CAMRT Radiography Practice Exam

What condition could be a reason for deciding against a hysterosalpingogram?

1. Regular menstrual cycle

2. Stable health

3. Vaginal infection with discharge

4. History of fibroid removal

The correct answer is: Vaginal infection with discharge

A hysterosalpingogram (HSG) is a specialized radiologic procedure used primarily to assess the condition of the uterus and fallopian tubes, often in the context of infertility evaluations. The presence of a vaginal infection with discharge is a significant consideration when determining the appropriateness of performing an HSG. When there is an existing vaginal infection, introducing contrast material into the uterus can exacerbate the infection or lead to complications, such as pelvic inflammatory disease. The procedure may also be less effective if there is inflammation or infection present, potentially affecting the diagnostic results. Therefore, it is standard practice to avoid performing an HSG in the presence of a vaginal infection to ensure patient safety and the accuracy of test results. Other conditions, while potentially relevant, do not present the same immediate risk. A regular menstrual cycle generally indicates normal reproductive function, stable health refers to overall well-being without active problems that would complicate the procedure, and a history of fibroid removal may not prevent the procedure as long as there are no acute complications or infections. Thus, a vaginal infection is the most concerning factor that warrants postponing or reconsidering the HSG.