Hysterosalpingography
Hysterosalpingography (HSG Testing)
We perform Hysterosalpingography (HSG) as a crucial, highly specialized outpatient diagnostic x-ray procedure to meticulously evaluate the female reproductive tract. Conducted with the highest level of clinical precision and gentle care, this assessment offers essential, definitive insights that form the foundation of your fertility roadmap.
Primary Diagnostic Targets:
Evaluates the internal architecture of the uterine cavity and verifies fallopian tube patency to rule out hidden blockages that obstruct natural conception.
Patient Guide: Preparing for Your HSG Test
A Hysterosalpingography (HSG) is a specialized diagnostic X-ray used to evaluate female fertility by examining the inside of the uterus and ensuring the fallopian tubes are open. To ensure the highest accuracy and your maximum comfort, please review and follow these preparation guidelines.
1. Timing the Appointment (Crucial)
The Golden Window:
The procedure must be scheduled between Day 7 and Day 10 of your menstrual cycle (Day 1 is the very first day of your period bleeding).
Why?
This ensures your uterine lining is thin for optimal visibility, and guarantees that you are not pregnant at the time of the procedure.
Abstinence:
You must completely avoid sexual intercourse from the first day of your period until after the HSG test is completed.
2. Medications & Pain Management
To make the procedure as comfortable as possible, please follow these medication protocols:
Pre-Procedure Pain Relief:
Take an over-the-counter anti-inflammatory medication (such as Ibuprofen 400mg or Naproxen) 30 to 60 minutes before your scheduled appointment. This helps significantly reduce the mild uterine cramping experienced during the test.
Cervical Preparation (If Prescribed):
If an initial assessment indicates that your internal cervical os (the inner opening of the cervix) is tightly closed or rigid, the doctor may prescribe Misoprostol tablets.
How to use:
Take this medication exactly 2 to 3 hours before your procedure as instructed by the clinic.
Why it helps:
Misoprostol gently ripens and softens the cervix, allowing the thin diagnostic catheter to pass smoothly and comfortably without resistance. Note: You may experience mild, temporary cramping after taking this tablet; this is a completely normal sign that the medication is working.
Antibiotics:
If your doctor has prescribed a preventative antibiotic course for this procedure, please begin taking it exactly as directed on your prescription.
3. Diet & Clothing
Eating and Drinking:
You do not need to fast. You may eat a light meal and drink fluids normally before your appointment.
What to Wear:
Wear loose, comfortable, two-piece clothing. You will be asked to change into a medical gown and remove any jewelry or metal objects from your pelvic area before the X-ray.
4. What to Bring to the Clinic
Your Requisition:
Bring your official referral slip, medical file, and any previous pelvic ultrasound reports.
Sanitary Pads:
Please bring a high-absorbency sanitary pad with you. It is entirely normal to experience minor spotting or leakage of the contrast dye immediately after the procedure, and the clinic will provide you with time to freshen up.
A Companion:
While the procedure is brief and performed on an outpatient basis, we highly recommend having a family member, spouse, or friend drive you home so you can rest comfortably afterward.
5. When to Postpone the Test
Please call the clinic immediately to reschedule if you experience any of the following before your appointment:
- You suspect or find out you are pregnant.
- You are actively bleeding or your period has lasted longer than expected.
- You have an active, untreated pelvic infection, pelvic pain accompanied by a fever, or an abnormal vaginal discharge.
What to Expect During the Procedure
The test takes approximately 15 to 30 minutes in total. A soft, thin catheter is gently guided into the cervix, and a specialized liquid contrast dye is introduced into the uterus while a rapid series of X-ray images are captured. You may feel mild to moderate cramping—similar to menstrual cramps—that typically subsides within a few minutes after the procedure is finished.
Frequently asked questions
Fertility Concerns? We’re Here to Help
Call Us
0300 9612784
Email Us
consult@drarshyabilal.com