The voice of medical imaging and clinical oncology

Interpretation of hysterosalpingography

Anne Hemingway fluoroscopy gynaecology HSG hysterosalpingography Katherine van Ree women's health

The advent of assisted reproduction techniques such as in vitro fertilisation (IVF) has led to a significant increase in the demand for hysterosalpingography (HSG), a fluoroscopic imaging procedure involving the introduction of iodinated water-soluble contrast medium into the female genital tract to delineate the endo-cervical canal, uterine cavity, fallopian tubes and pattern of intraperitoneal spill.

NICE guidance for the investigation of subfertility and a common perception is that HSG is primarily recommended for the detection of tubal disease. Performed correctly it is also invaluable in detecting and monitoring uterine pathology.

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