When is a hysterosalpingogram needed?

Surely we sisters are often very worried and do not know what to do when we find it difficult to get pregnant after trying many times. With advanced medicine, modern technology like today, by X-ray method of the uterus and fallopian tubes will help us diagnose and evaluate the condition of the uterus.

Video content is professionally consulted by BSCKI Nguyen Gia Hoang Anh, Obstetrician and Gynecologist, Vinmec Times City International Hospital

Hysterosalpingography is a technique to help evaluate a woman's fertility, performed by taking X-rays after low-pressure contrast material has been injected from the vagina through the cervix into the uterus and two fallopian tubes. A hysterosalpingogram shows you the uterus or fallopian tubes for any damage or obstruction, or detects abnormalities in a woman's uterus such as a tumor, fibroids, or foreign body.

This is a question that many women are interested in, but doctors do not always order a hysterosalpingogram. Only in the following cases should you have a hysterosalpingogram to check:
When you have difficulty getting pregnant or have had multiple miscarriages. When you have uterine problems such as scar tissue in the uterus, uterine adhesions, uterine malformations, uterine tuberculosis, fibroids, tumors or polyps in the uterus. Menorrhagia, pelvic pain due to submucosal fibroids, uterine polyps, endometrial cancer. In addition, hysterosalpingogram is also used to evaluate whether previous surgeries were successful such as tubal ligation surgery, fallopian tube surgery, tubal re-opening procedure,...
Timing Uterine and fallopian tubes are best taken 3 days after menstruation, you should take them in the first 10 days of your menstrual cycle and abstain from sexual relations.

Avoid the time of ovulation because it is possible that you are pregnant without detecting, when taking an X-ray of the uterus and fallopian tubes, it will affect the fetus. On the other hand, this is also the time when the condition of the uterus and fallopian tubes can be clearly observed.
Check for gynecological inflammation, pelvic inflammatory disease or sexually transmitted diseases.
Test for allergies to contrast.
Women who have been sterilized through hysteroscopy should have an HSG scan after about 3 months to ensure health safety.
It is not recommended to take a hysterosalpingogram when there is fluid in the fallopian tubes, causing the contrast agent not to enter the fallopian tubes, on the contrary, to spill out into the uterine cavity.
People who have blood clotting problems or are taking blood thinners such as aspirin or warfarin.
People taking Metformin for diabetes or patients with other disorders, such as polycystic ovary syndrome, because these medications have the potential to interact with the contrast material used during the procedure. uterus and fallopian tubes.
The hysterosalpingogram will take from 30 to 45 minutes, which may cause your uterus to contract slightly, but it depends on each person's location. Therefore, it is important that you do not worry too much and let your mind be at ease.
One point that women need to pay more attention to after taking a hysterectomy, your body may still have pain due to uterine contractions and there may be a little blood in the vagina. So you need to avoid sex for about 3 to 5 days, after the hysteroscopy. Because having sex afterwards will probably make your stomach ache even more.
Currently, 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. Thanks to the quality of medical care and good service, customers can rest assured when making a visit at Vinmec.