Hysterosalpingogram
A hysterosalpingogram (HSG) helps detect if a patient may be suffering from female infertility. A hysterosalpingogram is an X-ray exam in which you can observe the shape or outline of the inside of the uterus. The shape helps determine whether the fallopian tubes may be blocked, hence causing infertility. An HSG may also be used a few months after your tubal ligation to determine if in fact the tubes were successfully closed off.
How Is a Hysterosalpingogram Performed?
Before your procedure, you may be asked to take over the counter pain medication or antibiotics to fight off a possible infection. Your procedure may be preferentially taking place right after your period, as it is less likely you will be pregnant at the time of your procedure.
Your physician will start off by asking you to lay down on a table to allow better access. A speculum will then be inserted to help open the vaginal passage, so that the cervix is visible. The cervix is disinfected. A cannula is then inserted into the cervix and a liquid containing iodine is filled into the uterus.
The iodine helps with the contrast seen in your uterus and fallopian tubes on the X-ray. The doctor will then take a few X-ray images with the contrasting liquid making an outline of the uterus and fallopian tubes. You physician may ask you to maneuver just a bit to get more views. After images are collected, the cannula will be removed.
You may experience spotting for a few days, as well as cramping and overall discomfort for the few coming days after your procedure. The procedure only takes a few minutes to complete, and you can go home the same day right after your procedure.
Risks and Results
An HSG is usually safe, but there are some signs to look out for to see if your procedure has not derailed in the recovery period. Please contact your doctor if:
- You think you may be developing an allergic reaction to the dye
- Have abnormal vaginal discharge with a foul smelling odor
- You are fainting
- You have severed cramping
- You are bleeding intensely
- Developing a fever or vomiting
Your results will be looked at by your provider and a radiologist. Your provider will decide depending on the results of the test whether you need any further testing. If reports indicate that your tubes may in fact be blocked, you may need to undergo further procedures to help rid any scar tissue that may be blocking your tubes.
Hysterosalpingogram Procedures in Palatine, Schaumburg, Hoffman Estates, Barrington & Bartlett, IL
In the case that it shows your tubes are not sealed after your ligation, you may need to discuss further action with your provider. In vitro fertilization may also be suggested to overcome your infertility issues. Any other concerns will be discussed with your provider.
For more information, call Women’s HealthFirst at (847) 808-8884 or request your appointment now. We have five locations near Chicago, Illinois, to serve you. Established patients are encouraged to visit the convenient online patient portal to request an appointment, message our team, update their records, and more.
