CHORUS
Collaborative Hypertext of Radiology
Female genital tract
About CHORUS
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hysterosalpingogram (HSG)
- Assess morphology of endocervical canal, uterine cavity, tubes.
- Rule out tubal occlusion, synechiae, uterine anomalies.
Indications
- routine infertility evaluation
- repeat abortions
- PID with tubal involvement
- post-surgical evaluation
- lost IUD
- abnormal uterine bleeding
- incompetent cervical os
Contraindications
- active PID with abdominal tenderness or palpable mass
- recent uterine/tubal surgery
- active uterine bleeding
- pregnancy
(schedule exam before ovulation to avoid early pregnancy)
Complications
- pain and discomfort (worse with tubal disease)
- injury/bleeding from minor tissue tear
- contrast reaction
- systemic
- local mucosal irritation & focal granulation
- intravasation
- reticulated collection with opacification of venous structures
(esp ovarian/iliac v. and lymphatics)
- pelvic or systemic infection
- pregnancy-related complications
- disruption
- fetal damage
- induce extrauterine pregnancy
Ruth Carlos, MD - 9 March 1995
Last updated: 1 October 2013
Copyright © 2013, Charles E. Kahn, Jr.
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