It was the fundamental examination in gynecology before the onset of hysteroscopy, providing important information on endocorps, the body, tubes and even for a trained eye on the peritoneum peri-tubo-ovarian. Since the onset of uterine endoscopy and ultrasonography, hysterosalpingography has lost many of its indications, but it remains an important examination, particularly in the investigation of infertility.
Definition
It is the radiography of uterine and tubal cavities made opaque by the injection inside the cavity of a contrast agent.
Technique
We use as contrast product water-soluble substances with 25% of iodine that will be injected into the uterus.
Indications
-Sterility: hysterosalpingography is part of the infertility test, it can judge the appearance and tubal patency. It also shows abnormalities of the uterine cavity - The history of repeated abortions (search for an anomaly on the uterine body or an incompetent cervix).
The contraindications
Pregnancy (and the examination will be performed at the 5th or 6th day of the cycle, at the end of menstruation) Evolutive pelvic and genital infection where the hysterography may cause an outbreak Intolerance to iodine products, besides exceptional The excessive bleeding of uterine origin: clots accumulated in the cavity would make it impossible to film interpretation. Before practicing a hysterography we must dry the hemorrhage (the prescription of progestogens for example), The recent completion of a digestive opacification (barium enema) would prevent proper analysis of the images.
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Victor Hugo