What is Uterine Film (HSG)?

Hysterosalpingography, or medicated uterine film, is the process of taking and evaluating the x-ray of the uterus and its tubes by injecting a special radiopaque liquid from the cervix into the uterus. It is used to monitor the condition of the uterus and tubes in women.

Why is the uterus imaging HSG requested? 

Uterine imaging shows whether the tubes are open and whether there is a structural defect in the womb. It is requested to determine tube obstruction in women who cannot have children. It is also necessary to request uterine imaging in women with a history of recurrent miscarriage or premature birth. Uterine imaging is not required for every patient who will undergo IVF treatment; however, if the wall of the womb does not thicken enough, if fluid accumulation in the tubes was observed on ultrasound, uterine imaging can be requested and the operation can be planned.

What diseases are diagnosed with HSG?

Tube obstructions, fluid accumulation in the tube called hydrosalpinx, adhesions in the womb, structural disorders in the womb, and space-occupying lesions (such as polyps, and fibroids) can be diagnosed with HSG.

To Whom Should HSG Be Offered?

  • It is recommended for women who cannot have children to determine if there is a blockage in the tubes.
  • It is recommended for patients with recurrent miscarriages to determine if there is a structural disorder in the uterus.
  • HSG is recommended especially to patients whose periods have decreased or stopped after abortion and intrauterine operations to determine if there are adhesions in the uterus.

Is HSG Always Recommended in IVF Treatment with Vaccination Treatment? What is the difference between them?

The openness of the tubes must be confirmed with hysterosalpingography (HSG) before the vaccination treatment of couples who cannot have children. But hysterosalpingography is not always necessary if IVF treatment is planned. Because even if there is a blockage in the tubes, it does not prevent the pregnancy since the eggs are fertilized with sperm in the laboratory environment. However, if it is suspected in the ultrasound examination that there is fluid accumulation in the tube or a structural defect in the uterus, it can be confirmed with a uterine film.

When Should Uterus Film Be Taken?

One of the questions frequently asked by our patients is when they should have a uterine film taken. The uterine film should be taken within 1-2 days following the end of menstruation by an obstetrician or radiologist.

How long does uterine imaging take?

Uterine imaging takes about 10 minutes. It is recommended to perform at the end of the menstrual period.

Does the uterine imaging open the obstructions?

If there is a slight adhesion in the tubes, the radiopaque medium given under pressure can open the tubes, and sometimes the area where it is difficult to pass with the catheter can be opened with a method called selective salpingography.

What is the cost of HSG imaging?

The HSG imaging is performed in the radiology departments or imaging centers of public and private hospitals. HSG is not performed in our clinic.

Is HSG a painful procedure? Does It Require Anesthesia?

Hysterosalpingography is generally a painless procedure and does not require anesthesia. If the patient has difficulty in having a vaginal examination, it can be performed under general anesthesia. Hysterosalpingography (HSG) should be performed after treatment if the patient has a vaginal or pelvic infection.

Is the radiation used in uterine imaging harmful?

Since the amount of radiation received in uterine imaging is very low, it is not harmful.

Does uterine imaging increase the probability of pregnancy?

If there are small adhesions or obstructions, sometimes they are opened while the uterine imaging is performed and the chance of pregnancy increases.

What is the cost of uterine imaging?

As there is no radiology department in our clinic, uterine imaging cannot be performed.


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