - 1 week before the scan, you will have an obstetric and gynecological examination to rule out advanced genital infections, prophylactic antibiotics 2 days before the HSG scan, and be advised abstinence before taking pictures. Make sure you don't use gastrointestinal contrast for 5-7 days before the scan.
After the hysteroscopy, you should note the following points:
Do not have sex for two weeks after the scan and avoid pregnancy during the month of the scan to avoid inflammation and abdominal pain because of uterine contractions. Dysmenorrhea can be caused by the effect of the contrast medium. This post-scan dysmenorrhea only lasts for a few days in the next 1 to 2 menstrual cycles and will stop soon after. Vinmec International General Hospital has applied HSG imaging technique in examination and imaging of the uterus and fallopian tubes, detecting many gynecological diseases. HSG imaging technique at Vinmec is carried out methodically and in accordance with standard procedures by a team of highly qualified medical professionals and modern machinery, thus giving accurate results, making a significant contribution to the identification. diagnosis and stage of the disease.

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