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Why should a patient empty their bladder before undergoing a hysterosalpingogram?

  1. To ensure comfort during the procedure

  2. To facilitate the contrast administration

  3. To prevent displacement of the uterus and uterine tubes

  4. To avoid infection risk during the exam

The correct answer is: To prevent displacement of the uterus and uterine tubes

Prior to undergoing a hysterosalpingogram (HSG), it is vital for a patient to empty their bladder to prevent displacement of the uterus and uterine tubes. The HSG procedure involves the insertion of a catheter into the uterus, followed by the injection of a contrast medium to assess the shape of the uterine cavity and to check for any blockages in the fallopian tubes. If the bladder is full, it can exert pressure on the uterus, potentially causing discomfort and impacting the position of the uterus and tubes. When the bladder is emptied, it allows for a more accurate positioning of the organs, which is essential for obtaining clear imaging results and ensuring the effectiveness of the procedure. While patient comfort, contrast administration, and infection risk are important considerations in overall patient care, the primary reason for bladder evacuation is to maintain the proper anatomical positioning and avoid complications that could arise from a distended bladder.