Hysterosalpingography: a resurgent study, 100 years after it was first performed

Abstract

•. Hysterosalpingography (HSG) is the first-line imaging tool in the investigation of infertility.•. It remains the investigation method of choice in the assessment of tubal patency despite advances in ultrasound, MRI and CT imaging.•. Uterine and peritubal abnormalities can also be detected on HSG.•. Other indications for HSG include post-operative evaluation of tubal occlusion following tubal ligation and (more recently) Essure sterilisation, and evaluation following reversal of tubal ligation.Hysterosalpingography (HSG) is a first-line investigation for infertility, and is used predominantly to assess tubal patency as tubal occlusion remains one of the most common causes of female infertility. This has meant that there has been an increased demand for HSG services in radiology departments. It is essential that radiologists are aware of the techniques involved, of any complications that can arise, and of normal and abnormal appearances (including common artefacts and normal variants) to aid image interp...