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What are the recommendations prior to hysterosalpingography?

By Zulyma Blanco Maldonado M.D., M.Sc. (fertility specialist on IVF Spain Donostia).
Last Update: 12/15/2021

Hysterosalpingography is a radiological procedure that aims to assess the morphology of the uterine cavity, the contours of the endometrium and tubal patency, the latter factor being responsible for between 25 and 35% of the causes of infertility and a necessary aspect to know as part before an artificial insemination procedure.

As it is a somewhat invasive gynecological procedure, it is contraindicated to perform it if the patient has pelvic infection, but even in the absence of it, as a prophylactic measure, the administration of antibiotics is indicated the day or days prior to the study. Likewise, to avoid pain or discomfort after the procedure, it is recommended to take anti-inflammatory analgesic from the night before.

Imagen: recommendations-previous-hysterosalpingography

The procedure should be performed in the first half of the menstrual cycle (7 to 10 days after the onset of the last menstrual period) during the proliferative phase of the endometrium, which facilitates the interpretation of the image. In addition, it is recommended not to have unprotected sex in that cycle, which ensures that there is no ongoing pregnancy. Studies performed in the second phase of the cycle may lead to false results.

Read the full article on: How Is a Hysterosalpingography (HSG) Performed? ( 75).
 Zulyma  Blanco Maldonado
Zulyma Blanco Maldonado
M.D., M.Sc.
Fertility specialist on IVF Spain Donostia
Dr. Zulyma Blanco has a degree in Medicine and a PhD from the Universidad Centro Occidental 'Lisandro Alvarado'. She also holds the title of Specialist in Infertility from the Central University of Venezuela and a Master's Degree in Infertility from the Complutense University of Madrid.
License: 202871721
Fertility specialist. Dr. Zulyma Blanco has a degree in Medicine and a PhD from the Universidad Centro Occidental 'Lisandro Alvarado'. She also holds the title of Specialist in Infertility from the Central University of Venezuela and a Master's Degree in Infertility from the Complutense University of Madrid. License: 202871721.