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CONTRAINDICATIONS 1: Acute intraperitoneal haemorrhage: This with hypotension may be accompanied by relatively normal pulse rate instead of tachycardia produced by blood loss.

INDICATIONS Gynaecography is indicated in female patients of any age in whom accurate assessment of the size of the uterus and ovaries is required and particularly when accurate bimanual examination is impossible such as in infants and children, in virginal and obese women, in patients with narrow introitus or patients who are so tense that examination is unsatisfactory. 1: Polycystic Ovarian Syndrome (PCOS):

ANATOMY OF ORGAN INVOLVED The Pelvis: it is the lower (caudal) portion of the trunk of the body, forming a basin bounded anteriorly and laterally by the hip bones (pubis, pubic arch, ilium and ischium) and posteriorly by sacrum and coccyx. Pelvic structure in male and female differs both in shape and in relative size. The most obvious difference between the male and female pelvis is in the shape. This examination involves the female internal genitalia which include;

Purpose of Gynaecography To investigate polycystic ovarian syndrome. To investigate cushioning syndrome To study endometriosis To confirm the presence of ovarian tumors and ovarian enlargement To evaluate chronic inflammatory disease.

Brief History of Gynaecography In 1902, Kelling injected air into the peritoneum cavity for the first time to obtain a better view of abdominal organs. In 1912, a German pathologist

Introduction  Gynaecography a term introduced by Stein involves the visualization of the uterus, tubes and ovaries by means of pneumoperitoneum plus Hysterosalpingography.