Hysterosalpingogram (HSG)

A hysterosalpingogram (his-ter-oh-sal-PING-oh-gram) or HSG is an x-ray exam of the female reproductive tract to determine if the fallopian tubes are open and to outline the shape of the inside of the cervix and uterus. An HSG is performed for infertility evaluation, reoccurring pelvic infections, abnormal uterine bleeding, incompetent cervix, lost IUDs or for post surgical evaluation.

An HSG takes about 30 to 45 minutes to perform. You will be asked to change into a gown. A technician will position you at the end of the x-ray table in a position similar to a routine GYN exam. Your physician (gynecologist) will clean off your skin with sterile iodine, cover you with a sterile towel and insert a speculum into the vagina. The doctor will insert a small catheter into the cervix and inject x-ray dye to visualize the uterus and fallopian tubes. You may feel some cramping associated with the x-ray dye and speculum.

You will be asked to hold your breath, breath out, or change positions while the x-ray images are being taken. The radiologist will view the x-ray images on a television. Once the exam is complete a radiologist will review the films and prepare a report for your physician.

     

Patient Preparartion:

    1. This test should be performed seven to ten days after the first day of your last menstrual period.
    2. You may eat a light meal prior to the exam.
    3. It is recommended that someone drive you to and from the procedure.
    4. Bring a sanitary napkin, not a tampon, for any leakage of excess x-ray dye.
    5. Follow your gynecologist instructions.

     

After Discharge:

  1. You may experience some spotting or light bleeding. This is normal. If you experience heavy bleeding, fever, chills, worsening pain or missed period call your gynecologist immediately.
  2. Do not douche, use tampons, or have intercourse for 24 hours after the procedure.

Precautions:

  1. 1. Tell the technologist if you have any allergies to medicine or x-ray dye.
  2. Because x-ray is used for this study you should inform the doctor or technologist if there is any possibility that you are pregnant.
  3. Tell your doctor if you have had a recent infection in your pelvis or have had recent heavy uterine bleeding.