Case challenge · Imaging / Gynecology / Reproductive medicine · teaching

Hysterosalpingography (HSG) Tubal Patency Assessment · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on Infertility imaging

Case #1Imaging / Gynecology / Reproductive medicine

📋 Case data

HSG tubal filling and spillDistal filling without spill, tube dilated with fluid

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · HSG tubal filling and spill

HSG tubal filling and contrast spill?

💡 HSG injects contrast through the cervix under fluoroscopy to assess tubal patency + cavity shape (infertility). Timing: follicular phase (after menses, before ovulation). Contraindications: active PID, pregnancy, active bleeding, contrast allergy; antibiotic prophylaxis for hydrosalpinx/PID risk.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.