If you’re on the journey to discover the reasons behind your infertility, you might be feeling anxious about the testing involved. One test that often gets a lot of attention (and sometimes dread) is the hysterosalpingogram (HSG). It’s common to hear various stories from friends or to read blogs online that might heighten your anxiety. But fear not, you are not alone in feeling this way!
We routinely perform the HSG for individuals experiencing difficulty conceiving, and it serves three key purposes:
- To check if the fallopian tubes are open.
- To evaluate the shape of the uterus.
- To ensure that the uterine cavity is free from fibroids, polyps, or scar tissue.
The HSG uses a type of x-ray called fluoroscopy. At our facilities, we have dedicated x-ray rooms for these procedures, where a trained professional will guide you through the process. They will explain your results right after the procedure, and your physician will include the images in your medical records.
What Should You Expect During an HSG?
First, the provider will insert a speculum into the vagina, similar to what happens during a Pap smear. They’ll clean the cervix and then insert a small, flexible catheter into the cervical canal. A small amount of dye is injected through this catheter, filling the uterine cavity and flowing into the fallopian tubes. The fluoroscopy allows us to see the dye moving through the tubes, which indicates if they’re open. The whole process typically takes under a minute and requires just a small amount of dye.
Some patients may experience mild cramping as the dye is infused. This cramping is often less intense than menstrual cramps. If you do feel significant discomfort, it could indicate a blockage. To minimize cramping, we recommend taking an over-the-counter pain reliever, like Ibuprofen, about an hour before the procedure.
Are There Any Risks?
Complications from the HSG are very rare. For patients with a higher risk of infection, such as those with a history of pelvic inflammatory disease, we may prescribe antibiotics beforehand. It’s also advisable to avoid intercourse or using tampons for 24 hours after the procedure. Spotting for a few days afterward is completely normal. If you have a known allergy to contrast dye, make sure to inform your healthcare provider beforehand.
When Will You Get Results?
You will receive preliminary results right after the procedure from the clinician. The images will also be sent to your electronic medical record for your physician to review.
How Long Does the Procedure Take?
While the actual procedure is quick—usually under 5 minutes—the total time spent at the office can be longer due to paperwork and preparation. Arriving 30 minutes early is recommended.
Should You Try to Get Pregnant This Month?
While we advise refraining from intercourse for 24 hours after the HSG, we do not discourage attempts at conception that month.
Is Radiation a Concern?
We take precautions to use the lowest possible radiation dose during the HSG. This minimal exposure is not known to harm ovarian tissue, and there have been no adverse effects reported even if conception occurs shortly after the procedure.
What If You Prefer Not to Have an HSG?
If you choose not to undergo an HSG, there is an alternative called chromotubation, which is a laparoscopic procedure. However, it involves surgery, anesthesia, and higher risks, making it less favorable as a first option.
Patient Experiences
Many individuals have shared their experiences regarding the HSG, often expressing relief that it wasn’t as painful as they had feared. For example, Sarah said, “I was really nervous before my HSG, but it turned out to be quick and surprisingly easy!” Meanwhile, James commented, “I had read a lot of scary stories online, but my experience was nothing like that. It was over before I knew it.” If you’re intrigued by more stories about home insemination, check out this blog post on Home Insemination.
If you’re considering home insemination options, Make a Mom is a great resource for at-home kits. For further insights into assisted reproductive technologies, Healthline provides excellent information on IVF and other methods.
In summary, while the HSG may seem intimidating, many find that it’s a straightforward and quick test that provides valuable information about reproductive health. Most patients report experiences that are much less painful than anticipated, so try to stay positive!