Fertility TestsHysterosalpingogram
(HSG )
 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.
Sonogram
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
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.
Female Fertility Tests
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