The HSG procedure, also known as hysterosalpingography, is a medical imaging test used to examine the uterus and fallopian tubes in women.

How do you prepare for HSG?

Prior to the procedure, your Viva Eve doctor will instruct you to take a nonsteroidal anti-inflammatory drug (NSAID) or a mild pain reliever to reduce discomfort during the procedure. You may also be prescribed antibiotics to minimize the risk of infection.

Why is HSG performed?

HSG is commonly performed to evaluate the cause of infertility or recurrent miscarriages. 

It can identify any blockages, abnormalities, or structural issues that may be affecting a woman’s ability to conceive.

What can you expect during the HSG Procedure?

The HSG procedure is performed by Viva Eve’s Interventional Radiologists in our radiology suite. The radiologist inserts a thin, flexible catheter into the cervix and slowly injects a contrast dye into the uterus. As the dye is injected, X-ray images are taken using a fluoroscope, which is a specialized X-ray machine that allows real-time imaging. 

Some patients experience cramping or discomfort similar to menstrual cramps during the procedure. Some women also report a feeling of pressure or a brief, sharp pain when the dye is injected. These sensations are temporary and typically subside once the procedure is complete.

What is the followup and recovery like for HSG?

Some patients may experience mild cramping or vaginal spotting for a day or two after the procedure. Your Viva Eve healthcare provider may recommend continuing to take NSAIDs or pain relievers as needed. It’s important to avoid sexual intercourse or using tampons for a couple of days after the procedure to reduce the risk of infection.

What are the potential costs for HSG?

An HSG is a diagnostic test, so there’s a chance that it will be covered by your insurance as part of a standard infertility workup.

What are the potential risks for HSG?

HSG procedure carries a small risk of complications, such as infection, allergic reactions to the contrast dye, or injury to the uterus or fallopian tubes. However, these complications are rare.

Are there related procedures to HSG?

A sonohysterogram, also known as SHG, is somewhat similar to HSG. However, it involves sterile, saline water rather than radio-opaque dye and is done using ultrasound instead of X-ray imaging. After the saline is introduced into the uterus using a catheter, a transvaginal ultrasound is performed.

What are the results of HSG?

After the procedure the radiologist will interpret the HSG images and provide a report to your healthcare provider. Your doctor will discuss the results with you and develop an appropriate treatment plan if any abnormalities are detected.

As always, it’s best to consult with your healthcare provider for specific information and guidance regarding the HSG procedure based on your individual circumstances.

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