What is HSG and how is it done?
Sonohysterogram (hysteron = uterus; sono = sound), on the other hand, involves viewing the uterus through the use of an ultrasound unlike the HSG which uses X-ray. It uses high-frequency sound waves that travel at different speeds through body organs and tissues that bounce back to reflect and image.
What are the most common problems with HSG?
There are other procedures that can provide some of the same information as HSG: Laparoscopy—This surgical procedure requires general anesthesia (read Laparoscopy). Hysteroscopy—This procedure can give a detailed view of the inside of the uterus. But, it cannot show whether the fallopian tubes are blocked (read Hysteroscopy).
How safe is HSG surgery?
The final group in our study (group 4) received an intrauterine instillation of lidocaine in addition to an oral NSAID (a single oral dose of 550 mg of naproxen sodium 1 h before HSG); this group had better pain relief than group 1 (only prophylactic oral NSAID) in all stages of the procedure, but this difference was not statistically significant.
What is the contrast in HSG?
Sep 08, 2020 · The hysterosalpingogram (HSG) is a fluoroscopic based test performed in conjunction with a radiologist. A small balloon catheter is placed in the cervix (the lowest part of the uterus) and slowly, a radio-opaque dye is instilled. Very low levels of radiation are used for a short period of time. The dye coats the uterine walls much like milk ...
What is alternative to HSG?
What is the difference between HSG and Sonohysterogram?
Which is better laparoscopy or HSG?
What is difference between HSG and HyCoSy?
Which is more painful HSG or hysteroscopy?
What is the difference between HSG and HSN?
Can an HSG be wrong?
Can laparoscopy unblock fallopian tubes?
Can a HSG unblock fallopian tubes?
What is the difference between SHG and HSG?
What is the difference between HSG and Sis?
Is HyCoSy less painful than HSG?
Why is HSG used?
It often is used to see if the fallopian tubes are partly or fully blocked. It also can show if the inside of the uterus is of a normal size and shape. All of these problems can lead to infertility and pregnancy problems. HSG also is used a few months after some tubal sterilization procedures to make sure that the fallopian tubes have been ...
Why is HSG not done?
HSG is not done if a woman has any of the following conditions: Pregnancy. Pelvic infection. Heavy uterine bleeding at the time of the procedure.
Can HSG cause infertility?
It also can show if the inside of the uterus is of a normal size and shape. All of these problems can lead to infertility and pregnancy problems. HSG also is used a few months after some tubal sterilization procedures to make sure that the fallopian tubes have been completely blocked.
When is the best time to have HSG?
It is best to have HSG done in the first half (days 1–14) of the menstrual cycle. This timing reduces the chance that you may be pregnant. During HSG, a contrast medium is placed in the uterus and fallopian tubes. This is a fluid that contains a dye. The dye shows up in contrast to the body structures on an X-ray screen.
Can you drive home after HSG?
In some cases, he or she also may prescribe an antibiotic for you to take before HSG. Most people can drive themselves home after having HSG. However, you may not feel well after the procedure, so you may want to make arrangements for someone to drive you home.
What is the HSG?
The HSG provides information about the contour of the endometrial cavity and the outline of tract of the fallopian tubes. The presence or absence of dye spilling from the very ends of tubes affords information about the ability of the egg’s potential passage upon ovulation.
Is HSG a good test?
The HSG provides little information about the contour of the outside of the uterus and the actual mobility of the tubes themselves. Although it is a good test of the uterine cavity, it is not the most sensitive test for all uterine abnormalities.
What to expect during HSG exam?
What to Expect During an HSG Exam. The hysterosalpingogram (HSG) is a fluoroscopic based test performed in conjunction with a radiologist. A small balloon catheter is placed in the cervix (the lowest part of the uterus) and slowly, a radio-opaque dye is instilled. Very low levels of radiation are used for a short period of time.
What is HSG test?
The hysterosalpingogram (HSG) is a fluoroscopic based test performed in conjunction with a radiologist. A small balloon catheter is placed in the cervix (the lowest part of the uterus) and slowly, a radio-opaque dye is instilled. Very low levels of radiation are used for a short period of time. The dye coats the uterine walls much like milk coats ...
What is transvaginal ultrasound?
A transvaginal ultrasound is used for visualization and no radiation is needed. In actuality, the uterus is a virtual cavity, much like an empty plastic lunch baggie. The pressure of the instilled saline forces the uterine walls apart which allows excellent visualization of the contour of the endometrial cavity.
Overview
A hysterosalpingogram (HSG) is an X-ray dye test used to diagnose problems related to fertility. During an HSG, an X-ray records images of your uterine cavity and fallopian tubes while they’re filled with a special dye. An HSG can help your provider spot issues in your reproductive anatomy that may prevent you from getting pregnant.
Test Details
With an HSG, a dye fills your uterine cavity and fallopian tubes. The dye creates an outline of your uterus and fallopian tubes that stands out on an X-ray. If the X-ray shows the dye flowing through your fallopian tubes, they’re open. If the dye meets a barrier that prevents the flow, your fallopian tubes are blocked.
Results and Follow-Up
Your provider will tell you your results and advise you on next steps. If the HSG shows blockage, your provider may recommend additional procedures like a laparoscopy to further diagnose and treat the problem. Or, they may recommend fertility treatments that don’t require your fallopian tubes to be clear, like in vitro fertilization (IVF).
Why is HSG important?
The HSG helps the doctor check out two important factors: Whether or not the fallopian tubes are open. If the fallopian tubes are blocked, the egg can't meet the sperm and conception is not possible. There are several potential causes and corresponding treatments if this is the case.
What is HSG test?
Risks and Safety Concerns. An hysterosalpingogram (HSG) is a special kind of x-ray used to evaluate female fertility . An outpatient procedure, the test takes no longer than a half hour. It involves placing an iodine-based dye through the cervix and taking x-rays.
What is the purpose of a HSG test?
These x-rays help evaluate the shape of the uterus and whether the fallopian tubes are blocked. 1 . If you've had trouble conceiving, an HSG is one of the first fertility tests that may be ordered.
Can you have an HSG if you have a miscarriage?
If you've had trouble conceiving, an HSG is one of the first fertility tests that may be ordered. If you've had two or more miscarriages or are experiencing secondary infertility, an HSG is also recommended. Many women wonder if the test will cause pain. The answer depends. Some women report mild to moderate cramping.
What to take before HSG?
On the day of the test, your doctor may suggest taking a painkiller like ibuprofen an hour before your HSG is scheduled. This can help with the discomfort of the test. Also, some doctors prescribe antibiotics to reduce the risk of infection.
Can you have a fever after a HSG?
Some doctors may tell you to refrain from sexual intercourse for a few days after the test. While mild cramps are normal, if your discomfort seems to be increasing after the test or you develop a fever, contact your doctor. There is a rare risk of infection following an HSG. Increasing pain may be a sign of infection.
Is it normal to have cramps after a HSG?
While mild cramps are normal, if your discomfort seems to be increasing after the test or you develop a fever, contact your doctor . There is a rare risk of infection following an HSG. Increasing pain may be a sign of infection. There is a rare risk of infection following an HSG.
First things first: What causes blocked fallopian tubes?
25%-35% of people with ovaries experience infertility because of tubal blockage. When the tubes are open, mature eggs can travel to the uterus after the ovulatory phase of the menstrual cycle in preparation for possible fertilization. If they're blocked? That's a barrier to sperm meeting up with an egg.
What is a hysterosalpingogram (HSG)?
A hysterosalpingogram (HSG) is an X-ray reproductive endocrinologists can use to look at the inside of your uterus and fallopian tubes. The resulting images resemble a black-and-white photograph: The white areas, made by dye injected into the cervix at the beginning of the procedure, will show the shape of your uterus and fallopian tubes.
What can you learn from an HSG test?
For those using an HSG to better understand why they're having challenges conceiving, the results can show two things:
What can't you learn from an HSG test?
While an HSG test can provide insight into possible causes of fertility troubles, there are some limitations to the test. An HSG can't:
What can you expect during an HSG test?
You can expect the test to be administered by a gynecologist or radiologist and it will take place either in your OB-GYN’s office, a hospital, or a health clinic. The procedure usually takes about five minutes and will include the following steps:
What are the possible side effects of an HSG test?
Cramping is a common possible side effect of the exam. But there are a few other symptoms you may experience after the procedure:
What are the next steps after getting an HSG test?
If your fallopian tubes appear to be open and you’re trying to conceive, your doctor may recommend waiting 2-3 days after the procedure before starting to try, says Dr. Hariton. But have a conversation with your doctor first so they can give you a personalized answer depending on your unique circumstances.
What is the most common problem with HSG?
Infection - The most common serious problem with HSG is pelvic infection. This usually occurs when a woman has had previous tubal disease (such as a past infection of chlamydia). In rare cases, infection can damage the fallopian tubes or make it necessary to remove them.
Is HSG serious?
However, there is a set of recognized complications, some serious, which occur less than 1% of the time. Infection - The most common serious problem with HSG is pelvic infection. This usually occurs when a woman has had previous tubal disease (such as a past infection of chlamydia).
What are the risks of HSG?
What are the risks and complications of HSG? 1 Infection - The most common serious problem with HSG is pelvic infection. This usually occurs when a woman has had previous tubal disease (such as a past infection of chlamydia). In rare cases, infection can damage the fallopian tubes or make it necessary to remove them. A woman should call her doctor if she experiences increasing pain or a fever within 1-2 days of the HSG. 2 Fainting - Rarely, the woman may get light-headed during or shortly after the procedure. 3 Radiation Exposure - Radiation exposure from an HSG is very low, less than with a kidney or bowel study. This exposure has not been shown to cause harm, even if a woman conceives later the same month. The HSG should not be done if pregnancy is suspected. 4 Iodine Allergy - Rarely, a woman may have an allergy to the iodine contrast used in HSG. A woman should inform her doctor if she is allergic to iodine, intravenous contrast dyes, or seafood. Women who are allergic to iodine should have the HSG procedure performed without an iodine-containing contrast solution. If a woman experiences a rash, itching, or swelling after the procedure, she should contact her doctor. 5 Spotting - Spotting sometimes occurs for 1-2 days after HSG. Unless instructed otherwise, a woman should notify her doctor if she experiences heavy bleeding after HSG.
Can HSG be used to diagnose endometriosis?
The HSG procedure is not designed to evaluate the ovaries or to diagnose endometriosis, nor can it identify fibroids that are outside of the endometrial cavity, either in the muscular part of the uterus, or on the outside of the uterus.
How long does it take for a woman to get lightheaded after a HSG?
A woman should call her doctor if she experiences increasing pain or a fever within 1-2 days of the HSG. Fainting - Rarely, the woman may get light-headed during or shortly after the procedure. Radiation Exposure - Radiation exposure from an HSG is very low, less than with a kidney or bowel study.
Can you get lightheaded after a HSG?
Fainting - Rarely, the woman may get light-headed during or shortly after the procedure. Radiation Exposure - Radiation exposure from an HSG is very low, less than with a kidney or bowel study. This exposure has not been shown to cause harm, even if a woman conceives later the same month.
Can Iodine be used in HSG?
Iodine Allergy - Rarely, a woman may have an allergy to the iodine contrast used in HSG. A woman should inform her doctor if she is allergic to iodine, intravenous contrast dyes, or seafood. Women who are allergic to iodine should have the HSG procedure performed without an iodine-containing contrast solution.
