History and consent
Prior to examination, a brief medical history is obtained from the patient to ensure there are no contraindications to the study. Examination indication, the duration of any gynecologic symptoms, history of previous pelvic infections or surgery, obstetric history, contraceptive use, date of the last menstrual period, and prior contrast reactions are discussed.
The operating clinician explains the procedural steps and answers the patient’s questions prior to obtaining written consent. Informed consent includes the possibility of pelvic discomfort, vaginal bleeding, infection, contrast reaction, and irradiation of an unsuspected pregnancy Women with indwelling fallopian tube micro-inserts or intrauterine devices are advised about the small risk of implant dislodgement that could require a separate procedure for replacement.