Hysterosalpingogram (HSG) at the Center for Reproductive Medicine
In order to effectively treat fertility conditions, we must first understand what causes them. The Center for Reproductive Medicine provides a full range of fertility testing procedures at our Central Florida-area offices, including hysterosalpingograms (HSG).
By injecting X-ray contrast liquid into the uterine cavity and monitoring its progress through the reproductive system, we can detect blockages in the fallopian tubes, as well as a uterine septum or other abnormalities that could cause infertility or pregnancy complications. This fertility testing technique is also sometimes used in combination with a treatment procedure known as tubal cannulization.
HSGs are typically performed during the first half of your menstrual cycle (days 6-11), when the cycle is no more than spotting and before ovulation, to reduce the risk of your being pregnant.
Frequently Asked Questions
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HSG is short for hysterosalpingography. It's a type of X-ray procedure that lets us look inside your uterus and fallopian tubes to detect potential blockages and abnormalities that could cause infertility or could adversely affect pregnancy.
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When you have your HSG at the Center for Reproductive Medicine, you lie on your back as though you were having a pelvic exam. Your provider inserts a speculum into your vagina, holding the walls open so they can see your cervix.
Next, they clean your cervix. To insert the dye, your provider passes a thin tube called a cannula through the opening with a balloon on the end that helps keep the tube in place.
After, your provider places you under an X-ray machine. Then they gradually fill your uterus and fallopian tubes with a contrast medium while taking X-ray images. Your body will absorb most of the fluid but expect some discharge for the next several hours.
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The procedure should not be painful. Your provider will recommend taking an over-the-counter pain medication about an hour before the HSG to improve your comfort levels.
The contrast dye may cause cramping as it spreads throughout your uterus and fallopian tubes. However, any discomfort should be minor and temporary.
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There are very few preparations you need to make before your HSG. Your provider at the Center for Reproductive Medicine will tell you if you should take an antibiotic prior to the procedure.
After the procedure, you are fine to drive home or back to work.