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Related Experiment Videos

Common technical errors in hysterosalpingography.

G E Hofmann1, R T Scott, Z Rosenwaks

  • 1Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk.

International Journal of Fertility
|January 1, 1992
PubMed
Summary
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Hysterosalpingograms for in vitro fertilization can fail to visualize the entire uterine cavity. Key issues include inadequate cervical traction, catheter obstruction, and retained speculums, often requiring repeat imaging.

Area of Science:

  • Radiology
  • Reproductive Medicine
  • Gynecologic Imaging

Background:

  • Hysterosalpingography (HSG) is crucial for evaluating uterine cavity adequacy in infertility assessments.
  • In vitro fertilization (IVF) protocols frequently utilize HSG to screen for uterine abnormalities.

Purpose of the Study:

  • To assess the adequacy of uterine cavity visualization during hysterosalpingography in patients undergoing IVF.
  • To identify common technical reasons for inadequate HSG visualization.

Main Methods:

  • Retrospective review of 100 consecutive hysterosalpingograms in patients referred for IVF.
  • Analysis of reasons for inadequate visualization of the uterine cavity.

Main Results:

  • 17% of HSGs failed to demonstrate the entire uterine cavity.

Related Experiment Videos

  • Inadequate cervical traction (82%) was the primary cause of failure, followed by catheter bulb obstruction (21%) and retained speculum (21%).
  • No significant difference in radiographic exposures between adequate and inadequate studies.

    • Conclusions:

    • Failure to remove the speculum before contrast injection can obscure the endocervical canal.
    • Inadequate cervical traction and failure to assess the lower uterine cavity/endocervix are common causes of HSG inadequacy.
    • Optimizing technique, including cervical traction and catheter management, can improve HSG diagnostic yield and reduce repeat procedures.