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The Muasher Center
for Fertility and IVF
8501 Arlington Boulevard, Suite 500
Fairfax, Virginia 22031
Ph. 703.542.3610
Fx. 703.876.6317
Hysterosalpingogram (HSG)
Infertility can result from blocked fallopian tubes or an abnormally shaped uterus. The hysterosalpingogram ( HSG )involves passing a small catheter through the cervix and injecting dye into the uterus. The passage of the dye from the uterus through the fallopian tubes and into the abdominal cavity is visualized by x-ray.
If the tubes are blocked, the dye cannot pass and this is clearly seen on x-ray. Uterine polyps, fibroids, or anatomical abnormalities are often visible in the HSG. Oftentimes a hysterosonogram using contrast media is used to further evaluate the uterus.
Interestingly, some women become pregnant after the HSG. The procedure is not a "treatment" for infertility but forcing the dye through the tubes may cause opening or removal of small blockages.
Dr. Muasher has extensive experience conducting and evaluating the HSG which he personally performs at the hospital.
Hysteroscopy
The hysteroscopy allows the physician to visualize the inside of the uterus. A small 
"telescope" is passed through the vagina into the uterus. The uterus is filled with carbon dioxide gas or special solutions causing it to expand. The physician can clearly see the inside of the uterus and identify polyps, fibroids, adhesions, or other structural abnormalities.
The hysteroscopy is accompanied by minimal discomfort and Dr. Muasher performs the procedure in our office.
Sonohysterogram
The sonohysterogram is used to evaluate the uterus and we perform the procedure in our office. The uterus is filled and expanded with saline solution, by passing a catheter through the vagina. The vaginal probe is inserted into the vagina and used to visualize the uterus via ultrasound. Abnormalities such as polyps and fibroids can usually be seen.