CAMRT Radiography Practice Exam

Which of the following is a contraindication for a hysterosalpingogram?

1. Menstrual irregularities

2. Acute pelvic inflammation

3. Age over 40

4. History of fibroids

The correct answer is: Acute pelvic inflammation

A hysterosalpingogram (HSG) is a radiologic procedure used to examine the shape of the uterine cavity and to check for patency of the fallopian tubes, often as part of an infertility evaluation. Acute pelvic inflammation is a significant contraindication for this procedure because the introduction of contrast material into the reproductive tract during an HSG can exacerbate existing infections. If there is active pelvic inflammatory disease, the procedure could lead to increased risk of complications such as perforation of the uterus or the spread of infection. In contrast, menstrual irregularities, age over 40, and a history of fibroids do not pose immediate contraindications for performing an HSG. While these factors may influence the reasons for conducting the procedure or the interpretation of the results, they do not inherently prevent it from being performed safely. Therefore, acute pelvic inflammation stands out as a clear reason to avoid conducting this specific test.