What is a Hysterosalpingogram?

A hysterosalpingogram (HSG) is an x-ray test performed under fluoroscopy that looks at the inside of the uterus and fallopian tubes. Fluoroscopy enables a real-time view of contrast flow through the fallopian tubes.

It often is performed as part of an infertility work-up or to evaluate the uterus and fallopian tubes. It can also be used to verify surgical blockage of the tubes for women who do not want to become pregnant.

How do I prepare for the exam?

You should wear a loose fitting two-piece outfit. You may take 600 mg of ibuprophen one half hour prior to the exam.

For an infertility workup: Timing of the exam is critical. This test should be done 2 to 5 days after your period has ended to ensure that you are not pregnant.

What happens during the test?

Our technologist will obtain a detailed medical history. You be asked to disrobe from the waist
down, empty your bladder and will be provided a gown or blanket. You will lie face-up on an examination table with your feet raised and supported. The radiologist will insert a speculum into your vagina to access the cervix. The cervix is cleansed with an antiseptic soap and a flexible catheter is passed through the cervix into the uterus. Next, a contrast material is injected through the catheter. X-ray pictures are taken and viewed live on a TV monitor. The uterus will be imaged and the fallopian tubes will be evaluated. You may be asked to change positions if needed. After several pictures are obtained, the catheter is removed. You may experience cramping similar to menstrual cramps.

The exam takes approximately 30 minutes to complete.

After the Test

You may experience cramping and/or spotting for 24-48 hours following the exam. Refrain from intercourse and tampon use for 48 hours following the procedure.

When can I expect the results?

Our radiologist will discuss the results with you following your exam. In addition, he or she will analyze the images and send a signed report to your referring physician within 1 business day.

Questions?

If you have any questions or concerns about your procedure, please call us at 515-226-9810 or e-mail us at schedule@iowaradiology.com. We are here to help