About Blog

Hysterosalpingogram: How to Prepare, What to Expect, and Side Effects of the HSG Test

How to Prepare for a Hysterosalpingogram Test:

A hysterosalpingogram (HSG) test is a procedure used to examine the inside of a woman’s uterus and fallopian tubes to investigate fertility issues. During the test, a special dye is injected into the uterus through the cervix, and X-ray images are taken as the dye moves through the uterus and fallopian tubes. This helps doctors evaluate the shape and structure of the uterus and determine if the fallopian tubes are open and functioning correctly.
Preparing for a hysterosalpingogram (HSG) test is pretty simple. Here’s what you can do:
  • Inform Your Doctor:
Let your doctor know about any allergies you have, especially to iodine or contrast dye. They might give you medication before the test to prevent any allergic reactions.
  • Timing:
It’s best to schedule the HSG test within the first few days after your period ends so that you’re not pregnant during the test.
  • Take Pain Relief:
You might experience cramping during the procedure, so taking an over-the-counter pain reliever like ibuprofen about an hour before can help ease any discomfort.
  • Arrive Prepared:
On the day of the test, wear comfortable clothing and bring sanitary pads with you. You might have some spotting or light bleeding afterward.
  • Arrange Transportation:
Since you might feel a bit uncomfortable or crampy after the test, it’s a good idea to arrange for someone to drive you home afterward if possible.
  • Relax:
Finally, try to relax during the procedure. It usually takes about 15-30 minutes, and the medical staff will guide you through each step.

What to Expect from a Hysterosalpingogram Test?

When preparing for a hysterosalpingogram (HSG) test, it’s helpful to understand what to expect during the procedure. Here’s a detailed overview of what you can expect during an HSG test, from preparation to completion and aftercare.
  • Placement of Instruments:
A speculum is inserted into your vagina to hold it open, similar to during a Pap smear. Then, a thin tube called a catheter is gently inserted through your cervix into your uterus.
  • Injection of Dye:
Once the catheter is in place, a special dye is slowly injected through it into your uterus. You may feel a warm sensation or mild cramping as the dye fills your uterus.
  • X-ray Imaging:
X-ray images are taken as the dye flows through your uterus and fallopian tubes. You may need to change positions on the table to get different views.
  • Observation:
The doctor will watch the movement of the dye on a monitor to assess the shape and structure of your uterus and to see if the dye flows freely through your fallopian tubes.
  • Completion:
Once the procedure is complete, the catheter and speculum are removed, and you’ll be able to get dressed.
  • Aftercare:
You may experience mild cramping or spotting after the test, which usually subsides within a day. Your doctor may recommend taking over-the-counter pain relievers and using sanitary pads instead of tampons for any bleeding.

Side-Effects of the HSG Test:

The HSG test is generally safe, but like any medical procedure, it can have potential side effects. Here are some common side effects you might experience:
  • Cramping:
Mild to moderate cramping during and after the procedure is common as the uterus is filled with dye. This discomfort typically subsides within a day and can usually be managed with over-the-counter pain relievers.
  • Spotting:
You may experience light vaginal bleeding or spotting after the test, which can last for a few days. Using sanitary pads instead of tampons can help manage this.
  • Pelvic Infection:
There is a slight risk of developing a pelvic infection after the HSG test. Signs of infection may include fever, chills, or abdominal pain.
At Eva IVF & Women’s Centre we provide HSG tests. In addition to the hysterosalpingogram (HSG), we offer other tubal testing options like saline sonohysterography (SHS) and laparoscopy. Our doctors will discuss these options with you and recommend the most suitable test based on your specific situation.