Hysterosalpingogram (HSG)

A hysterosalpingogram is an X-ray exam for the female reproductive system. The main reason for performing this exam is to determine if the tubes from the ovaries to the uterus are open and not blocked. The procedure is performed by a Radiologist or your OB/GYN physician.

-Please bring any x-rays related to your exam with you to your appointment.

Before the HSG

A major concern for this exam is to be sure there is no risk that the patient is pregnant. The exam must be performed between 5 and 12 days after the start of the menstrual cycle. Abstain from intercourse from the beginning of your menstrual cycle until after your procedure. 

During the HSG

You will be asked to change into a hospital gown and you will then be taken into a special x-ray room that has a fluoroscope. The machine allows the Radiologist to watch the procedure on the monitor as it is performed.

The procedure starts much like a pelvic exam. A speculum is placed in the vagina and then a small tube is then placed into the cervix. An "x-ray dye" can then be introduced into the uterus and fallopian tubes. At this point you may feel some abdominal cramping. Once the "dye" is in place, the radiologist will take x-rays. You may be asked to move from side to side to see all sides of the tubes. Once the pictures are complete, the instruments are removed and you can sit up. An x-ray is taken after several minutes to check the drainage of the dye.

After the HSG

Following the exam, some spotting may be noticed, this is normal. If an excessive amount is noticed, you should contact your doctor. You should bring a small pad with you on the day of the exam. If you continue to have menstrual type cramps, you may take any pain reliever you normally take.

The radiologist will provide your doctor with the report of the exam. Your doctor can then discuss the results with you.