Hysterosalpingogram (HSG)

IVFMD is proud to offer the Hysterosalpingogram (HSG) test on-site to all patients. By offering the HSG onsite we reduce the cost, improve the quality and convenience of the process. Your HSG will can be performed onsite by a board certified RE with immediate results in the comfort of an office based setting.


What is the Hysterosalpingogram (HSG) test?

Hysterosalpingogram (HSG) – Is an X-ray test that is used to view the inside of the uterus and fallopian tubes. It is Often used for infertility testing by evaluating the shape of the uterus and whether or not the fallopian tubes are open or blocked. The HSG test is required after a woman has undergone the implantation of a permanent contraceptive device such as the Essure® or Adiana® devices, to confirm blockage of the fallopian tubes by the device. It is usually done after the menstral period has ended, but before ovulation, to prevent interference with an early pregnancy.

During the procedure, dye is inserted into the uterus and followed by x-rays as it “flows back” through the fallopian tubes.  In a normal HSG, the dye flows freely through the reproductive tract. An accumulation of the dye at a point in the tubes usually indicates the presence of an obstruction or complete tubal blockage. Speak with your physician prior to your appointment for full details and with any questions you may have.

hsg diagram

image from http://www.asrm.org/FACTSHEET_Hysterosalpingogram/


Preparing for the HSG

  • Tell your physician if you are or might be pregnant. A pregnancy test will be performed before your test to confirm that you are not pregnant.
  • The HSG should not be performed if you currently have a pelvic infection.
  • You should inform the physician if you are allergic to iodine dye or shellfish.
  • Talk to your physician about the HSG test, how it is done, what are its risks and how the test will help with your treatment.
  • Speak with your physician prior to your appointment for additional details.


Is the HSG uncomfortable?

An HSG usually causes mild or moderate uterine cramping for about five to ten minutes; however, some women may experience cramps for several hours. The symptoms can be greatly reduced by taking medications used for menstrual cramps *speak with your physician to be sure this is acceptable for your specific case*. Women may want to have a family member or friend drive them home after the procedure.


What to expect after the HSG

  • You can immediately resume normal activities, but you may be asked to refrain from sexual intercourse for several days.
  • Spotting commonly occurs for a day or two after the HSG. Some of the dye will leak out of the vagina, so you may want to use sanitary napkins.
  • If an abnormality is noted on the HSG, your physician will discuss the steps available to correct the issue.
  • A pad can be used for the vaginal discharge. Do not use a tampon. You also may have the following symptoms:
    • Slight vaginal bleeding
    • cramps
    • Feeling dizzy, faint, or sick to your stomach


Normal HSG Images

These images are for educational purpose and you should consult your physician for a proper diagnosis.

Abnormal HSG Images

These images are for educational purpose and you should consult your physician for a proper diagnosis.


Risks and complications associated of HSG?

An HSG is considered a very safe procedure. However, there is a set of recognized complications, some serious, which can occur rarely.

  • Infection – The most common serious problem with HSG is pelvic infection. This usually occurs when a woman has previous tubal disease. In rare cases, infection can damage the fallopian tubes or necessitate their removal. A woman should call her physician if she experiences increasing pain or a fever within one to two days of the HSG.
  • Fainting – Rarely, the woman may get light-headed during or shortly after the procedure.
  • Radiation Exposure – Radiation exposure from a HSG is very low, less than with a kidney or bowel study, and there have been no demonstrated ill effects from this radiation, even if conception occurs later the same month. The HSG should not be done if pregnancy is suspected.
  • Iodine Allergy – Rarely, a woman may have an allergy to the iodine contrast used in an HSG. A woman should inform her physician if she is allergic to iodine, intravenous contrast dyes, or seafood. Women who are allergic to iodine should have the HSG procedure performed without an iodine containing contrast solution. If a woman experiences a rash, itching, or swelling after the procedure, she should contact her physician.
  • Spotting – Spotting commonly occurs for one to two days after the HSG. Unless instructed otherwise, a woman should notify her physician if she experiences heavy bleeding after the HSG.


Pricing information

Most major medical insurances are accepted. Special self-pay pricing available.

*Ask your gynecologist for a prescription today*