A hysterosalpingogram (HSG) is a specialized X-ray technique that allows us to visualize the uterus and fallopian tubes. This procedure is a key component of a fertility evaluation before considering intrauterine insemination (IUI) treatment. At the UCSF Center for Reproductive Health, our Radiology Department conducts these HSGs, which are typically ordered after your initial consultation with our healthcare providers.
During the HSG procedure, a small amount of contrast dye is introduced into the uterus, and as the dye flows through, images are captured to see if the fallopian tubes are clear. This information is crucial for your doctor to assess your reproductive health.
Preparing for Your HSG
To prepare for your HSG, it’s important to refrain from sexual intercourse starting from Cycle Day 1 until your exam. Upon arrival at the Radiology Department, you’ll need to provide a urine sample for a pregnancy test. If you have a known allergy to contrast dye, please inform the Radiology Department beforehand.
Most patients may experience moderate cramping during the HSG. To help alleviate any discomfort, we prescribe a pain reliever called Toradol (ketorolac) to be taken 30 minutes prior to the appointment. It’s non-narcotic and has minimal side effects, so you’ll be fine to drive yourself to and from the procedure.
What to Expect During the HSG
The HSG begins much like a standard gynecological exam, making it a familiar process. You’ll be guided through each step, and our team will ensure you feel comfortable throughout the procedure. If you’re navigating your fertility journey, you might also find useful insights in our blog post about how to get started, which can be found here. Additionally, for those interested in a broader exploration of home insemination, visit this link, an authority on the topic. For comprehensive information about pregnancy, Healthline is an excellent resource.
In summary, an HSG is a vital diagnostic tool in assessing fertility, helping to determine the condition of your fallopian tubes and uterus. Preparing properly and understanding the procedure can significantly improve your experience.