Warming Contrast Media for Hysterosalpingography
Warming Contrast Media for Hysterosalpingography
The purpose of this study is to compare the use of warm-media with cold-media in performing
 hysterosalpingography (HSG).
As an essential step of the infertile work-up, hysterosalpingography remains widely used in
 many country since it was first reported at 1914. Although HSG is a non-invasive and safety
 procedure, it still has some adverse. Lower abdominal pain and vasovagal episodes are mainly
 acute reactions to the contrast media of HSG, the later include nausea, Vomit, Sweating,
 Weakness and even bradycardia, occur in 16-54% of patients undergoing HSG.

 Many techniques were developed to reduce adverse reactions or alleviate the pain in using of
 contrast media, include previous analgesia, pretreatment with corticosteroids and using
 non-ionic contrast media for HSG. However, in a recently Cochrane's review, reported it lack
 of benefit for using any pain relief medication in HSG.

 Pre-Warming the hands and instruments makes physical examination more comfortable for the
 patients. Local active warming can valid lessen the acute pelvic pain. Experiences from the
 peritoneal dialysis and the laparoscopy surgical reveal that warm dialysis solution or air
 insufflation can decrease the pain of operation. A randomize study on Sonohysterography
 (SHG), another technique for exam tubal and uterine cavity diseases, cue that warming of
 Echovist contrast media to body temperature is a simple and effective intervention in
 reducing discomfort at the time exam.Because the less volume of medium injected during the
 HSG and the iodine medias may have different properties to the Echovist media, whether this
 intervention is also valid in HSG remains unknown.
Inclusion Criteria:

 -  infertile women who seeking for HSG testing

 Exclusion Criteria:

 -  suspect of pregnancy

 -  acute low reproductive duct infection

 -  a known hypersensitivity to iodine

 -  genital bleeding

 -  genital malignancy