Hysterosalpingography – HSG
Hysterosalpingography (HSG) is an X-ray procedure that is used to view the inside of the uterus and fallopian tubes.
It often is used to see if the fallopian tubes are partly or fully blocked. It also can show if the inside of the uterus is of
HSG also is used a few months after some tubal sterilization procedures to make sure that the fallopian tubes have been completely blocked. HSG is not done if a woman has any of the following conditions:Hysterosalpingography (HSG) is an X-ray procedure that is used to view the inside of the uterus and fallopian tubes. Click To Tweet
HSG test preparation
Your doctor may recommend that you take an over-the-counter pain reliever an hour before the procedure. Discuss this decision with your radiologist. In some cases, he or she also may prescribe an antibiotic for you to take before HSG. Most people can drive themselves home after having HSG. However, you may not feel well after the procedure, so you may want to make arrangements for someone to drive you home.
HSG test procedure
HSG is done in a hospital, clinic, or diagnostic centr. It is best to have HSG done in the first half (days 1–14) of the menstrual cycle. This timing reduces the chance that you may be pregnant.
During HSG, a contrast medium is placed in the uterus and fallopian tubes. This is a fluid that contains a dye. The dye shows up in contrast to the body structures on an X-ray screen. The dye outlines the inner size and shape of the uterus and fallopian tubes. It also is possible to see how the dye moves through the body structures.
The procedure is performed as follows;
- You will be asked to lie on your back with your feet placed as for a pelvic exam. A device called a speculum is inserted into the vagina. It holds the walls of the vagina apart to allow the cervix to be viewed. The cervix is cleaned.
- The end of the cervix may be injected with local anesthesia (pain relief). You may feel a slight pinch or tug as this is done.
- One of two methods may be used to insert the dye. In one method, the cervix is grasped with a device to hold it steady. An instrument called a cannula is then inserted into the cervix. In the other method, a thin plastic tube is passed into the cervical opening. The tube has a small balloon at the end that is inflated. The balloon keeps the tube in place in the uterus.
- The speculum is removed, and you are placed beneath an X-ray machine.
- The fluid slowly is placed through the cannula or tube into the uterus and fallopian tubes. The fluid may cause cramping. If the tubes are blocked, the fluid will cause them to stretch.
- X-ray images are made as the contrast medium fills the uterus and tubes. You may be asked to change position. If there is no blockage, the fluid will spill slowly out the far ends of the tubes. After it spills out, the fluid is absorbed by the body.
- After the images are made, the cannula or tube is removed.
HSG test what to expect?
After HSG, you can expect to have a sticky vaginal discharge as some of the fluid drains out of the uterus. The fluid may be tinged with blood. A pad can be used for vaginal discharge. Do not use a tampon. You also may have the following symptoms;
- Slight vaginal bleeding
- Feeling dizzy, faint, or sick to your stomach
HSG test side effects
Severe problems after an HSG are rare. They include an allergic reaction to the dye, injury to the uterus, or pelvic infection. Visit your doctor if you have any of these symptoms:
- Foul-smelling vaginal discharge
- Severe abdominal pain or cramping
- Heavy vaginal bleeding
- Fever or chills
HSG test alternative
There are other procedures that can give your doctor some of the same information as HSG:
- Laparoscopy – This surgical procedure requires general anesthesia
- Hysteroscopy – This procedure can give a detailed view of the inside of the uterus. However, it cannot show whether the fallopian tubes are blocked
- Sonohysterography – This technique uses ultrasound to show the inside of the uterus. Like hysteroscopy, it does not give information about the fallopian tubes
Does HSG Test increase chance of pregnancy?
Interestingly, some women actually do have greater success getting pregnant naturally after HSG test. In fact, the chances can increase as much as 25% for up to three months after the procedure.
Is HSG test is painful?
In most women, the dye painlessly just passes through the uterus, through the fallopian tubes, and out into the abdominal cavity. However, if your tubes are blocked, the dye can cause pressure. This is what can then lead to substantial discomfort or even pain.
What is HSG test side effects?
Severe problems after an HSG are rare. They include an allergic reaction to the dye, injury to the uterus, or pelvic infection.
Who HSG Test in Pune?
Many diagnostics centers and fertility clinic do HSG test in Pune, e.g Apollo Clinic
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