Uterine film and Hysterosalpingography are diagnostic imaging methods used in female infertility since 1911. Thanks to the uterine film, it helps to diagnose many problems such as congenital or subsequent closure of the uterine tubes, uterine anomalies, endometrial polyp, submucous myoma, adenomyosis.
Our most important purpose in taking a uterine film is to understand whether the tubes are open or closed and to evaluate their relationship with the ovaries. Tube-related conditions we can detect are tubal polyp, hydrosalpinx, spasm-related tubal obstruction, tubal ligation, tube-related inflammatory disease (salpingo isthmica nodosum). These problems may occur in a single tube or in both tubes. Under normal circumstances, the uterus (womb) and ovaries can be seen with ultrasound, but the tubes cannot.
What we can detect about the uterus with uterine x-ray are hereditary anomalies of the uterus, submucosal myoma, uterine cancers, adenomyosis.
It is necessary to postpone taking a uterine film in the following cases:
Pregnancy
pelvic infection
excessive bleeding
Recent surgery on the uterus or tubes
After the uterine film shooting, you may experience abdominal pain, thick vaginal discharge, and dizziness due to anesthesia if the shooting was done under general anesthesia. The discharge may sometimes be bloody. Tampons are not used for discharge.
As an alternative to uterine film, laparoscopy, hysteroscopy or sonohysterography can be performed. Hysteroscopy and sonohysteroscopy can provide information about the inside of the uterus, and laparoscopy can provide information about the tubes.
Advantages of Having a Uterus Film
If we list the advantages of uterine film (Hsg):
It is a non-invasive procedure in which contrast material is administered only through the cervix.
It is much less risky and cheaper than laparoscopy.
Serious problems after uterine film (Hsg) are rare. If there is foul-smelling discharge, nausea, vomiting, severe abdominal pain and cramps, excessive bleeding and fever, it is necessary to consult a doctor.
After HSG, if the tubes are open and there are no other problems, sexual intercourse should be done twice a week or by monitoring the follicles, since the possibility of pregnancy is high in the first two months.
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