Hysterosalpingography (HSG), or uterine film in Turkish, is a method used in gynecology to examine the structural and functional properties of the uterus and its channels. It is one of the basic tests requested in the evaluation of infertility. HSG application. If signs of infection are detected during this evaluation, the procedure is postponed until the infection is treated. HSG is principally applied 4-5 days after the end of menstrual bleeding. The reason for this is, on the one hand, to prevent problems caused by menstrual bleeding from the uterus filling the tubes and from there into the abdominal cavity, and on the other hand, to prevent any harm to a possible pregnancy in the uterus. Because, in very rare cases, a woman who is evaluated for not being able to become pregnant may accidentally become pregnant that month. Uterine film is a woman. It is applied together by the Obstetrics and Gynecology Specialist and the Radiology Specialist or Technician. HSG, Although it is a technique performed with the help of x-rays, the The beam dose is not high. Is uterine X-ray a painful procedure? There is a common belief among women that uterine X-ray is very painful. However, when performed gently and carefully, HSG is actually a procedure that creates a slight stinging and stretching sensation in the abdomen and is less painful than tolerable. For this reason, the procedure is generally not performed under general anesthesia. However, it can also be performed under anesthesia in women who have a low pain threshold and are very sensitive, who can hardly tolerate even a normal gynecological examination. There is a slight increase in spontaneous pregnancies after HSGextraction. The reason for this is explained as the opening of the slight adhesions in the tubes due to the medication given under pressure. It is therefore not surprising that a couple who has been suffering from infertility problems for a long time becomes pregnant spontaneously after HSG examination. Are there any harmful side effects of having a uterine film? Rarely, an allergic reaction may occur while having a uterine film. For this reason, new types of drugs with extremely low allergy potential should be preferred instead of old types of drugs. The most common complication is infection and occurs in one in every 100 patients. After uterine x-ray. : There may be spotting or a small amount of vaginal bleeding. If the bleeding is heavy or lasts longer than a few days, you should definitely call your doctor. Additionally, mild or moderate back and groin pain may occur after the extraction. If the pain increases or a fever occurs, this may be a sign of an early infection. Again, be sure to call your doctor. What will happen if one or both of the tubes are closed in the uterine film? First of all, it is necessary to know that although HSGis a very useful and basic test, it may not always reflect the truth. In other words, the fact that the tubes are seen as closed on the uterine film does not always mean that they are actually closed.
Additionally, if menstrual bleeding stops or decreases too much after an intervention applied to the cervix or uterus (such as abortion), possible bleeding in the cervical canal may occur. It is also widely used to evaluate a blockage or a possible adhesion within the uterus (Asherman syndrome) and to determine whether there is a congenital developmental defect in the uterus in recurrent miscarriages.
What is a uterine film? A detailed gynecological evaluation is performed before
How is a uterine film taken?
While in the gynecological examination position, an instrument is inserted into the vagina to view the cervix. Then, another device called a cannula is inserted into the uterus. Contrast material (medicated substance) is administered by applying pressure in several stages through the syringe attached to the cannula. This liquid gives a white appearance to the x-ray film as it does not transmit light. X-rays are taken at regular intervals during fluid administration.
Thus, the internal structure of the uterus, whether the canals are open or not, and other structures are evaluated.
Use of antibiotics before or after the procedure to prevent infection reduces the risk of a possible infection.
Since the cervix is slightly strained during the procedure, bathing, sexual intercourse and sexual intercourse are recommended for 48 hours after HSG. Using vaginal tampons is inconvenient, you should avoid them.
Some women with low pain threshold sometimes experience spasm in the canals due to the discomfort and pain they feel during the procedure and as a reaction to the medication, preventing the medication from passing through the tubes. It may cause one or both tubes to be incorrectly interpreted as closed.
However, when evaluating a uterine film, an experienced Gynecologist can often (though not always) distinguish the failure of the drug to pass through the tubes due to spasm from a truly blocked uterine film.
For this reason, we recommend that a muscle relaxant, called an antispasmodic, be administered before the uterine film.
Sometimes, the tubes that are considered closed in the film can be seen to be open during Laparoscopy.
Therefore, if the tubes are thought to be closed and the decision for in vitro fertilization is to be made, it may be more logical to perform Laparoscopy beforehand. Because during Laparoscopic evaluation, it may be revealed that the tubes are actually open and it can be understood that the couple will benefit from the insemination method.
Additionally, during Laparoscopy, the problem in the tubes can be revealed more clearly and treated immediately, and the canals can be opened with the necessary intervention. Of course, this may not be valid in every case, and it may turn out that the couple will only benefit from in vitro fertilization treatment after laparoscopy.
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