THEhysterosalpingography is an x-ray examination to observe theuterus (= hystero) and the fallopian tubes (= salpingo) thanks to a product of observation, opaque to X-rays, injected into the uterine cavity.

The uterus and fallopian tubes are part of thefemale genitalia. Located between the ovaries and the uterus, the fallopian tubes are ducts that carry the ovules made by the ovaries to the uterus. It is during this displacement of the ova that the fertilization can take place; it is then the uterus which welcomes the embryo for its development.

The exam looks at the fallopian tubes and the uterine cavity. It is carried out:

• if you are having difficulty getting pregnant, as part of a infertility assessment (this is one of the systematic reviews)
• in case of repeated miscarriage

• in case of bleeding the origin of which could not be determined by an ultrasound

• to highlight malformations of the uterus

• or to detect an occlusion of the fallopian tubes.

The patient is placed in a gynecological position (lying on her back, knees bent and apart), under an X-ray machine. The doctor inserts a speculum into the vagina, then places a cannula in the cervix through which he injects a contrast medium. This spreads into the uterus and into the fallopian tubes. X-rays are taken in order to observe the good progress of the product and to visualize the organs.

The best time to do this test is around 7-8 days after your period ends, before your fertile period.

After the examination, it is possible to have blood loss. Do not hesitate to tell your doctor in case of pain or excessive blood loss.

The doctor will be able to detect various pathologies:

• un uterine fibroids

• the presence of placental remains (after miscarriage or childbirth)

• a uterine malformation to uterine cavity abnormalities (bicornuate uterus, T-shaped uterus, partitioned uterus, etc.)

• the presence of scar tissue in the womb

• le blockage of the fallopian tubes

• the presence of foreign bodies

• or the presence of tumors or polyps in the uterus

Depending on the results, further examinations may be ordered.