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HSG - HYSTEROSALPINGOGRAPHY
HSG is a basic test in the diagnosis of tubal occlusion, a common cause of infertility.
This method involves the introduction to the patient’s uterine cavity a contrast medium which allows the detection of uterus developmental abnormalities, inflammatory lesions in the fallopian tubes, and intrauterine adhesions. Administered contrast gradually fills the cavity of the uterus and oviduct, and later enters to the peritoneal cavity.
This procedure is performed under a short term intravenous anesthesia and takes about 5-10 min.
While performing HSG it is not possible to detect neither endometriosis nor adnexa adhesions which may also be the cause of infertility. These abnormalities can be visualized and removed during a laparoscopy.
Preoperative recommendations
The treatment is preceded by a consultation visit. The following tests must be performed (it is possible to conduct them on-site):
- blood group
- morphology
- urine analysis
- coagulation blood tests - APTT, INR, PT
- ECG after the age of 40
- HBS antigen
- electrolytes
- blood sugar level
Patients are not allowed to take neither aspirin (including its derivatives e.g. Acard), Vitamin E nor any cough and anti-flu medicine for the period of two weeks before the procedure. Thus these kind of drugs adversely affect the bleeding process.
Please limit smoking to 3-4 cigarettes/day 3 days prior to surgery.
Please inform the doctor about any infections that took place two weeks prior to surgery.
Patient should remain six hours of fasting (no eating or drinking) before the surgery
Post-operative period
After HSG the patient stays at our Clinic for a few hours and is discharged home the same day. A follow up visit should take place after about 7 days. The patient may feel a mild pain which should go away after OTC painkillers.
Scrupulous adherence to the recommendations described is a key operative for a rapid recovery and significantly affects the final result of the surgery.