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Tests to Evaluate the Fallopian
Tubes
and Uterus
Hysterosalpingogram, HSG
The hysterosalpingogram is performed to determine if the fallopian tubes are open and free of obstruction and to examine the uterus.  The uterus is filled with radiopaque die that flows out through the fallopian tubes and into the abdomen. Blocked tubes appear on the hysterosalpingogram as either collections of dye called a hydrosalpinx or failure for the dye to enter the tube at its origin at the uterus.
The hysterosalpingogram also allows the fertility specialist to evaluate the uterus for the presence of large polyps and fibroids or to document any congenital abnormalities. The embryo must be able to embed in the lining of the uterus, known as the endometrium.
Blocked or obstructed fallopian tubes are often treated using IVF. Overall, success rates using IVF are higher than those after surgery. Success rates vary among couples according to many variables such as female age.
Hysteroscopy
A hysteroscopy can be performed at our Greensboro, NC fertility clinic location and involves placing a “telescope like” device into the uterus. The uterus is then distended with solution, such as saline, making it possible for the physician to examine the inside of the uterus.
Ultrasound works by emitting sound waves
into the structure being examined, such as the ovaries
or  uterus. The sound is “reflected back” to
the receiver and
creates patterns of differing densities. The image is
much like an X-ray; however, no radiation is involved
and it is better at revealing problems with the ovaries
and uterus.
Vaginal ultrasound involves placing a probe directly into the vagina and using it to examine structures, such as the ovaries and follicles.
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