The first time I heard the name of the “hysterosalpingography” exam I rolled my tongue trying to speak, but the exam is much simpler than the name! LOL. Well, hysterosalpingography, or just hysteresis, is an x-ray exam that aims to do a deeper examination of the uterus with an iodine-based contrast method that is injected into the cervix. Hysterosalpingography aims to verify the existence of barriers in the tubes, or some other problem that prevents the woman from becoming pregnant. Malformation of the uterus, adhesions on the walls of the uterus or fallopian tubes and some other problems. This is not an invasive exam like surgery, but hysterosalpigography can be uncomfortable due to the application of the contrast and the pain it can cause.
The contrast is applied to the patient in a gynecological examination position through a very thin cannula that enters the uterus and pours out the liquid. This liquid makes its way into the uterus, clearly showing in the image whether or not there is any obstruction anywhere in the uterus. After inserting the contrast, a series of radiographs is takenthat show different angles of the uterus providing a good medical diagnosis. With the examination of hysterosalpingography in hand the doctor can assess the need for an intervention to unblock the tubes, resolve adhesions of the walls of the uterus. These problems are the cause of many cases of “unexplained” infertility, so if you have been trying to conceive for a while and there is nothing on your hormonal tests or your partner’s tests, then it’s time to ask your gynecologist .
Adhered tubes do not allow sperm to pass until they reach the egg and in some cases can also prevent the fertilized egg from actually reaching the uterus for implantation. I’ve heard people say that hysterosalpingography helps you get pregnant, but it’s not quite there. Of course, if there are any problems that are hindering, the doctor will choose to have a micro surgery and in some cases this happens at the time of the exam, but only the exam itself without solving the problem, there has to be the procedure that will be taken by the doctor.
Where to Do Hysterosalpingography
Hysterosalpingography must be performed in specialized laboratories and there must be preparation for this. Not that it is an examination of many difficulties, as it is very simple to perform, but the contrast can cause some pain (cramps) and sometimes more support is needed if the patient has an allergy to the contrast (very rare to happen). The hysterosalpingography exam should be done right after menstruation, since it is an exam involving two factors that can harm a probable pregnancy, the contrast and the x-ray. I’ve heard people say that hysterosalpingography helps you get pregnant, but it’s not quite there. Of course, if there are any problems that are hindering, the doctor will choose to have a micro surgery and in some cases this happens at the time of the exam, but only the exam itself without solving the problem, there has to be the procedure that will be taken by the doctor.
The tube clearing procedure can be done as outpatient surgery and in more severe cases of tightening of the tubes or accumulation of fluid caused by infections, the use of appropriate medications will be adopted by the doctor. If the problem is just that, the pregnancy can happen right after the procedure and that’s why it became the miraculous exam of the time. It is always good to point out that infertility should be investigated in the couple, and not just in the woman, so that time is saved in case it is necessary to do any surgical procedure or treatment with medication. Holy hysterosalpingography!
Hope this helps!
My name is Dr. Alexis Hart I am 38 years old, I am the mother of 3 beautiful children! Different ages, different phases 16 years, 12 years and 7 years. In love with motherhood since always, I found it difficult to make my dreams come true, and also some more after I was already a mother.
Since I imagined myself as a mother, in my thoughts everything seemed to be much easier and simpler than it really was, I expected to get pregnant as soon as I wished, but it wasn’t that simple. The first pregnancy was smooth, but my daughter’s birth was very troubled. Joana was born in 2002 with a weight of 2930kg and 45cm, from a very peaceful cesarean delivery but she had already been born with congenital pneumonia due to a broken bag not treated with antibiotics even before delivery.