Valuable examination for suspected female infertility


Hysterosalpingography (HSG) is a useful radiologic procedure to diagnose uterine malformations and investigate the shape and patency of the fallopian tubes. It is extensively used in the work-up of infertile women.

Please bring any related exams you may have with you on the day of your examination.

This examination should be done in the follicular phase of the menstrual cycle and so you have to schedule your appointment 7-10 days after the first day of your last menstrual period. It is contraindicated in pregnancy because it involves ionizating radiation, so you are advised to avoid having intercourse from the first day of your last menstrual cycle until the day of the examination. Please ask your Gynecologist to prescribe an antibiotic prior to the procedure to reduce the risk of an infection. In case you have a history of allergy please contact our clinic or your physician to obtain additional details of your preparation.
The examination usually takes about 30-40 minutes. You will be asked to remove some or all of your clothes and wear a gown. You may also be asked to remove jewelry or any metal objects that might interfere with the x-ray images. You will then be placed on the x-ray table in the same position as in a gynecological examination. The Radiologist will clean the area with a sterile iodine solution to prevent infection and insert a speculum into the vagina. Then the Radiologist will place a small catheter into the cervical canal and inject a radio-opaque material through the catheter. The contrast material then begins to fill the uterine cavity, fallopian tubes and peritoneal cavity and fluoroscopic images are taken. You may be asked to move into different positions on the x-ray table to allow a better visualization of the uterus. During the injection of the radio- opaque material or after the procedure you may have some cramping in the lower abdomen. This should be minimal and not long lasting. You may take pain-killers (Panadol) before or after the procedure to reduce pain. For 24 hours after the examination do not douche, use tampons or have intercourse. Most women experience vaginal spotting for a few days after the examination, which is normal. However if you experience a heavy bleeding of fever you must call your physician immediately.