Hysterosalpingogram (HSG)

Procedure Description

Radiographic contrast dye is injected through the cervix into the uterus and fallopian tubes. This x-ray evaluates the shape of the uterine cavity and determines whether or not the fallopian tubes are open. The procedure is performed in the radiology department.

What to Expect

Uterine cramping usually occurs during the dye injection. This resolves within a few minutes of completing the procedure. Occasionally, patients may experience some dizziness or lightheadedness immediately after the procedure. This usually lasts only a few minutes. You can expect to be in the radiology department for about 45 minutes for this procedure.

Pre-Procedure

The HSG should be performed in the first half of your menstrual cycle, i.e. after your period has stopped, but before ovulation. Ibuprofen, 400-600mg, should be taken orally 1 hour prior to this procedure. This will help decrease the cramping you may experience. If you have a history of iodine allergy or if you have ever had an infection in your fallopian tubes (pelvic inflammatory disease, or PID) you should inform your physician in advance.

Post-Procedure

You may drive yourself home afterwards and return to work without restrictions. You may experience light vaginal bleeding the evening of the HSG. If you develop a fever or severe pelvic pain you should notify your physician.