MANAGEMENT OF HYSTEROSALPINGOGRAPHY (HSG) EXAMINATION WITH PRIMARY INFERTILITY CLINICAL AT THE RADIOLOGY INSTALLATION OF HERMINA GRAND WISATA HOSPITAL BEKASI

Abstract

Hysterosalpingography (HSG) is the most frequently performed radiographic procedure to assess the patency of the uterus and fallopian tubes. In this observation, the aim was to determine whether HSG examination can help improve the quality of medical services for women facing fertility problems (infertility). The study aimed to understand the procedure for handling HSG examination in relation to clinical cases of infertility at the Radiology Installation of Hermina Hospital Bekasi. This study used a qualitative descriptive method with an observational approach. The research sample was taken from one patient who underwent HSG examination for primary infertility cases at Hermina Grand Wisata Hospital Bekasi. Data were collected through direct observation, interviews, and literature studies. The results of the study showed that patients who will undergo HSG examination Patients need to make preparations before the examination, namely it is advisable not to have sexual intercourse after the 9th day of menstruation, because the HSG examination will be performed on the 10th-11th day. In the procedure, the contrast material used is the water soluble type. The radiographic projections taken include AP plan images, and AP post contrast with doses of 3 cc and 5 cc. The conclusion of this study shows that HSG examination produces images showing hydrosalpinx on both sides of the fallopian tube, where the fallopian tube is filled with serous fluid (clear). This condition can complicate the fertilization process, especially if it occurs in both fallopian tubes, so patients often have difficulty getting pregnant.