uterus et ectopique.002Besides ovulatory dysfunction, female infertility may be caused by tubal factor infertility (obstruction of the fallopian tubes) or a pelvic factor, such as endometriosis. As part of our infertility investigation, beside a diagnostic laparoscopy, two types of medical imaging test can be performed to determine the exact nature of tubal factor infertility.

 

FEMALE INFERTILITY

 

HYSTEROSALPINGOGRAPHY

WHAT IS IT?

Hysterosalpingography is an X-ray of the uterus and fallopian tubes. It involves injecting a radio-opaque dye through the vagina into the uterine cavity and taking several X-ray pictures.

PROCEDURE

Once the vagina and cervix have been cleansed with an antiseptic solution, the test starts with the insertion of a small catheter through the cervix. The contrast substance is then injected into the cervix using a sterile system. While it is being slowly injected into the uterus and fallopian tubes, images are recorded.

TEST TIME

The test time varies depending on your anatomy and number of pictures required. However, it usually takes about 10 minutes.

HSG3.001WHAT ARE THE RISKS?

Any intervention in the human body entails a risk, even when conducted in accordance with the highest standards of competence and safety.

The most common minor complications are

  • temporary pelvic pain, such as cramping, usually reduced by anti-inflammatory medication taken
  • light bleeding the day after the examination.

Very rare complications that may occur are

  • pelvic infection in about 1% to 2% of cases
  • allergic reaction to the iodine product.

BENEFITS AND LIMITS

This test is indicated to locate and identify your infertile condition. As with any X-ray investigation, the test is not 100% effective; some lesions may not be detectable. During the test, the physician will do everything possible to maximize diagnostic efficiency.

RESULTS

You will receive some feedback immediately after the test. This will be a first impression, as the pictures have to be analyzed by a radiologist. A written report will be available as soon as possible.

PLEASE BE AWARE THAT

Depending on your medical history, we may give you a premedication before the test, postpone the test or, on rare occasions, cancel the test and perform another investigation.

HSG.001

MAKING AN APPOINTMENT

Be sure to schedule an appointment so that the test is performed within the first 12 days of your cycle—after your period and before ovulation. If you are unsure about this, please do not hesitate to ask questions.

Prophylactic antibiotics are now generally administered an hour before the examination. If you have a history of pelvic infection or sexually transmitted diseases, please talk to your treating physician about it.

Please take a pregnancy test the day before the test and make sure it is negative. Recent tests for chlamydia and gonorrhoea must also be negative.

To reduce pelvic cramping caused by the hysterosalpingography, we also recommend taking an anti-inflammatory medication, such as naproxen or ibuprofen, an hour before the examination, unless you have a contraindication or allergy.

The hysterosalpingography is covered by the RAMQ when performed in a hospital. Many hospitals provide this radiological service: Centre hospitalier régional de Lanaudière 450-759-8222 ext. 2845, Hôpital Maisonneuve-Rosemont 514-252-3581, Hôpital Pierre Boucher 450-468-8111 ext. 1 and CHUM (Pavillon St-Luc) 514-890-8329.

An equivalent examination, a hysterosalpingosonography, can be performed privately at the FERTILYS centre at 1950 Maurice Gauvin Street, Suite 103 in Laval, by calling us directly at 450-934-9146. This ultrasound examination is not covered by the RAMQ but is sometimes covered by private insurers.

FOR THE TEST

Make sure the test takes place within 12 days following your period.

WHEN YOU GET HOME

If you are concerned about unexplained symptoms following the test, such as significant bleeding, pain or fever, you should contact us or your treating physician immediately or go to the nearest hospital emergency room.

 

You think you might have fertility issues? Contact FERTILYS now

 

HYSTEROSALPINGOSONOGRAPHY

WHAT IS IT?

Hysterosalpingosonography involves performing a transvaginal ultrasound and injecting fluid—usually saline solution—into the uterine cavity. The test is primarily intended to evaluate your uterine cavity and the patency of your fallopian tubes in the case of infertility. It is also an opportunity to visualize your uterus and ovaries and make sure they are normal. In terms of specificity and sensitivity, this ultrasound examination, without x-rays, is the same as the hysterosalpingography, which involves taking radiological pictures.

PROCEDURE

After a speculum has been inserted into the vagina, the vagina and cervix are cleansed with antiseptic solution. A small tube (catheter) is then inserted through the cervix and into the uterine cavity. A balloon at the end of the probe is then inflated in the uterine cavity to provide a seal. Once the probe is installed, saline fluid is injected into the uterine cavity under endovaginal ultrasound guidance. While the uterus and fallopian tubes are being filled with fluid, pictures are taken. Anesthesia is not required. If the fallopian tubes are patent, the injected fluid should flow normally into the tubes and pelvic cavity.

TEST TIME

The test time varies depending on your anatomy and the number of pictures required. However, it usually takes about 10 minutes.

WHAT ARE THE RISKS?

Any intervention in the human body entails a risk, even when conducted according to the highest standards of competence and safety.

The most common minor complications are

  • temporary pelvic pain, such as cramping, generally reduced by anti-inflammatory medication taken
  • light bleeding the day after the examination.

Rarer complications that may occur are

  • pelvic infection in about 1% to 2% of cases
  • vasovagal reaction with feeling faint.

 

BENEFITS AND LIMITS

This test is indicated to locate and identify your infertile condition. As with all ultrasound investigations, this test is not 100% effective; some lesions may not be detectable. During the test, the physician will do everything possible to maximize diagnostic efficiency.

RESULTS

You will receive some feedback immediately after the test. If the results are inconclusive, a hysterosalpingography (X-ray), hysteroscopy or diagnostic laparoscopy combined with a hysteroscopy may be proposed as a next step.

PLEASE BE AWARE THAT

Depending on your medical history, we may give you a premedication before the test, postpone the test or, on rare occasions, cancel the test and perform another investigation.

HSG.002

MAKING AN APPOINTMENT

If you are of reproductive age, be sure to schedule the appointment so that the test is performed within the first 12 days of your cycle—after your period and before ovulation. If you are unsure about this, please do not hesitate to ask any questions.

Prophylactic antibiotics are usually prescribed an hour before the examination. If you have a history of pelvic infection (salpingitis) or a sexually transmitted disease, please talk to your treating physician about it beforehand.

If you are of reproductive age, please take a pregnancy test the day before the test and make sure it is negative. Recent tests for chlamydia and gonorrhoea tests must be also be negative.

To reduce pelvic cramping caused by the hysterosalpingosonography, we recommend taking one or two anti-inflammatory tablets, such as naproxen or ibuprofen, an hour before the test, unless you have a contraindication or allergy. We also recommend bringing someone with you for the test.

To make an appointment for a hysterosalpingosonography, please contact the FERTILYS centre directly at 450-934-9146, located at 950 Maurice Gauvin Street, Suite 103, Laval. This ultrasound examination is not covered by the RAMQ but is sometimes covered by private insurers.

FOR THE TEST

Unless you are going through the menopause, make sure the test takes place within the first 12 days following your period.

WHEN YOU GET HOME

If you are concerned about unexplained symptoms following the test, such as significant bleeding, pain or fever, you should contact us or your treating physician immediately. If you cannot get through to either and are worried about your symptoms, please go straight to the nearest hospital emergency room.

 

You think you might have fertility issues? Contact FERTILYS now
FERTILYS Fertility Centre – Fertility, In Vitro Fertilization, Prenatal Screening