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Your doctor has requested an examination of your uterus and fallopian tubes. This procedure reveals the size, shape and location of your uterus and fallopian tubes. It may identify abnormal conditions such as polyps (growth of tissue) and fistulas (abnormal passage or hole); however, most often this procedure is performed to determine whether the fallopian tubes, which pass the egg from the ovary to the uterus, are open. This determination is important to evaluate your ability to become pregnant. Richard J. Sukov, MD, Chief of Gastrointestinal Radiology at Cedars-Sinai, leads a team of physicians, nurses and technologists who specialize in these procedures.
Before Your Exam
You can print and fill out the Hysterosalpingiogram Questionnaire before arriving to speed the registration process.
This procedure needs to be scheduled between 5-10 days after the start of your menstrual cycle.
No sexual intercourse after first day of menstrual cycle until after the exam.
Additionally, it is important that you notify the technologist of any infections you may have prior to your exam.
We want to make your waiting time as pleasant as possible. Consider bringing your favorite magazine, book or music player to help you pass the time.
During Your Exam
A female technologist will explain the procedure and answer any questions you may have prior to your exam.
You will be asked to remove all clothing from the waist down and put on a gown.
A "scout" X-ray will be taken of your lower abdomen and reviewed by the imaging physician prior to your exam.
You will be positioned on the exam table as if you were having a pelvic exam.
The imaging physician will place a vaginal speculum (same device as used in a pap smear) into your vagina and clean your cervix (outer end of your uterus) and surrounding area with an antibiotic (betadine).
The imaging physician will place a very small tube in your cervix and inflate a tiny balloon to insure the accuracy of its position.
The imaging physician will then connect a syringe filled with a contrast material (dye) to the tube.
Prior to taking a picture, the imaging physician will ask you to push yourself up on the table.
The dye will be sent into your uterus and the imaging physician will watch the movement of the dye on the monitor. Numerous X-rays will be taken.
You may be asked to turn your body, as necessary to give the best view of the dye's movement.
This procedure takes approximately 30 to 45 minutes.
After Your Exam
The technologist will take you to the restroom and provide you with a wash cloth (the contrast material is very sticky) and a sanitary pad.
You may experience spotting and mild cramping following this procedure.
The technologist will provide you with final instructions on what you should, and should not expect following this procedure and contact information should you experience any problems.
Your study will be read by the imaging physician and results sent to your physician, usually within 48 hours. Your physician will discuss these results with you and explain what they mean in relation to your health.
To request copies of your pictures on a PC-compatible CD, call (310) 423-8000. To request a copy of your report, call (310) 423-8000.
For more information or to schedule an appointment, please call (310) 423-8000.
The S. Mark Taper Foundation Imaging Center provides a full range of advanced imaging, both radiology and cardiology, as well as interventional radiology and interventional tumor (oncology) treatments to the greater Los Angeles area, including Beverly Hills, Encino, Mid-Cities, Sherman Oaks, Silver Lake, Studio City, Toluca Lake, and West Hollywood.