LPPKN - HSG (Hysterosalpingography)
If the husband’s sperms are in good conditions, it’s time to have a check on the wife.
HSG is primarily used to examine women who have difficulty becoming pregnant by allowing the radiologist to evaluate the shape and structure of the uterus, the openness of the fallopian tubes, and any scarring within the peritoneal cavity.
I went to Tawakal Hospital on 11th April 2007 for my HSG session. My appointment was at 11.30am. But I reached the hospital at 10.15am.
At 10.30am… The nurse called my name and told me that I need to wait because the set of equipment for my HSG procedure is still being “cooked”. Huh…cook? What a scary word! I think they’re just heating the equipment to sterilize them….
Anxiety made me visited the ladies a few times to ease myself…ha..ha..ha
Then…my time finally came!
The radiographer assistant ask me to remove my pant and wear a gown. I didn’t have to remove all my clothes for this procedure. Just the pant & panty.
Thank God… the doctor carrying the HSG is a lady!
The lady doctor was very kind and gentle. She understood my fear and concerns. Who will not fear when somebody is inserting some kind of instruments into your vagina?
I saw the stainless stell instruments on the table. It looks..huh… shiny.
The assistant mixed up some kind of liquid for the HSG. Then, she asked me to held my feet up. The doctor explained what is the procedure and why it is carried out. She assured that it is a painless procedure but I might experience a mild discomfort.
Then.. it started ……
I was placed on an x-ray table and the physician proceeded to place a speculum inside my vagina and insert a catheter with a tiny balloon past my cervix directly into my uterus. I was then placed under an x-ray machine where I could actually see my internal organs on the monitor.
A dye (contrast material) was then inserted via the catheter directly into my fallopian tubes. Doest it hurts? Not really. I only felt some sharp cramps when the contrast liquid began to fill my uterus.
A few x-rays were taken and then it’s over… at least I thought so. But… I was asked to lay down for another 20 minutes on the x-tray table. Alone.
The doctor took another x-rays and then, the HSG was completed.
I got dress and waited for the result.
After paying for the HSG test (RM180), I can claimed my x-tray photo and HSG result.
The following is the written result, signed by the doctor performing the HSG.
No plain film abnormality is seen
The uterus appears normal in size and shape
Both tubes are normal in calibre and peritoneal spill is seen on both sides
The delayed film shows loculated contrast around the tubes and left hemipelvis
Appearances suggest the presence of pelvic adhesions
I’m not a doctor but the first three points seem like a good news. When the peritoneal spill is seen on both sides, it means that there’s no blockage in both of my tubes.
But the word pelvic adhesions got me worried. What is pelvic adhesions? Can it cause infertility? I need to find that out soon!

























