CAMRT Radiography Practice Exam

During which phase should a hysterosalpingogram not be performed due to increased risk?

1. During ovulation

2. During active uterine bleeding

3. In the mid-cycle phase

4. Post menstruation

The correct answer is: During active uterine bleeding

A hysterosalpingogram (HSG) is a radiologic procedure used to examine the shape of the uterine cavity and the patency of the fallopian tubes, which can be crucial for evaluating female infertility. Performing an HSG during active uterine bleeding is not recommended due to the increased risk of complications. When a patient is experiencing active bleeding, there is a higher likelihood of potential infections and complications due to introducing contrast material into the uterine cavity. Additionally, active bleeding can obscure the view of the uterine cavity during the procedure, making it challenging to obtain clear images or accurate results. By waiting until the bleeding has resolved, healthcare professionals can ensure a safer, clearer, and more effective examination of the reproductive system. The other phases listed—ovulation, mid-cycle phase, and post-menstruation—are generally safer times to perform an HSG. During ovulation, while there may be some physiological changes in the reproductive system, the risks associated with bleeding are not present. The mid-cycle phase might coincide with ovulation but does not inherently pose risks compared to active bleeding. Post-menstruation is often considered the ideal time for an HSG, as the uterine lining has been shed, and there's typically no