However, some women may experience cramps for several hours. These symptoms can be greatly reduced by taking medications used for menstrual cramps before the procedure or when they occur. Women should be prepared to have a family member or friend drive them home after the procedure in the event that they are experiencing cramping. It is controversial whether this procedure enhances fertility. Some studies show a slight increase in fertility lasting about 3 months after a normal HSG.
However, most doctors perform HSG only for diagnostic reasons. HSG is considered a very safe procedure. The X-ray pictures are shown on a video screen during the test. How long the test takes The test will take about 15 to 30 minutes. After the test You will probably be able to go home right away. You can go back to your usual activities right away.
Some of the dye may leak out of your vagina. You may have some vaginal bleeding for several days after the test. How It Feels You will most likely feel some cramping like menstrual cramps during the test.
Risks There is always a small chance of damage to cells or tissue from being exposed to any radiation. This can include the low levels of radiation used for this test. The chance of damage from the X-rays is generally very low compared with the possible benefits of the test. There is a small chance of a pelvic infection after the test. Your doctor may give you antibiotics if they think you might get a pelvic infection. There is a small chance of damaging or puncturing the uterus or fallopian tubes during the test.
There is a small chance of an allergic reaction to the iodine X-ray dye. Results Hysterosalpingogram Normal: The shape of the uterus and fallopian tubes are normal. Abnormal: Fallopian tubes may be scarred, malformed, or blocked so that the dye does not flow through the tubes and spill into the belly.
The dye may leak through the wall of the uterus, showing a tear or hole in the uterus. The uterus may have an abnormal shape or tissue called a septum that divides the uterus. The uterine lining is growing into the muscle of the uterus adenomyosis.
Credits Current as of: February 11, If you are not having menstrual periods, a pregnancy test may be required. Contact your personal physician for a referral for this exam. Then call to schedule. Infertility workup procedures such as a hysterosalpingogram are often not covered by insurance. Check with your insurance company to be sure.
If your insurance company will cover the exam, please bring your insurance card with you. If an HSG is not covered by your insurance, please plan to pay for the procedure at the time it is performed.
In advance of your procedure, let your scheduler, technologist, or radiologist know if any of the following circumstances apply to you:. Following are the general preparation guidelines for an HSG. You may receive additional or differing guidelines based on your specific situation. Please contact us at if you have any questions. You may experience cramping for several hours following the procedure. You will have a clear sticky discharge, which is the contrast material.
You may also have some light spotting from the procedure. This is the same metal device used during your yearly gynecological exam. If you experience pain during your annual visit, then this may be painful for you. Women who suffer from sexual pain may also experience pain during gynecological exams. An x-ray machine will be lowered over your abdomen. This can be a bit awkward, especially with the speculum and your knees up.
Next, they will insert a swab to clean off the cervix. This is to reduce the risk of infection. Next, they will insert a plastic catheter called a cannula into the cervical opening. This feels kind of like a pap smear and might be a little uncomfortable.
Or, you may not feel anything. Finally, an iodine-based dye will be injected through the catheter. When the dye is injected, you may feel a warming sensation. This dye will go through your uterus, through the fallopian tubes if they are open , and spill out into the pelvic cavity. If your tubes are blocked, you may experience discomfort when dye is injected.
Tell your doctor right away if you begin to become uncomfortable. After injecting the dye, your doctor will take the x-rays. For each x-ray picture you'll be asked to hold your breath for a moment or two. You may be asked to change your position. For example, you may be asked to lie on your side. You may feel uncomfortable with the speculum inside and the x-ray over you.
Your doctor understands. Ask for help if you need it. Once the doctor has decided that the pictures are satisfactory, the x-ray machine will be lifted up and the speculum removed. You're free to go home. The test can be nerve-wracking, with this big x-ray machine hovering over you while you're lying on your back, legs apart, with the speculum inside. The nurse or doctor may ask you to roll over to your side for an x-ray or two, and you have to do it with the speculum still between your legs.
In most women, the dye painlessly passes through the uterus, through the fallopian tubes , and out into the abdominal cavity. However, if your tubes are blocked, the dye can cause pressure. This is what can then lead to substantial discomfort or even pain. The good news is that if you do feel intense pain, it shouldn't last for more than a minute. During the test, if you feel pain, tell your doctor right away.
They can quickly remove the catheter, which will release the pressure and should eliminate your pain. Most doctors recommend taking ibuprofen an hour before the HSG. This can reduce mild cramping during the test.
Anxiety and fear about the test can increase your perception of pain. You may experience mild cramps and light spotting. You'll be able to resume regular activity after the test.
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