HSG – Hysterosalpingogram

This x-ray is useful in determining if the fallopian tubes and uterus are normally structured, and if the tubes are open. It is performed at our North Tampa office and should be done between the 6 th and 12 th cycle day. Call the office to schedule your hysterosalpingogram at the onset of your menses the month you will have the test performed.

The hysterosalpingogram takes about 15 minutes to complete, and may be associated with mild discomfort or cramping. You will be given a prescription for an antibiotic and pain medication when you schedule the procedure. You may have some mild bleeding or spotting afterwards. Should you experience bleeding heavier than a period, or a temperature above 100.4 degrees, call the office at which you are seen. If you are allergic to shell fish or iodine, or have had a prior reaction to x-ray dye, it is important that you inform the office when you schedule the procedure.

During the procedure you will lay on the exam table in a position similar to when you are having a pelvic exam or pap smear done. Just as with the pap smear, a speculum will be placed. An antiseptic solution is placed onto the outside of the cervix and then a small catheter is placed into the cervical opening. Clear dye that contains iodine is injected through the catheter into the uterus while a special x ray called fluoroscopy is performed. This allows for visualization of the uterine cavity.

Within less than a minute, the dye will then enter the fallopian tubes if they are patent (open) and then spill out of the ends of the tubes. A cramping sensation may be felt as the dye enters and passes through the tubes but this should be brief, especially if you take the prescribed medications prior to the examination. If there is an abnormality in the shape or distribution of the dye within the uterine cavity, you may be advised to schedule a special ultrasound examination of the uterine cavity (saline infusion sonogram/SIS/hysterosonogram). If abnormalities are found in the fallopian tube evaluation, you will need to schedule a consultation appointment with your physician to review your options.