Washington Center for Reproductive Medicine

Fertility Tests- Hysterosalpingogram

The hysterosalpingogram is an outpatient procedure involving injecting radio opaque dye into the uterus and observing its passage in the uterine cavity and fallopian tubes using x-rays. If there is a blockage in the tube(s), the dye cannot pass and this is clearly visualized. Deformities in the uterus can also be detected by this technique.

These include:

  • Intracavity fibroids or polyps
  • Uterine septa (walls within the uterus)
  • Uterine adhesions
  • Double uterus (bicornuate uterus)
  • Uterus didelphys (two uteri)

The procedure requires approximately fifteen minutes to perform and is done as an outpatient. The HSG is associated with only mild discomfort.


This is a technique where saline is introduced into the uterine cavity under ultrasound observation. The uterine cavity is distended and any abnormalities, such as fibroids and polyps, are visualized.


Hysteroscopy is a procedure where a tubular scope is placed inside the uterus, usually with the patient under anesthesia. It is a valuable tool in the study of infertility,recurrent miscarriage, or abnormal uterine bleeding.

After cervical dilation, the uterus is expanded with fluid facilitating visualization of the uterine cavity and its lining. Abnormalities in the uterus, such as polyps, fibroids or adhesions, or a septum can be visualized and by the use of small instruments, corrective surgery can be performed at the same time as the diagnostic procedure.

Dr. Kustin performs this procedure in an on-site Medicare (government certified) approved operating room at the Washington Center for Reproductive Medicine with anesthesia administered by properly trained anesthesiologists. Patients usually return to work the day after the procedure and find in-office treatment more cost effective, and convenient than a hospital visit.




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