A hysterosalpingogram (HSG) is a test that looks mainly at the anatomy of the uterus and fallopian tubes. The test is performed in our AAAASF-accredited surgical suite at the Frisco Institute for Reproductive Medicine with a special type of X-ray, called fluoroscopy and a contrasting dye solution. A fluoroscopy is a specialized type of X-ray that allows soft tissue, such as internal organs to be seen in real-time. This procedure uses pulsed or continuous radiation to project a sequence of images onto a TV monitor. When used in conjunction with a contrasting dye, the areas being examined are clearly defined.
To receive the HSG, patients generally need to see a radiologist in a hospital or clinic. Frisco Institute for Reproductive Medicine provides HSGs in the comfort and convenience of our offices in Frisco, Dallas, or McKinney, TX, and are performed by the patient’s own physician. Due to the expertise of our physicians and staff, patient discomfort during the procedure is minimized and often does not last for more than a few seconds.
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"Amazing - Dr. Mehta and her team are amazing and kind. They not only book smart about fertility but also compassionate about the whole process. I felt comfortable and reassured there. Dr. Mehta was our 2nd fertility doctor in the Dallas area and she is by far the best and her team is so nice!"- Anonymous / Vitals / Jun 08, 2012
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"We LOVE Dr. Mehta and her staff. She walked us through every single step of the IVF process, gave us statistics on how likely we were to succeed and was so compassionate and gentle. Every procedure, even the dreaded HSG, was tolerable. She was quick and respected your time, yet you never felt rushed. Her whole team is awesome and friendly. We really are happy we found Dr. Mehta and will refer her to everyone who asks for a reproductive endo! We are thrilled that we are now 15 weeks pregnant with a baby boy! Thanks Dr. Mehta!"- C.L. / Google / May 11, 2016
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Considering a HSG?
A hysterosalpingogram is used to examine women who have had difficulty getting pregnant. If the doctor suspects the reason may be due to embryo implantation failure or blockage of the fallopian tubes preventing sperm and egg from mingling, the HSG may be in order. It can also be used to check if a tubal ligation reversal surgery has been successful. The HSG procedure may also be used to diagnose recurrent miscarriages, which can be an indication of embryo implantation issues causing infertility. Common reasons for recurrent miscarriages that are found by using the HSG are:
- Uterine fibroids
- Adhesions (scarring)
- Abnormal shape of uterus
- Uterine septum
We take special care to ensure the HSG outpatient procedure is as comfortable and convenient as possible. You will be asked to lie face up on the exam table with clothing removed from the waist down, and legs in stirrups to allow for better visual of the vagina. Our board-certified reproductive endocrinologist will insert a speculum into the vagina and will then guide a catheter through the vagina and cervix into the uterus. The speculum will be removed and the uterus and fallopian tubes will be filled with the contrast fluid (radiologic dye) and the fluoroscopic images will be taken. Once all the necessary images have been taken, the catheter will be removed and the procedure is concluded. The HSG procedure takes approximately 5 – 10 minutes to complete.
HSG Risks & Benefits
The risks associated with the HSG are minimal but can include the development of a pelvic inflammatory infection, or a puncture of the uterus.
Following the HSG procedure, a woman might experience the following side effects:
- Slight cramping or discomfort from the contrasting dye
- Vaginal spotting for the following few days
- Allergic reaction to the dye (in which case a woman should see her doctor)
The HSG is extremely helpful in diagnosing fertility problems such as an abnormally shaped uterus, blocked fallopian tubes, and uterine fibroids. Once diagnosed, surgical procedures may be able to restore normal anatomy and promote fertility. Other benefits of an HSG include:
- Minimally invasive and short procedure
- Radiation does not remain in a person’s body after the procedure
- Provides valuable information regarding anatomy and potential anatomic factors affecting fertility
Also, at FIRM, a negative serum pregnancy test is required prior to performing the HSG. This test is typically performed on women who are trying to become pregnant, and we only perform the procedure on days 6 – 10 of the menstrual cycle to ensure that the woman is not pregnant.
Plan Your Procedure
- Recovery Time
- 30 Minutes
- Average Procedure Time
- 1 Hour
- Post-op Follow-up
- 30 Minutes
- Procedure Recovery Location
Special Care With the HSG
We look forward to helping you with your infertility imaging needs at FIRM in Frisco, McKinney, and Dallas, TX. Call and schedule your appointment today.