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Collaborative Hypertext of Radiology

Female genital tract



hysterosalpingogram (HSG)

  • Assess morphology of endocervical canal, uterine cavity, tubes.
  • Rule out tubal occlusion, synechiae, uterine anomalies.


  1. routine infertility evaluation
  2. repeat abortions
  3. PID with tubal involvement
  4. post-surgical evaluation
  5. lost IUD
  6. abnormal uterine bleeding
  7. incompetent cervical os


  1. active PID with abdominal tenderness or palpable mass
  2. recent uterine/tubal surgery
  3. active uterine bleeding
  4. pregnancy (schedule exam before ovulation to avoid early pregnancy)


  1. pain and discomfort (worse with tubal disease)
  2. injury/bleeding from minor tissue tear
  3. contrast reaction
    • systemic
    • local mucosal irritation & focal granulation
  4. intravasation
    • reticulated collection with opacification of venous structures (esp ovarian/iliac v. and lymphatics)
  5. pelvic or systemic infection
  6. pregnancy-related complications
    • disruption
    • fetal damage
    • induce extrauterine pregnancy

Ruth Carlos, MD  -  9 March 1995
Last updated:  1 October 2013


Related CHORUS documents:
hysterosalpingogram: Kidde technique
McCune-Albright syndrome
female infertility
Lyme arthritis
Turner syndrome
hydatid cyst of Morgagni


Copyright © 2013, Charles E. Kahn, Jr.