What is Hysterosalpingogram (HSG)?

HSG is an x-ray procedure to view the inside shape of the uterus and fallopian tubes. This shows whether the tubes are open or damaged, and whether the uterine cavity is normal. Problems in these areas may make it difficult to become pregnant.

How is the HSG done?

While you are lying on your back with your knees bent (as if for a pap smear), a liquid, dye-like solution is injected through the cervix and its progress, as it flows up through the uterus and tubes, is viewed on x-ray. Spillage of the dye from a tube indicates the tube is open. The inner shape of the uterus is also checked for abnormalities.

When is HSG performed?

After all menstrual bleeding is over with, but before ovulation. In women on a 28-day cycle, this is usually between cycle days 8 and 12.

How will I feel during and after the procedure?

The HSG is performed with you awake and causes moderate cramping. Taking a dose of pain reliever (like ibuprofen) before the procedure reduces the discomfort. Though most people will feel well enough to drive or return to work, you may want to arrange a ride.

There may be a thick discharge for a day from the dye. You may have a small amount of light bleeding from the vagina. Avoid having intercourse, using tampons or douches for 48 hours after the procedure.

Are there risks to HSG?

• There is a small risk of pelvic infection or flare up of old pelvic infection which may be reduced by giving antibiotics (such as Doxycycline) prior to the HSG.
• Allergic reaction to the dye; please tell your health care provider if you are allergic to anything, especially shellfish or iodine.
• Bleeding
• Rarely damage to the uterine wall or fallopian tubes

You should report to your health provider:

• Abdominal pain
• A fever (above 100 degrees Farenheit)
• A foul smelling vaginal discharge
• Vaginal bleeding (not spotting)