A hysterosalpingogram (HSG) is an x-ray exam of the uterus and the fallopian tubes.
Why is a HSG exam performed?
The HSG exam can provide information about blockage or scarring of the uterus and fallopian tubes in patients who may be experiencing infertility.
What can I expect during my HSG exam?
A radiologist and a technologist and nurse clinician will administer the exam. You will be placed in a position similar to a routine gynecologic exam. The radiologist or nurse clinician will clean off your skin with a sterile iodine solution to prevent infection, cover you with a sterile towel, and insert a speculum. The radiologist or nurse clinician will place a small catheter into the cervical canal and inject an x-ray "dye" to visualize the uterus and fallopian tubes. The radiologist will watch on a special x-ray monitor. At intervals, the radiologist will ask you to hold your breath, to breathe out, or to change your position so the "pictures" or spot films may be taken.
Special note: For 24 hours after the test do not douche, use tampons, or have intercourse. You may take Tylenol or Motrin as needed for minor cramps.
It is normal to have some spotting or light bleeding, but if you have heavy bleeding or a fever at any time following this procedure, call your doctor immediately.
There may be some cramping associated with the injection of the x-ray dye.
How long will my HSG exam take?
The exam will take about 30 to 45 minutes.
Is the HSG exam safe?
Within the medical community there is general agreement that the benefits of performing the tests far outweigh the small amount of radiation associated with these studies.
Scientific advances allow for better images with lower doses of radiation. We continually upgrade our equipment to provide the latest technology and adhere to a strict monitoring and quality assurance program for all equipment.
Prior to any exam, please inform the staff if you are, or think you may be, pregnant.
Do I need a referral (prescription) to have my HSG exam?
Yes, your doctor must provide a referral (prescription) in order for you to receive a exam. In addition, some insurance carriers or HMOs require a precertification. Please discuss this with your doctor and your insurance company or HMO prior to your test.
When Will I Know The Results Of My Examination?
A detailed written report of the procedure will be sent to the referring physician within 24 hours. Your physician will contact you to discuss the results. Urgent results are telephoned immediately to your doctor who will discuss the results with you.
What should I do to prepare for an HSG exam?
It is important that this exam be scheduled seven to 10 days after the first day of your last menstrual period.
There are no dietary restrictions and you may take your medications in accordance with your prescription.
