Hysterosalpingography (HSG)
At Eva IVF & Women’s Centre, we believe in starting every fertility journey with clear and accurate answers. One of the most powerful diagnostic tools we use is Hysterosalpingography (HSG) — a specialized X-ray procedure that allows us to evaluate the fallopian tubes and uterine cavity in detail.
If you’ve been trying to conceive without success, HSG can help identify blockages, abnormalities, or structural issues that might be standing in the way of your pregnancy.
What is Hysterosalpingography (HSG)?
HSG is an X-ray procedure, technically fluoroscopic X-ray which uses contrast dye to visualize the uterus and fallopian tubes. It helps fertility specialists,
• To know whether the fallopian tubes are open
• To find the shape and size of the uterine cavity
• To assess the presence of polyps, fibroids, adhesions, or congenital anomalies
• To analyse Prior uterine surgeries or trauma effects
💡 It’s a quick, outpatient test that provides vital insight for fertility planning.
Why is HSG Crucial in Fertility Diagnostics?
The fallopian tubes are essential for natural conception that they:
1. Capture the egg after ovulation
2. Serve as the point for sperm and egg where they meet
3. Transport the fertilized egg to the uterus
If tube is blocked, damaged, or scarred it will cause natural pregnancy becomes difficult or impossible. HSG can detect these issues early, guiding your next steps — whether it’s trying naturally, planning IUI, or considering IVF.
Who Should Undergo an HSG Test?
HSG is recommended for:
✔ Women with unexplained infertility
✔ History of pelvic infections (PID) or tuberculosis
✔ Suspected tubal damage from prior surgery or ectopic pregnancy
✔ Recurrent miscarriages or failed IVF/IUI attempts
✔ Suspected uterine abnormalities
💡 It is often a first-line investigation after basic fertility blood work and ultrasound.
When is HSG Performed?
• Day 6 to Day 10 of your menstrual cycle (just after your period ends)
• Ensures the uterine lining is thin, and pregnancy is ruled out
💬 Our team schedules HSG with your cycle to ensure maximum safety and diagnostic value.
How is the HSG Test Done? (Step-by-Step Process)
1. Pre-Test Preparation
• Eat light before the procedure
• Inform us of any allergies, especially to iodine or contrast dye
2. During the Procedure
• You lie on the exam table in a position similar to a Pap smear and a speculum is inserted, followed by a thin catheter into the cervix
• A special contrast dye is slowly infused
• X-ray images (fluoroscopy) are taken to observe the flow of dye in the uterus
✔ If the dye flows freely through both tubes and spills into the abdominal cavity, your tubes are open
✔ If the dye stops, it is suspected that a block or structural issue is found
🕒 Duration: 15–30 minutes
🏥 No hospitalization required — it’s a day-care procedure
What Happens After the HSG Test?
✔ You may feel mild cramping or spotting for 1–2 days
✔ Avoid intercourse or vaginal insertion for 48 hours
✔ Return to daily routine the same or next day
✔ Your fertility consultant will review and explain the results
✔ A treatment plan is customized based on your findings
💡 Many women report higher natural conception chances within 1–3 months post-HSG due to the flushing effect on tubes.
How We Make HSG Patient-Friendly at Eva IVF
🔹 Pain-Reduced Protocol
🔹 In-House Expert Radiologist
🔹 Private & Hygienic Setting
🔹 On-Spot Results & Counseling
🔹 Advanced Imaging Equipment
💡 Unlike general radiology centers, we perform HSG with a fertility-first mindset — focused on conception, not just imaging.
Risks and Safety Considerations
HSG is generally very safe. Rare risks include:
⚠️ Mild allergic reaction to dye
⚠️ Infection (prevented with prophylactic antibiotics)
⚠️ Temporary cramping or discomfort during dye injection
💡 Our expert team follows strict protocols to ensure a safe and smooth experience.
HSG vs. Other Uterine & Tubal Evaluations
💡 HSG remains the gold standard for tubal patency testing.
Why Choose Eva IVF for HSG?
🌟 Fertility-Centric Approach – Your HSG is evaluated not just diagnostically but also in relation to your fertility goals
🌟 Faster Scheduling, No Wait Times
🌟 Advanced Imaging Tools for Superior Clarity
🌟 Integrated Reporting with Your IVF/ IUI Plan
🌟 Caring Staff Who Understand Your Journey
At Eva IVF, we offer more than just diagnostics—we offer direction, clarity, and genuine support on your path to parenthood.