Tubal Evaluation

A hysterosalpingogram, or HSG, is an X-ray called fluoroscopy that uses special dye to make your fallopian tubes and uterus easier to see. It can also find uterine abnormalities such as fibroids or adhesions that can cause infertility or repeated miscarriages.

HSG is offered at our Emory Midtown location in Radiology on the Ground Floor.

How do I prepare for HSG?

HSG is done during the first half of your menstrual cycle, typically between days 8-12 (after you have stopped bleeding and before you ovulate). Call 404-686-9729 the first day of your menstrual cycle full flow to schedule your procedure.

You should also:

  • Notify your physician if you have an active pelvic infection or untreated sexually transmitted disease.
  • Take 800 mg of Motrin, if you’re not allergic, an hour before your procedure begins to reduce pain and discomfort.
  • Take 100 mg doxycycline, if you’re not allergic, starting the day before your procedure is scheduled and continuing for five days to reduce your risk of infection.

You may eat and drink normally before the test.

What happens during HSG?

You will be positioned under the X-ray machine on a table. Your doctor will then examine your uterus and place a speculum in your vagina. Your cervix is cleaned, and your uterus is filled with liquid that contains iodine contrast solution. As the iodine enters your fallopian tubes, it outlines their length and spills out the end if there are no blockages. The iodine makes it easier to examine your uterus by increasing its visibility and showing the detail of any abnormalities that are affecting your ability to conceive and carry a baby to term.

HSG should only cause minimal discomfort, with mild cramping for about 10 minutes at the beginning of the procedure. The procedure usually takes less than 30 minutes to complete.

What can I expect after HSG?

Some reports indicate a slight increase in fertility that lasts about three months after the HSG, due to the flushing effects of the procedure’s solution. You may feel some minor discomfort and mild cramping immediately after the procedure, but this should not last long. You will experience vaginal spotting for several days, which is normal.

What are the risks of HSG?

HSG is considered a very safe procedure with minimal risks. Complications occur less than 1 percent of the time and may include:

  • Pelvic Function
  • Fainting during or shortly after the procedure
  • Low risk of radiation exposure
  • Allergic reaction to iodine

When should I call my doctor?

Call our offices at 404-778-3401 if you experience:

  • Fever
  • Severe or worsening pain
  • Heavy or increased bleeding
  • Redness, swelling or itching


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