Hysterosalpingogram (HSG)

Hysterosalpingogram (HSG): Diagnosing Fertility Challenges and Helping You Move Forward

At DOREN-GYNAECARE IVF | FERTILITY, we understand how stressful fertility challenges can be. An accurate infertility diagnosis is essential to effective treatment, helping you achieve your dream of parenthood. A Hysterosalpingogram (HSG) is a valuable diagnostic procedure that provides insight into your fertility by evaluating the health of your uterus and fallopian tubes. This test is crucial in identifying underlying causes of infertility, often focusing on structural issues within the reproductive system.

What is a Hysterosalpingogram (HSG) and Why is it Performed?

An HSG is an imaging procedure that involves injecting a contrast dye into the uterine cavity. This dye flows through the fallopian tubes and helps assess the structure of the uterus and the patency (openness) of the fallopian tubes.

HSG is highly effective in identifying factors like blocked fallopian tubes or uterine abnormalities within the fallopian tubes or uterine cavity, which are known to contribute to infertility in up to 60% of cases. It’s often used in combination with other imaging tests like pelvic ultrasounds or hysteroscopy for a comprehensive fertility evaluation.

The Role of HSG in Infertility Diagnosis and Fertility Evaluation: Conditions Diagnosed Through HSG Testing

HSG testing can identify various fertility-related issues, including:

Blocked Fallopian Tubes: Obstructions in the fallopian tubes that can prevent egg and sperm from meeting.
Uterine Abnormalities: Conditions like fibroids, polyps, or congenital issues (uterus) affecting the uterine cavity.
Uterine Scarring: Such as Asherman’s Syndrome, where scarring in the uterus can affect implantation

What to Expect During Your HSG Procedure

While the HSG procedure may seem intimidating at first, our fertility specialists will guide you through each step. It’s similar to a pelvic exam, and the procedure is typically done in a radiology suite.

Preparation: HSG is best performed between days 7 and 10 of your menstrual cycle (HSG timing) to avoid potential pregnancy. Pain management (HSG) includes over-the-counter anti-inflammatory drugs like ibuprofen an hour before the test. In some cases, antibiotics (HSG) may be prescribed if there’s a history of pelvic infections.
The Procedure:
- You’ll be positioned on the examination table, similar to a pelvic exam.
- A speculum will be inserted into the vagina to visualize the cervix.
- The cervix is stabilized, and a catheter is gently inserted to deliver the contrast dye.
- X-rays will be taken to track the dye’s movement, ensuring it reaches the fallopian tubes.
After the Procedure: Most patients can drive themselves home, although it’s advised to have someone assist if you’re feeling uncomfortable. You may experience light spotting or vaginal discharge.

Possible Risks and Side Effects of HSG

Though generally safe, some patients may experience mild side effects, including:

Spotting or Vaginal Discharge: Light bleeding is possible after the test.
Allergic Reactions (Contrast Dye): Rare, but possible with the contrast dye. Inform your doctor about any allergies.
Infection Risk (HSG): While uncommon, there is a slight risk of infection. Monitoring for fever or severe pain is advised.
Dizziness or Nausea: Some women may feel lightheaded, though this typically resolves quickly.
Radiation Exposure (HSG): The test uses X-rays, but the exposure is minimal and generally considered safe.

Book Your Consultation for HSG Testing: Your Next Step in Fertility Care

At DOREN-GYNAECARE IVF | FERTILITY, our team of experienced specialists is committed to providing high-quality fertility care. If you’re struggling with infertility, HSG testing can be a crucial step in uncovering the root cause and guiding your journey towards parenthood. Schedule a consultation today to learn more about HSG testing and how it can assist in your fertility journey.

If you’re considering IVF or fertility care, discover how the expert team at DOREN-GYNAECARE IVF | FERTILITY can support you on your journey to building the family you’ve always dreamed of.

Hysterosalpingogram (HSG)