Abstract
Background: The main indication for hysterosalpingography (HSG) is infertility, primarily to assess the fallopian tubes. Its major drawback is tubal spasm, which is preventable by administering intravenous (IV) Buscopan prior to the procedure. This is not routinely done by all practitioners, rather they administer it after the tubes are not demonstrated, which leads to repeats. HSG involves a relatively high radiation dose to the pelvic organs compared to none contrast examinations, so multiple attempts of the procedure and unnecessary radiation exposure should be discouraged. Objectives:Administer intravenous Buscopan prior to the procedure and assess the fallopian tubes, adverse drug reaction and the number of attempts of the procedure. Subjects and Methods: A prospective study of 130 women, aged between 19 and 42 years over two years, at 2 radiodiagnostic units. We administered IV Buscopan before the procedure. Results: We observed HSG abnormalities in 94(72.3%) women and 32(24.6%) showed multiple site involvement. Sixty-one (46.9%) women had abnormalities in the tubes(commonest sites), mainly due to
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