Table 1. Criteria for evaluation of satisfactory placement and tubal occlusion on hysterosalpingogram (HSG).
Placement | |
Satisfactory | • Distal end of the inner coil being within the tube with less than half of the length of the inner coil trailing into the uterine cavity |
• Proximal end of the inner coil is up to 30 mm into the tube from the cornua | |
Unsatisfactory | • Absence of the microinsert on imaging (implying expulsion) |
• More than half of the length of the inner coil trailing into the uterine cavity | |
• Proximal end of the microinsert in the tube more than 30 mm from the cornua | |
• Presence of the microinsert within the peritoneal cavity |
Occlusion | |
Satisfactory (grade 1) | • Complete non-filling of the tubes |
Satisfactory (grade 2) | • Filling of the tubes but not beyond the distal-most aspect of the outer coil |
Tubal patency (grade 3) | • Contrast beyond the outer coil |
• Spill into the peritoneal cavity |