HSG (Hysterosalpingogram)

What is an HSG and what does it do?

A hysterosalpingogram (HSG) is an X-ray test that looks at the inside of the uterus and fallopian tubes and the area around them. It often is done for women who are having a hard time becoming pregnant (infertile).

An HSG can show problems such as an injury or abnormal structure of the uterus or fallopian tubes, or a blockage that would prevent an egg moving through a fallopian tube to the uterus. A blockage also could prevent sperm from moving into a fallopian tube and joining (fertilizing) an egg. A hysterosalpingogram also may find problems on the inside of the uterus that prevent a fertilized egg from attaching (implanting) to the uterine wall.

Who performs the test?

The exam itself is performed by a licensed Radiologic Technologist RT (R) along with a radiologist or Gynecologist.

Where does it take place?

At Jackson Hospital in the Radiology Department.

How long does it take?

Usually 30 minutes to an hour.

What can I do to make it a success?

  • An HSG is usually preformed after your period, but before ovulation. This way it won’t interfere with a pregnancy. This commonly falls out between day 10 and 12 of your menstrual cycle. Talk to your fertility clinic about scheduling the HSG, which might be tricky if you have irregular periods.
  • Bring your orders with you when you come for your x-ray.
  • Be sure to follow any preparation instructions you were given.
  • It is recommended that you wear loose, comfortable clothing for the exam. You will need to remove any metallic objects that may be in the path of the x-ray beam (belts, zippers, piercings, etc). To reduce the risk of valuables being lost, it is recommended that they be removed prior to entering the exam room or simply left at home.

What should I do before the exam?

Take nothing by mouth 8 hours prior to your exam. You may take your medications with a minimal amount water.

What happens during the exam?

For the test, you’ll lie on an examination table, usually one with stir-ups like the ones found in a gynecologist’s office. The doctor will perform a quick pelvic exam, and place a speculum inside your vagina. Then, the doctor will place a device called a cannula into your cervix.

Next, the doctor will inject an iodine-based dye through the cannula. After the dye has been injected, the doctor will lower an x-ray device over your pelvic and lower abdominal area. For each x-ray picture, you’ll be asked to hold your breath for a moment or two. You may need to change your position, and lie on your side, for some of the x-rays.

What should I do after the exam?

You may experience mild cramps and light spotting. Over-the-counter pain relievers should help with cramps

Generally, you’ll be able to resume normal activity after the test. Some doctors may tell you to refrain from sexual intercourse for a few days after the test.

The radiologist will review your image(s) and a final report will go to your ordering physician in 24-48 hours.

Contact Information:

Hospital (main operator): (850) 526-2200
Radiology Department: (850) 718-2580

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