Hysterosalpingography: X-ray imaging of the uterine cavity and fallopian tubes with contrast
Hysterosalpingography in Casablanca
Hysterosalpingography is an X-ray of the uterus and fallopian tubes after an iodinated contrast agent is injected through the cervix. It shows the shape of the uterine cavity and checks whether the tubes let the contrast agent through. It is often part of an infertility workup, along with a pelvic ultrasound and blood tests. The radiologist describes the shape of the cavity, the appearance of each tube and the passage of the contrast agent into the abdomen, a sign that the tube is open.
Duration, report and equipment
Duration
The exam usually takes 15 to 30 minutes.
Report turnaround
Report within 24 hours. In an emergency, during opening hours, the report is handed over immediately.
Equipment
Carestream
Reading aid
The center uses Gleamer, artificial intelligence software that helps the radiologist read X-rays. Interpretation and the report are still done by the radiologist.
When is this exam needed?
- Workup for difficulty conceiving.
- Repeated miscarriages.
- Suspected abnormality of the uterine cavity (malformation, polyp, adhesions).
- Checking the tubes after surgery.
- Workup before assisted reproduction, depending on the gynecologist.
- Looking for blocked tubes after a past genital infection.
How the exam is done
On arrival, the team checks the date of your last period and asks whether a pregnancy is possible. You empty your bladder, then remove your lower clothing in the changing room. The radiologist explains the procedure and answers your questions before starting.
You lie down with your legs bent, as at the gynecologist's office. After a speculum is placed and the cervix is disinfected, a thin cannula is placed in it. The contrast agent is injected slowly while images follow its passage. Cramps similar to period pain are possible, usually brief. Images are taken as the contrast agent fills the uterus and then the tubes. At the end, the cannula and the speculum are removed. You stay lying down for a few moments if needed, then you can leave, preferably with someone accompanying you.
Preparation
- The appointment is scheduled in the first part of the cycle, after your period and before ovulation, with pregnancy ruled out: the date of your last period is asked when you book.
- Bring a sanitary pad.
- Avoid any pregnancy during the cycle of the exam: use a condom or avoid intercourse between your period and the exam.
- If a pain reliever has been recommended, take it before coming, as instructed.
- If possible, come with someone who can take you home.
Fasting
You can eat normally.
Contrast injection
The iodinated contrast agent goes through the cervix, with no needle in a vein.
Contraindications and precautions
- Possible pregnancy or late period: the exam is not performed.
- Genital infection or recent fever: please tell us; the exam is postponed.
- Allergy to iodinated contrast agent: please tell us.
- Bleeding still heavy on the day of the exam: let the team know.
- Feeling faint or strong pain during the injection: tell the radiologist right away.
Documents to bring
- Prescription from the gynecologist
- Date of your last period, already asked when booking
- Pelvic ultrasound and previous test results
- Result of a pregnancy test or vaginal swab if one was requested
- Insurance or mutual insurance fund card
Price and insurance coverage
The center accepts coverage from insurance companies and the main mutual insurance funds. You submit the coverage request to your insurer or fund yourself. For AtlantaSanad and Sanlam, the center takes care of it.
No prices are shown on this site: Kenza gives you the exact price on WhatsApp, along with the coverage procedure for your situation.
Frequently asked questions
Why is the date of my last period asked?
It is used to schedule the exam after your period and before ovulation, a time that limits the risk of an unknown pregnancy.
Is the exam painful?
It is usually bearable. Cramps may occur during the injection and pass quickly; a pain reliever may be recommended beforehand.
What should I watch for after the exam?
Light discharge, sometimes tinged with blood, is normal for one to two days. See a doctor if you have a fever, increasing pain or foul-smelling discharge.
Will I know whether I can have a child?
No. The exam gives information about the uterus and tubes, which is only one part of the workup; your gynecologist interprets it along with the other tests.
Why use an iodinated contrast agent?
It makes the uterine cavity and the inside of the tubes visible on X-rays, which an X-ray alone does not show. It is then absorbed by the body.
Can I return to my activities after the exam?
Yes, usually the same day. Mild discomfort in the lower abdomen may last a few hours: rest if needed.