Everything You Need to Know About Hysterosalpingogram

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A hysterosalpingogram, also known as HSG, is an X-ray dye exam used to detect problems related to fertility. An HSP is also done to help your healthcare provider diagnose abnormalities in your reproductive make-up that may prevent you from bearing a child. During a hysterosalpingogram, your doctor will use a type of X-ray known as hysterosalpingography that records images of your fallopian tubes and uterine cavity. The x-ray uses a special dye that allows the X-ray images of the fallopian tubes and uterus to be clearly visible. With the help of this special dye, your radiologist can check for any blockage or other structural irregularities in your uterus and fallopian tubes. Here, we will tell you the benefits of having this procedure at HSG Celebration.

 Why is it performed?

Your practitioner may recommend a hysterosalpingogram if you are experiencing pregnancy issues such as miscarriages or have continuously had difficulties getting pregnant. An HSP is the ideal treatment solution if your infertility is caused by:

·         Uterine fibroids

·        Polyps or uterine tumors

·         Structural problems in the uterus

·         Scar tissue in the uterine wall

·        Blockage of the fallopian tubes


Before the actual procedure, your physician may request you to take an over-the-counter pain-relieving medication at least an hour before. You are also advised to come with a pad, or instead opt to wear a pad for the whole day to protect against damaging your clothing. Moreover, the doctor often advises their patients to wear comfortable clothes before the procedure, particularly soft, non-restrictive garments. It is also advisable to bring a loved one or a friend along to your HSP, who will help drive you home after the procedure.

 During the procedure

Your radiologist will carefully insert a speculum into your vagina during the procedure to make the cervix easily visible. After cleaning the cervix, the radiologist will inject you with a local anesthetic to lower any feeling of discomfort. The radiologist will then insert an instrument known as a cannula into the cervix, and the speculum will be removed. A special medical dye will be injected through the cannula, which will flow into your fallopian tubes and uterine wall. Your radiologist will begin taking X-rays once the X-ray machine is placed. When the X-rays have already been taken, the cannula will be removed, and your radiologist will prescribe some medications to help lower the risk of infection and reduce pain.

What are the risks involved?

Although an HSG is a well-tolerated surgical procedure, some side effects may occur occasionally. You are advised to consult with your healthcare immediately if you have any concerns or you experience any of the following:

·         Heavy bleeding

·         Foul-smelling discharge

·         Persistent pain

·         Lower abdominal pain

·         Infection from the contrast fluid

·         Vaginal spotting

·         Fever

After your HSP, your doctor may request you to return for follow-up exams. This will help evaluate a potential side effect from occurring with a special X-ray imaging technique. Follow-up exams are important as they determine if the treatment was completely successful. For long-lasting treatment solutions to infertility, visit our Center for Reproductive Offices in Celebration or schedule an online consultation.