Sometime, certain blockages in the fallopian tubes obstruct the path of sperm to the ovary or of the embryo towards the uterus. This can result in infertility and even ectopic pregnancy (pregnancy not implanted in the uterus) which is dangerous for the woman.

Hysterosalpingogram is a test that allows visualisation of any blockages or obstructions in the fallopian tubes of the woman,that may prevent the path of the embryo. This test is usually taken by patients who have been facing problems trying to get pregnant.

With the use of fluoroscopy i.e. using contrast material, the doctors can visualise the fallopian tubes and the uterus on the X-ray.

When is this test recommended?

This test is recommended for women who have suffered from multiple miscarriages in the past or are having difficulty getting pregnant. This test can help diagnose the cause of infertility and help the doctor decide the best course for treatment.

Why is this test done?

The purpose of this test is to find problems in the reproductive system and locate any blockages in the fallopian tube. Problems in uterus may be preventing the embryo from attaching itself to the endometrium (uterus wall). This test ensures the path of the embryo from the ovaries to the uterus is not obstructed.

How is this test conducted?

This test is usually done a few days or a week after the menstrual period. This ensures that the patient is not pregnant as the test can be dangerous for the foetus. The test begins with an instrument called aspeculum inserted into the vagina in order to make the cervix visible.

The technician then cleans the cervix, induces a local anaesthesia and inserts another instrument called cannula. After the cannula is inserted, the speculum is removed.

Through the cannula, dye flows into the uterus and fallopian tube. Once the dye flows through, X-ray images are taken which highlight the inside of uterus and fallopian tube.

This helps the doctors to carry out a detailed analysis of the internal regions on the basis of the images received to identify any problems that could explain the cause of infertility.

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