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What are the steps involved in HSG?

Garbhagudi IVF Center (Kalyan Nagar)

Garbhagudi IVF Center (Kalyan Nagar)

  Kalyan nagar, Bengaluru     Feb 9, 2017

   4 min     


When you are planning to extend a family, then you would know the importance of a healthy reproductive system. It takes more than one healthy organ to become parents successfully like healthy ovaries that produce an egg every month, healthy uterus, functional fallopian tubes through which the sperm reach your egg, healthy sperm count and motility, etc.

If the fallopian tubes are blocked then getting impregnated is impossible. Therefore, in such cases, your doctor will diagnose it with a test called hysterosalpingogram or HSG.

Hysterosalpingogram (HSG) is a procedure or test which uses an X-ray to look at your fallopian tubes. It is performed by a trained gynecologist and is accompanied by an X-Ray technician and an anesthesiologist if it is being done under GA.

What is the procedure involved?

The process involved in HSG is as follows:

  • If the anesthetist has declared the patient as fit for GA, then the patient preparation process starts a one hour before the procedure. The patient is given the necessary medicine, change of dress, etc.
  • The patient is then moved to the HSG room.
  • If the HSG is being done under GA, the anesthetist will administer anesthesia to the patient.
  • The doctor injects a radiographic contrast medium (dye) into the uterine cavity through the vagina and cervix. If the fallopian tubes are open, the contrast medium will fill the tubes and spill out into the abdominal cavity. It can be determined whether the fallopian tubes are open or blocked and whether the blockage is located at the junction of the tube and the uterus or whether it is at the end of the fallopian tube
  • Then X-Ray photographs are taken of the lower abdomen area. All blocks and structural anomalies of the uterus will be revealed in the x-ray film.
  • The patient is then shifted to the recovery rooms.
  • In most cases, the patient recovers from the effects of anesthesia in about 15 minutes. The patient is discharged from the hospital in about 2 hours – after food and liquid intake without vomiting.
  • Based on the findings in the HSG procedure, the doctor will suggest the next steps.

What are the Do’s and Don’ts before HSG?

  • Follow all the instructions given by the doctor.
  • Ensure all medication and injections are taken as per doctor’s advice. This includes the date and time of drugs.
  • The patient needs to be nil-oral for HSG. So no food or liquid intake on the day of procedure unless advised by the doctor
  • Inform the doctor about any allergies, infections, asthma, etc.
  • A personal assistant may be needed on the day of HSG since the patient will be under the effect of anesthesia for some time.
  • It is preferable to leave all expensive jewelry at home before coming for HSG. This is because all of it may have to be removed before the procedure.

What are the Do’s and Don’ts after the HSG procedure?

  • Follow all the instructions given by the doctor.
  • Ensure all medication and injections are taken as per doctor’s advice. This includes the date and time of drugs.
  • Listen and understand the discharge instructions given by the hospital. This information is essential to handle any post-procedure complications
  • Inform the hospital about any pain, nausea, fever or vomiting bouts.
  • In case of bleeding or spotting, please inform the hospital immediately.

How much time does the HSG procedure take?

Typically, an HSG procedure should not take more than 30 minutes. There is some amount of patient preparation that needs to be done, and that takes about 1 hour. If the HSG is done with local anesthesia, then the patient can be discharged in about 1 hour after HSG.

If the HSG is done under general anesthesia, patients need about 2 to 3 hours to recover from the effect of anesthesia. In some rare cases, it can be more than that too.

So, if it is HSG under local anesthesia, plan to be at the hospital for about 3 hours

If it is HSG under GA, plan to be at the hospital for about 5 hours.

My HSG shows blocked tubes / structural anomalies. What should I do now?

Tubal blocks can be on one side only or may be on both sides. Depending on the severity of the block or the anomaly, the doctor may suggest a different course of action. Please consult your doctor for more details. The possible options are

  • If one tube is patent, the doctor may plan for a couple of IUI cycles if ovulation occurs in the ovary which is not blocked
  • If both tubes are blocked, the doctor may suggest IVF as an option.
  • If there are structural anomalies in the tubes, uterus, etc, other corrective procedures may be suggested.

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Tags:  Fertility Treatments - Female,IN VITRO FERTILIZATION,fertility,Fertility Treatments - Female,

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