Hysterosalpingography

Abstract

The technique, indications, contraindications and complications of Hysterosalpingography (HSG), a radiological investigation utilized to demonstrate the uterine cavity and fallopian tubes, are described in detail. The role of the technique in the diagnosis and management of congenital anomalies of the female genital tract is critically evaluated. Whilst the technique is very sensitive in detecting the presence of congenital uterine anomalies it cannot demonstrate the external uterine contour and therefore cannot provide a definitive classification. Other imaging modalities including ultrasound (US) and magnetic resonance imaging (MRI) are required for a definitive diagnosis. The technique is however of particular value in detecting concomitant uterine and tubal pathology and in the postoperative evaluation of patients who have undergone corrective uterine surgery for congenital anomalies and associated pathology.The chapter illustrates the HSG appearances of a wide range of congenital anomalies, associated uterine and tubal pathology and postoperative follow up. The ESHRE-ESGE classification is used in all cases.