Hysterosalpingogram (HSG)

What is Hysterosalpingogram?

Hysterosalpingogram is a procedure performed to assess the outline of the womb and whether the fallopian tubes are open.


Where is the procedure performed?

This procedure involves a small amount of X-ray exposure therefore undertaken in the radiology (X-ray) department.


How is the Hysterosalpingogram (HSG) done?

 You will need to come to the X ray department within 10 days of your menstrual bleed, so that there is no possibility you might be pregnant. You will be asked to lie down in a couch following which a Gynaecologist will examine you. A fine tube (catheter) will be placed into the neck of the womb. Then we will gently inject some dye (contrast) and a series of X Ray pictures will be taken. These pictures will show the dye filling within the womb and spilling through the fallopian tubes (see picture).


Is this procedure painful?

 It can be uncomfortable. Some patients experience menstrual period like cramps as the dye goes in. Therefore we recommend you to take painkillers (eg: paracetamol / Ibuprofen, assuming you are not recommended against these medications) prior to coming to the hospital. If you were to feel severe discomfort or light headed during the procedure please make the doctor aware immediately.


How long does the procedure take?

This procedure usually takes less than 20 minutes to perform.


When will I know the result?

The Gynaecologist performing the procedure shall discuss with you regarding the results after the procedure and advice you on further management.


Is there anything else I need to be aware of ?

You will need to avoid unprotected sexual intercourse from the time of your period till you have had the Hysterosalpingogram. (important)

You may have had a vaginal swab to assess for vaginal infections prior to the procedure, If this has not been done you will be advised antibiotics prior to having the procedure.

You may have some spotting following the procedure, which is normal, and this usually settles within the next few hours.