HSG also is used a few months after some tubal sterilization procedures to make sure that the fallopian tubes have been completely blocked.
HSG is not done if a woman has any of the following conditions:. Your health care provider may recommend that you take an over-the-counter pain reliever an hour before the procedure.
Discuss this decision with your health care provider. In some cases, he or she also may prescribe an antibiotic for you to take before HSG. Most people can drive themselves home after having HSG. However, you may not feel well after the procedure, so you may want to make arrangements for someone to drive you home. It is best to have HSG done in the first half days 1—14 of the menstrual cycle. This timing reduces the chance that you may be pregnant.
During HSG, a contrast medium is placed in the uterus and fallopian tubes. This is a fluid that contains a dye. The dye shows up in contrast to the body structures on an X-ray screen. The dye outlines the inner size and shape of the uterus and fallopian tubes. It also is possible to see how the dye moves through the body structures.
You will be asked to lie on your back with your feet placed as for a pelvic exam. A device called a speculum is inserted into the vagina. It holds the walls of the vagina apart to allow the cervix to be viewed. The cervix is cleaned. The end of the cervix may be injected with local anesthesia pain relief.
You may feel a slight pinch or tug as this is done. One of two methods may be used to insert the dye. In one method, the cervix is grasped with a device to hold it steady. An instrument called a cannula is then inserted into the cervix. In the other method, a thin plastic tube is passed into the cervical opening. The tube has a small balloon at the end that is inflated.
The balloon keeps the tube in place in the uterus. The speculum is removed, and you are placed beneath an X-ray machine. The fluid slowly is placed through the cannula or tube into the uterus and fallopian tubes. A woman is positioned under a fluoroscope a x-ray imager that can take pictures during the study on a table. Her cervix is cleaned, and a device cannula is placed into the opening of the cervix.
The doctor gently fills the uterus with a liquid containing iodine a fluid that can be seen by x-ray through the cannula. The contrast will be seen as white on the image and can show the contour of the uterus as the liquid travels from the cannula, into the uterus, and through the fallopian tubes. As the contrast enters the tubes, it outlines the length of the tubes and spills out their ends if they are open. Abnormalities inside the uterine cavity may also be detected by the doctor observing the x-ray images when the fluid movement is disrupted by the abnormality.
The HSG procedure is not designed to evaluate the ovaries or to diagnose endometriosis, nor can it identify fibroids that are outside of the endometrial cavity, either in the muscular part of the uterus, or on the outside of the uterus.
Often, side views of the uterus and tubes are obtained by having the woman change her position on the table. After the HSG, a woman can immediately return to normal activities, although some doctors ask that she refrain from intercourse for a few days.
An HSG usually causes mild or moderate uterine cramping for about minutes. Women who report higher-than-normal discomfort or pain are typically those who:. To minimize discomfort, you are welcome to take an over-the-counter anti inflammatory or pain reliever such as ibuprofen at least 30 to 60 minutes prior to the procedure. If you experience pain beyond a bit of anticipated discomfort, let the doctor know immediately. Do not be afraid to communicate this to your doctor and the nurse s.
We are here to support you every step of the way. Contact the Fertility Center of Dallas if you feel your current infertility diagnosis is incomplete or you are looking for a fertility specialist who provides advanced, innovative fertility solutions in the spirit of compassionate hope and personalization. Tags: hsg , hysterosalpingogram.
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