Understanding an HSG test and its procedure will allow you to undergo it with confidence.
What Is an HSG Test?
An HSG test is a special type of X-ray used to check the health of your uterine environment, whether it is favourable for pregnancy or not. This test helps your doctor check for any blockages in your fallopian tubes or abnormalities inside your uterus.In this procedure, your doctor releases a dye or contrasting material into your uterus through the cervix. The x-ray images are created as the dye slowly fills your uterus and flows through your fallopian tubes.
The dye does not pass through the tubes in the event of blockages, which can help your doctor determine the treatment based on the results.
Why You Might Need an HSG Test
Your doctor may recommend an HSG test if you have experienced or are currently experiencing any of the following conditions.- You have been trying to conceive for a year, but were unsuccessful or had repeated miscarriages.
- You have a history of pelvic infections, tuberculosis, or abdominal surgery.
- You are under fertility treatments like IUI or IVF.
This test provides essential details about your uterine health that other scans, such as an ultrasound, may not offer.
How to Prepare for the HSG Test
You do not need much to prepare for an HSG test, but be mindful of the following aspects.- The test is usually scheduled between Day 7 and Day 10 of your menstrual cycle (after your period ends but before ovulation begins).
- Your doctor may suggest not having unprotected intercourse after your period until the test is done.
- Your doctor may prescribe a pain reliever to take one hour before the test to help manage discomfort during the procedure.
- You may have to take an antibiotic to avoid the risk of infection.
- Inform your doctor if you are allergic to contrast material in dyes, or if you suspect you may be pregnant.
Wear comfortable clothing for the test and bring a sanitary pad, as some dye may leak out afterwards.
What Happens During the HSG Test?
The HSG test usually takes around 30 minutes to complete. The following steps are carried out during the test.- Positioning: You will need to lie down on a table, similar to how you would during a pelvic exam or Pap smear.
- Inserting the speculum: Your vagina has to remain open throughout the procedure, for which a speculum is used. Next, an antiseptic solution is applied to your cervix to avoid the risk of infection.
- Placing the catheter: In this step, your doctor inserts a thin tube, called a catheter, into your cervix until it reaches the uterus.
- Injecting the dye: You may feel pressure from the flowing dye, which can result in mild pain or discomfort.
- Taking the X-rays: Images form as the dye flows, allowing your doctor to check for abnormalities in your uterus or blockages in your tubes.
- Completion: Once the images are taken and the instruments are removed, you will be allowed to rest briefly before heading home.
The whole process is done in an X-ray or radiology department and does not require you to stay in the hospital.
Is the HSG Test Painful?
You may feel worried about the pain associated with the HSG test. However, every woman has different experiences, but it is common to go through the following sensations during the test.- Mild cramping, similar to period pain
- A slight pinching upon the injection of dye
- Discomfort due to the use of instruments
These are all mild and may last only for a few minutes. Taking a painkiller before the test often helps manage all the discomfort. You may feel tired or experience some spotting after the test, but it is normal.
What to Expect After the HSG Test
You may experience the following after the test.- Mild cramping for a few hours
- Light spotting or watery discharge (from the dye)
- A feeling of fatigue or bloating
You may resume your normal activities the same day. However, it is best to take it easy.
In rare cases, you may have:
- Fever or chills
- Foul-smelling discharge
- Severe pain or heavy bleeding
These signs may indicate an infection that requires immediate medical attention; therefore, contact your doctor as soon as possible.
When Will You Get the Results?
Your doctor may show you the X-rays right after the test to give you a brief idea about the health of your uterus and fallopian tubes. However, you may receive a detailed report within a day or two after we carefully review your images.Your doctor will discuss the findings with you before recommending the next course of action. A normal report will give you hope and direction towards a positive pregnancy. However, your doctor may suggest further tests or treatments if the tubes are blocked or the uterus has any issues.
FAQs on Getting Your Tubes Checked? Here’s What to Expect
- Can I try to conceive in the same month as my HSG test?
Your doctor may suggest trying based on your conditions. Some women experience improved chances of pregnancy in the months following the test. - What are the risks of an HSG test?
Generally, an HSG test is safe with minor risks of infection or reaction to the dye, or, in extremely rare scenarios, damage to the uterus. Your doctor will take precautions to minimise these risks.
