Examination of Hysterosalpingography in Patients With Suspected Infertility at The Radiology Department of Dr.R. Soetrasno Rembang Hospital


  • Retno Wati Universitas ‘Aisyiyah Yogyakarta
  • Siti Masrochah Health Polytechnics of Semarang


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Contrast Media, Hysterosalpingography, Infertility, Projection


Hysterosalpingography (HSG) is the most commonly used imaging diagnostic to determine the tubal patency in patient with indications of infertility. The technique used in the HSG procedure is different in some studies. The aim of this study was to determine the technique of hysterosalpingography (HSG) examination with patients suspected of infertility in dr.R. Soetrasno Rembang hospital. The method was a case study approach. Results showed HSG examination using plain photo Anteroposterior (AP) projection, AP projection with 3 cc contrast media and 7 cc contrast media, then post evacuation. The AP projection already revealed uterus, fallopian tubes, spill on the peritoneum, reduce radiation dose, and the pain of patients. They used 3 cc and 7 cc of contrast media because the examination did not use fluoroscopy. The 3 cc of contrast media views the uterus only then 7 cc view the fallopian tube and its spill. HSG plays a crucial role to determine the cause of infertility, especially to evaluate the morphology and patency of the fallopian tubes in women so the radiology team should become familiar with examination techniques used, give the patient education to avoid movement, and hold their body motionless also taking a mild pain reliever before the HSG examination.


Anwar, Mochamad.(2011).Ilmu Kandungan, Edisi 3,Cetakan 1. PT Bina Pustaka Sarwono Prawiroharjo : Jakarta.

Achuka, J. A., Aweda, M. A., Usikalu, M. R., & Aborisade, C. A. (2020). Assessment of patient absorbed radiation dose during hysterosalpingography: A pilot study in Southwest Nigeria. Journal of Biomedical Physics & Engineering, 10(2), 131.

Bontrager, Kenneth, L. (2018). Tex Book of Radiographic Positioning and Related Anatomy, Seventh Edition. Mosby Inc, St. Louis : Amerika.

Bushong, S. C. (2013). Radiologic Science for Technologists E-Book: Physics, Biology, and Protection. Elsevier Health Sciences.

Chen, L. S., Zhu, Z. Q., Li, J., Wang, Z. T., Qiang, Y., Hu, X. Y., & Wang, Z. Q. (2020). Hysterosalpingo-contrast-sonography vs. magnetic resonance-hysterosalpingography for diagnosing fallopian tubal patency: A systematic review and meta-analysis. European journal of radiology, 125, 108891.

Gündüz, R., Ağaçayak, E., Okutucu, G., Karuserci, Ö. K., Peker, N., Çetinçakmak, M. G., & Gül, T. (2021). Hysterosalpingography: a potential alternative to laparoscopy in the evaluation of tubal obstruction in infertile patients?. African Health Sciences, 21(1), 373-8.

Frank E.D.(2007). Merrill’s Atlas of Radiographic Positioning and Radiologic Prosedures, Volume Two, Eleventh Edition. The VC Mosby co : London

Maheux-Lacroix, S., Bergeron, C., Moore, L., Bergeron, M. È., Lefebvre, J., Grenier-Ouellette, I., & Dodin, S. (2019). Hysterosalpingosonography is not as effective as hysterosalpingography to increase chances of pregnancy. Journal of Obstetrics and Gynaecology Canada, 41(5), 593-598.

Lee, F. K., Lee, W. L., & Wang, P. H. (2017). Is hysterosalpingography a good tool to confirm the patency of tubes?.

Linder, J. M. B. (2019). Hysterosalpingography in an Infertile Woman: Case Study and Clinical Considerations. Journal of Radiology Nursing, 38(1), 53-55.

Manuaba Ida Bagus G.(2007). Pengantar Kuliah Obstetri. EGC: Jakarta

Pearce, Evelyn C.(2013). Anatomi dan Fisiologi untuk Paramedis, Cetakan XL. Prima Grafika: Jakarta

Rasad, Sjahriar.(2006). Radiologi Diagnostik, Edisi Kedua.Gaya Baru Balai Penerbit FKUI : Jakarta

Schankath, A. C., Fasching, N., Urech-Ruh, C., Hohl, M. K., & Kubik-Huch, R. A. (2012). Hysterosalpingography in the workup of female infertility: indications, technique and diagnostic findings. Insights into imaging, 3(5), 475-483.




How to Cite

Wati, R., & Masrochah, S. (2021). Examination of Hysterosalpingography in Patients With Suspected Infertility at The Radiology Department of Dr.R. Soetrasno Rembang Hospital. International Journal of Health Science and Technology, 3(2), 57–63. https://doi.org/10.31101/ijhst.v3i2.2306