Hysterosalpingogram – HSG
A hysterosalpingogram is an X-ray done to examine your uterine cavity and fallopian tubes. It can detect scar tissue, polyps, fibroids, or blocked fallopian tubes, all of which may prevent a fertilized egg from implanting properly in your uterus. It must be done between cycle days 6 to 11 (after period and before ovulation). Call the office on the first day of your period to set up a time for your procedure. You must not be actively bleeding in order for the procedure to be done.
If you have a personal history of pelvic inflammatory disease, ectopic pregnancy or chlamydia, you will be contacted at least 4 days prior to the procedure to discuss the possible need for antibiotics. Please notify your doctor if you have a known allergy to dye or shellfish at least 4 days prior to the procedure to discuss the possible need for premedication.
HSGs are performed at Northwestern Memorial Hospital by one of our providers along with a hospital radiologist. Galter Pavillion, 251 E. Huron, 4th floor. Please arrive 15 minutes prior to your appointment and check in with the receptionist.
What to Expect: During the procedure the doctor will insert a speculum into your vagina (like when you have a Pap smear done), and then place a thin plastic tube inside your cervix that will lead to your uterus. A special dye will be injected through the plastic tube. The dye should fill your uterus and fallopian tubes and spill out the end of each fallopian tube. As this is happening, the radiologist will be taking X-rays.
Preprocedure: The procedure takes approximately 15 minutes and is typically done around lunch time or in the afternoon depending on the radiologist’s availability at the hospital. The procedure will cause discomfort, similar to intense menstrual cramps, so be sure to eat lunch and take some Aleve or ibuprofen 30 minutes prior to the procedure.
Postprocedure: After the procedure you may have some cramping and drainage of dye for 24 hours. It is possible that you may have light spotting for a few days. After the procedure do not have sexual intercourse or use of tampons for 2 days.