An HSG or hysterosalpingogram, is a test provided for women who have fertility complications. The test can be conducted to look for blockages within your Fallopian tubes, and to see if there are any abnormalities within your uterus, such as polyp development. A HSG can be conducted either by your gynecologist or a radiologist. You should also discuss with your gynecologist, the possibility that an HSG might "flush out" tissue or other debris from your Fallopian tubes, which could be the cause of your infertility.
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Undergo a pap smear to ensure that you're a candidate for a HSG test. Be sure to consult with your gynecologist if you're currently suffering from a medical condition, such as a sexually transmitted disease or chronic pelvic infection. An existing medical condition can make an HSG procedure difficult to perform.
Empty your bowels the night before your procedure. According to RadiologyInfo.org, a radiology info site for patients, using a laxative or enema can help clear the bowels, providing better images for your radiologist.
Take a sedative or pain medication as prescribed by your gynecologist prior to your procedure. This will help prevent pain and spasm development within your Fallopian tubes while the procedure is being performed.
Try to relax on the exam table during your HSG test. A catheter with dye will be inserted into your cervix and uterine cavity.
Lie still for a few minutes as the dye is flushed through your Fallopian tubes. Allow your gynecologist or radiologist to take X-rays of your Fallopian tubes once the dye has been injected.
Remain still on the exam table after you have finished the procedure, to help alleviate cramping. Ask your gynecologist to review the X-rays with you to ensure that the procedure was a success.
Tips and warnings
- Always consult your gynecologist before undergoing an HSG procedure.
- You may experience cramping after you undergo the procedure. This is normal due to the dye that is injected into your Fallopian tubes.
- Be sure to take antibiotics as prescribed by your gynecologist after you have undergone an HSG to prevent an infection from developing.
- According to the Advanced Fertility Center of Chicago, some women may develop an allergic response to the dye used in a HSG test. If you develop a rash or severe abdominal cramping, immediately notify your gynecologist.
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