Hysterosalpingography

A hysterosalpingography is an X-ray of the uterus and fallopian tubes. For this test, a thin catheter is inserted through the vagina and cervix, into the uterus. Dye is injected through the catheter. As the patient lies on a table, an X-ray machine above the table takes pictures of the dye moving out of the catheter, filling the uterus, and going out through the fallopian tubes. If the tubes are open, the doctor can see the dye coming out through the tubes. This test also shows the inside shape of the uterus.

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Some women have little or no discomfort with this test. Some women feel cramping as the dye is injected. The dye distends the uterus, and in women who have tubes that are closed, the tubes will expand, which can be uncomfortable. The pain goes away as soon as the procedure is over. It's a good idea to take ibuprofen before this test.