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This type of x-ray is called a hysterosalpingography, and most doctors recommend you have one before you are artificially inseminated. The purpose of the test is to make sure you have at least one functioning fallopian tube. Before the test, a technician will use a speculum in your vagina and then will clean out your cervix. He or she will next inject a dye into your cervix with a catheter. An x-ray is then taken with the dye in your uterus and fallopian tubes. If your tubes are open, then dye can be seen spilling out of them on the x-ray. Basically, the procedure will feel much like a pap smear. If you have abnormal results, you may need to get treatment before proceeding with insemination. It's possible you may not be able to go through with insemination at all, but your doctor will discuss your options with you. Some possible complications this test might show include obstructed fallopian tubes, scarring, polyps or tumors, intrauterine adhesion, or a development disorder in your uterus or fallopian tubes. On a positive note, the results might be normal, as well. While not all locations require this step, you may need to have tests done for sexually transmitted diseases before being inseminated. In addition, if your partner is providing sperm, he will need to be tested too. Tests can take up to a week to come back, so you'll need to do this well in advance of your insemination appointment. As you will need to be tested for a wide range of diseases, you will likely need to provide a urine sample, as well as have a swab test done of your genital area. In addition, you'll likely need a blood test. Some people choose to try insemination the first time without the addition of fertility drugs, especially if they're having normal periods. Others choose to go ahead and try fertility drugs. One of the main fertility drugs, clomiphene citrate (Clomid), works to help you release eggs when you ovulate. This drug is mainly for women who are having trouble releasing eggs at all. For example, women with PCOS often have this problem. This drug is usually taken starting at day 3 or 5 of your period, for 5 days in a row. Day 1 of your period is when first bleed. If you don't have regular periods, you may be given a drug to start your period. One consideration is that fertility drugs increase your chances of having more than one baby at once, which makes your pregnancy more dangerous. The risk of multiples with Clomid is 7%, while it is only 1% when trying to conceive without medication. Talk to your doctor about whether this drug is an appropriate choice for you.

Summary:
Expect an x-ray of your uterus and fallopian tubes. Discuss the results. Be ready for a test for sexually transmitted diseases. Decide whether you will use fertility drugs.