Assessing Uterine Health with a Hysterosalpingogram

A hysterosalpingogram is a quick procedure that uses an x-ray and contrast dye to assess the health of your fallopian tubes and uterus. Our team is committed to providing supportive, cost-effective care at our office. We offer hysterosalpingograms conveniently at our clinic in San Antonio, TX as part of our comprehensive fertility evaluations. 

A Closer Look

A hysterosalpingography (HSG) is a type of x-ray called a fluoroscopy. This imaging technique uses a contrast material to create video images rather than a static picture. After injecting the dye, the physician will watch as the dye moves through your reproductive system. This highlights blockage in the fallopian tubes and other structural abnormalities in the uterus. 

the results of a hysterosalpingography

Using contrast dye and an x-ray, your doctor can get a clearer view of your reproductive system.

Why Would I Need a Hysterosalpingogram?

Your doctor may recommend a hysterosalpingogram to investigate why you are having difficulty conceiving or experiencing problems during pregnancy, like multiple miscarriages. This test is a very helpful tool in diagnosing the cause of infertility. Some of the uterine abnormalities that can contribute to infertility include:

  • Uterine structural anomalies, including congenital malformations or acquired abnormalities

  • Uterine scar tissue

  • Fallopian tube blockage

  • Uterine fibroids, tumors or polyps

What Is the Test Like?

The test is somewhat similar to undergoing a pelvic exam. Patients will wear a hospital gown and lie back, and the physician will insert a speculum into your vagina canal. Next, the doctor will clean the cervix, and in some instances, inject a local anesthetic to minimize discomfort. The injection may induce a feeling like a pinch.

Next, a thin instrument called a cannula will be inserted into the cervix and the speculum is removed. Dye is inserted through the cannula, which makes its way into your uterus and fallopian tubes.

Depending on your hysterosalpingogram results, your doctor may want to do follow-up examinations or order further tests.

Patients will then be put under the x-ray machine, and may need to move a few times so images can be taken from different perspectives. Patients sometimes report minor pain and cramping as the dye flows through the fallopian tubes. Once all of the images are captured, the cannula will be removed and the procedure is complete. Patients may be prescribed medications for pain or infection prevention.

Depending on your hysterosalpingogram results, your doctor may want to do follow-up examinations or order further tests.

After a Hysterosalpingogram

Patients may experience cramps much like ones felt during a menstrual cycle. Minor vaginal discharge or bleeding are also somewhat common after a hysterosalpingogram. Patients should plan on using a pad instead of a tampon during this time to avoid infection. Additionally, some women feel dizzy and nauseous, which should resolve relatively quickly.

Signs of an infection or complication include:

  • Severe discomfort and cramping

  • Fever

  • Vomiting

  • Foul-smelling vaginal discharge

  • Heavy vaginal bleeding

  • Fainting

If you experience these symptoms, you should call your doctor or visit an emergency room.

Make Your Appointment Today

At Fertility Center of San Antonio, we offer a range of fertility tests which can help identify the cause of your infertility issues. To make your appointment for a hysterosalpingogram, call our office today at (210) 692-0577. You can also use our online form to ask questions and learn more about the procedure.

Physician HSG Referral Form- Printable Version

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