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    The female reproductive system includes the uterus, ovaries, and uterine tubes. The uterus provides support for fetal development during pregnancy. The ovaries produce eggs and hormones. The uterine tubes connect the ovaries to the uterus and allow for fertilization. A hysterosalpingography is an x-ray procedure used to evaluate the shape of the uterine cavity and determine if the fallopian tubes are open by injecting contrast medium. It can diagnose abnormalities that may cause infertility or miscarriages.

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    HSG Presentation

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    The female reproductive system includes the uterus, ovaries, and uterine tubes. The uterus provides support for fetal development during pregnancy. The ovaries produce eggs and hormones. The uterine tubes connect the ovaries to the uterus and allow for fertilization. A hysterosalpingography is an x-ray procedure used to evaluate the shape of the uterine cavity and determine if the fallopian tubes are open by injecting contrast medium. It can diagnose abnormalities that may cause infertility or miscarriages.

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    The female reproductive system includes the uterus, ovaries, and uterine tubes. The uterus provides support for fetal development during pregnancy. The ovaries produce eggs and hormones. The uterine tubes connect the ovaries to the uterus and allow for fertilization. A hysterosalpingography is an x-ray procedure used to evaluate the shape of the uterine cavity and determine if the fallopian tubes are open by injecting contrast medium. It can diagnose abnormalities that may cause infertility or miscarriages.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    213 views18 pages

    HSG Presentation

    Uploaded by

    ashikin92
    The female reproductive system includes the uterus, ovaries, and uterine tubes. The uterus provides support for fetal development during pregnancy. The ovaries produce eggs and hormones. The uterine tubes connect the ovaries to the uterus and allow for fertilization. A hysterosalpingography is an x-ray procedure used to evaluate the shape of the uterine cavity and determine if the fallopian tubes are open by injecting contrast medium. It can diagnose abnormalities that may cause infertility or miscarriages.

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    of 18

    ANATOMY OF REPRODUCTIVE SYSTEM

    UTERUS
    It situated between the urinary bladder and the rectum. The site of implantation of fertilized ovum. Development of the fetus during pregnancy and labor.

    OVARIES
    The female gonads are paired glands that resemble unshelled almonds in size and shape. Produce secondary oocytes and hormones, including progesterone and estrogens, inhibin and relaxin.

    UTERINE TUBES
    Two uterine tubes that extends laterally from the uterus. Provide a route for sperm to reach an ovum. Sites where fertilization occurs.

    WHAT IS HYSTEROSALPINGOGRAPHY?
    An x-ray procedure performed to determine whether the

    fallopian tubes are patent (open) and to see if the shape of the uterine cavity is normal. Usually done after the menstrual period has ended, but before ovulation to prevent interference with an early pregnancy.

    PURPOSE
    The radiographic demonstration of the female

    reproductive tract with a contrast medium. To diagnose any functional or structural defects. Best demonstrates the uterine cavity and the patency (degree of openness) of the uterine tubes.

    INDICATIONS

    CONTRAINDICATIONS

    Infertility. Recurrent miscarriage. Confirm tubal and uterine abnormalities Follow-up to some surgical procedures.

    Pregnancy

    Active uterine bleeding Pelvic Inflammatory disease (PID) Recent curettage or active genital tract infection.

    PATIENT PREPARATION
    Patient need to take laxative to empty their bowels. (the uterus surrounding structures can see clearly.)
    Inform if have any allergic to iodinated contrast medium.

    Empty the bladder before the examination.

    A vaginal speculum (they come in two sizes: large 35cm /

    ACCESSORY AND OPTIONAL EQUIPMENT


    medium 20cm Tenaculum Basin Cotton balls Medicine cup Sterile gauze Sterile drapes Sponge-holding forceps

    In addition to the HSG tray: 10 ml syringes (usually use two pieces) Sterilized pair of gloves An antiseptic solution, a cannula or balloon catheter

    PROCEDURE
    Patient in lithotomy position

    A vaginal speculum will inserted into the vagina

    Then the cannula will inserted and the speculum will removed

    Patient moved up the table (supine position)

    Contrast medium will injected while screening

    Films are taken at the most opportune time

    Radiograph taken until fallopian tubes fill and contrast injected spillage is seen at peritoneum

    PATIENT DETAILS

    Name MRN Age Sex Exam no Race Religion Language spoken Occupation Marital status Consultant Dr / Clinic Date of examination Types of examinations Reason for x-ray

    : Kim Sun (pseudo name) : 64952 : 30 : Female : 4236 : Chinese : Buddha : Malay and Chinese. :: Married : Kedah Medical Centre : 9.April.2012 : HSG : Primary Infertility

    TECHNIQUE
    IR :-

    AP scout image (10 x 12 inches).


    Central ray :-

    5 cm superior to the symphysis pubis.


    Additional images may be required :-

    RPO or LPO

    SUMMARY (FILM SEQUENCE)

    From the radiologist report, the entire right fallopian tube is opacified with free peritoneal spillage demonstrated at distal end but the left fallopian tube is not visualized. Impression of doctor, the left fallopian tube of patient is blocked.

    RADIOGRAPHIC CRITERIA (from picture analysis)


    The pelvic ring is seen and centered at collimated field. The cannula is visualized within the cervix.

    Contrast medium is present within the peritoneum.


    Patient ID and anatomical marker is seen at the

    radiograph.

    EXAMPLE OF REPORTS
    NAME : KIM SUN (PSEUDO NAME) MRN : 64952

    EXAMINATION NO
    REFERRAL DR / CLINIC

    : XR 4236
    : KEDAH MEDICAL CENTRE

    DATE

    : 9/4/12

    HYSTEROSALPINGOGRAPHY The uterine os is cannulated. Water soluble contrast is then injected. FINDINGS: Normal uterine cavity. Round lucent shadows within the uterine cavity and appears mobile, most likely to be air bubble. The entire right fallopian tube is opacified with free peritoneal spillage demonstrated at distal end. The left fallopian tube is not visualized. IMPRESSION: The left fallopian tube is blocked.

    REFERENCE
    SOURCE FROM TEXTBOOK: Principles of Anatomy and Physiology, Maintenance and Continuity of the Human Body, Twelfth Edition, Volume 2, Gerard J. Tottora, Bryan H. Derrickson

    SOURCE FROM INTERNET: http://infertility.about.com/od/causesofinfertility/a/blocked_tubes.htm http://www.womenshealth.gov/publications/our-publications/factsheet/infertility.cfm http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002173/ https://docs.google.com/viewer?a=v&q=cache:BQaHAiaa1wJ:www.geosalud.com/embarazo/hsg.pdf+hysterosalpingogram&hl= en&gl=my&pid=bl&srcid=ADGEESidgaev8WnMbeZ9NUuLcyZ_Pns3ye_YDy2UMMkyQop4oZufv_fOFNPzhzQl9Q8eKteF0U9dLpyPL rtDnifpIg0zpPt1_GDTvjVLYIaHlxaP6QuawvWS9vvjV_pwtFthM8et7g&sig=AHIEtbTyGEhPp 7CsKIu7gOIf-NM6F9STHQ

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