Uterine Film (Hysterosalpingography)
Basically, it is a radiological imaging technique that allows visualization and evaluation of the uterine cavity and the tubes-channels connected to this area. It is used to detect problems in the uterine cavity or the channels. Thanks to advanced technological methods, it can be performed quite easily.
Why Is It Done?
It is performed to detect uterine shape abnormalities, masses such as fibroids or polyps that may affect the uterine cavity, adhesions, and blockages or swellings in the tubes.
When Is It Performed?
The ideal time for uterine imaging corresponds to days 7–10 after the first day of menstrual bleeding. The main reason for determining this time interval is the absence of pregnancy risk during this period. During this time, the uterine wall is thinner compared to later days, and it becomes easier to detect small fibroids and polyps that may be present in the uterine cavity.
How Is It Performed?
The uterine film, which is a radiological imaging procedure, is performed while the patient lies in the gynecological examination position. After cleaning the genital area, a standard gynecological speculum (a gynecological instrument used in examinations) is inserted to visualize the cervix. A special catheter is placed into the cervix. Through the catheter, a liquid contrast agent is administered to fill the cervical canal, uterine cavity, and tubes, and images are obtained. As the contrast material fills and stretches the uterine cavity and tubes, mild groin pain similar to menstrual cramps may occur.
The procedure is usually completed within 5–10 minutes. For patient comfort, it can also be performed under anesthesia if desired.
Is Uterine Imaging Painful?
Thanks to technological advancements, uterine imaging can now be performed painlessly and quite easily. However, considering patient concerns and comfort, it can also be performed easily and comfortably under sedation anesthesia.
What Should Be Done After the Procedure?
After a routine uterine imaging procedure, patients can continue their daily lives. Due to the return of some of the contrast material administered during the procedure, a small amount of oily discharge may occur, and sometimes slight bleeding like spotting may be seen.
After the procedure, prophylactic antibiotics are given to every patient as a precaution. These antibiotics must be used as recommended to prevent infection risk. Sometimes abdominal tenderness or pain similar to menstrual cramps may occur; in such cases, the recommended painkillers can be used.