Definition and purpose of the procedure:
A hysterosalpingogram (HSG) is an x-ray study that enables your doctor to visualize your uterus, fallopian tubes, ovaries and pelvic cavity. An HSG can help evaluate an infertility problem related to these organs.
Preparation for the procedure:
The procedure is usually scheduled on days 6 through 12 of a normal 28-day menstrual cycle. You cannot receive the test while you have your period. There is no preparation for the procedure, but your doctor may prescribe antibiotics for you to take before and after the test.
Hysterosalpingograms are performed on an outpatient basis in the x-ray fluoroscopy department on the 01 floor in the hospital. You will need to stop first at the outpatient registration desk located on the first floor in the hospital's main lobby.
When scheduling your test, it is important to notify your doctor if you have ever had an allergic reaction to any contrast dye, iodine-based products or an antibiotic that may be prescribed.
Description of the procedure:
The doctor will insert a speculum into the vagina to examine your cervix (opening of the uterus). A small, plastic tube called a cannula is then inserted in the cervix through which dye is injected. X-rays are taken to visualize the uterine cavity, fallopian tubes and pelvic cavity. The HSG normally takes about 15 minutes and may cause some cramping and/or spotting.
After the procedure:
- you should arrange to have someone drive you home.
- uterine or abdominal cramping may be experienced, which is normal.
- you may have vaginal spotting for a few days.
- you may take the following medications as needed for discomfort: ibuprofen (motrin®, advil®, nuprin®) 400-600 mg by mouth every six hours.
When to notify your physician:
If the following symptoms occur:
- severe or prolonged abdominal pain
- continued heavy vaginal bleeding
- prolonged nausea or vomiting
- inability to urinate
- persistent temperature of 100 degrees fahrenheit or greater
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Last Updated: September 24, 2009