Fertility problems affect a significant number of couples around the world. In many cases, issues related to the female reproductive system are the primary concern. One of the diagnostic tests commonly used to evaluate a woman’s fertility and the health of her reproductive organs is the Hysterosalpingography (HSG) test. If you are undergoing fertility treatments or are simply concerned about your reproductive health, it’s essential to understand what HSG is, how it works, and what to expect.
At Advance Diagnostics, we offer state-of-the-art diagnostic services, including the HSG procedure, to provide you with accurate results that can guide your healthcare decisions. In this blog, we will explore the HSG procedure in detail, its significance in fertility assessments, and how our lab can support you through the testing process.
What is HSG?
Hysterosalpingography (HSG) is an X-ray procedure used to examine the inside of the uterus and the fallopian tubes. It is primarily performed to assess the cause of infertility in women, particularly to check for blockages or abnormalities in the fallopian tubes. HSG is a key diagnostic tool for identifying structural problems in the reproductive organs that could prevent conception.
The procedure involves injecting a contrast dye into the uterus through the cervix. This dye helps to highlight the uterine cavity and fallopian tubes on the X-ray images, allowing the doctor to look for any blockages, structural abnormalities, or other conditions that could affect fertility.
Why is HSG Done?
HSG is generally recommended for women who have been trying to conceive unsuccessfully for a year or more or those with a history of miscarriages, pelvic infections, or irregular menstrual cycles. Here are some common reasons why an HSG test may be ordered:
- Checking for Blockages in the Fallopian Tubes: Blockages in the fallopian tubes can prevent sperm from reaching the egg or prevent a fertilized egg from reaching the uterus. HSG helps detect whether the fallopian tubes are open or blocked.
- Evaluating Uterine Shape and Size: Structural abnormalities in the uterus, such as fibroids, polyps, or congenital issues, can affect a woman’s ability to conceive or carry a pregnancy to term. HSG allows doctors to identify these abnormalities.
- Assessing the Uterine Lining: In some cases, HSG can show whether the uterine lining is healthy and capable of supporting implantation after fertilization.
- Detecting Infections or Scar Tissue: Past infections, surgeries, or endometriosis can lead to the formation of scar tissue or adhesions in the reproductive organs, which HSG can help identify.
What to Expect During an HSG Test?
The HSG procedure is typically done in a radiology or diagnostic imaging clinic. It is usually performed between the 7th and 10th day of the menstrual cycle, after the period has ended but before ovulation occurs, to reduce the risk of pregnancy.
Here’s a step-by-step guide to what you can expect during the procedure:
- Preparation: You will be asked to lie on an X-ray table, and a speculum will be inserted into the vagina to keep it open, just as during a pelvic exam. The cervix will be cleaned, and a small catheter will be inserted through the cervix into the uterus.
- Dye Injection: Once the catheter is in place, a contrast dye is slowly injected into the uterus. You will likely feel some cramping or discomfort as the dye is introduced. The dye will flow through the uterus and into the fallopian tubes, and the X-ray images will be taken.
- X-ray Imaging: The X-rays are captured as the dye passes through the reproductive system. This allows the doctor to see any blockages, abnormalities, or other issues in the uterus and fallopian tubes.
- Post-Procedure: After the procedure, you may experience mild cramping or spotting. These symptoms are generally temporary and should subside within a few hours. It’s important to follow the doctor’s instructions for aftercare, including avoiding vaginal intercourse for a short period.
Risks and Considerations
Although HSG is a relatively safe procedure, there are some risks and considerations to keep in mind:
- Discomfort: Some women may experience discomfort or cramping during or after the procedure.
- Infection: As with any procedure involving the cervix and uterus, there is a small risk of infection.
- Radiation Exposure: HSG involves the use of X-rays, so there is a small amount of radiation exposure. However, the amount is generally considered safe.
- Allergic Reactions: In rare cases, some women may experience an allergic reaction to the contrast dye used during the procedure.
How HSG Affects Fertility?
Interestingly, there is some evidence that the HSG procedure itself can improve fertility. In certain cases, the dye used during the test can help to flush out minor blockages in the fallopian tubes, which may increase the chances of conception in the following months. This phenomenon is sometimes referred to as the “HSG pregnancy boost.” However, the primary purpose of the test is to diagnose potential fertility problems, and any improvements in fertility are incidental.
Why Choose Life Advance Diagnostics for HSG?
At Life Advance Diagnostics, we are committed to providing our patients with the highest level of care. Our team of skilled professionals is dedicated to offering precise, reliable diagnostic services in a compassionate and comfortable environment.
Hysterosalpingography (HSG) is a valuable diagnostic tool for women experiencing infertility or reproductive issues. It helps identify potential blockages in the fallopian tubes and structural abnormalities in the uterus that could hinder conception. If you’re facing fertility challenges, an HSG test can provide vital information to help guide your treatment options.
At Advance Diagnostics, we are proud to offer the HSG test with the highest standards of care, providing you with the diagnostic insights you need. Contact us today to schedule your HSG test and take the next step toward understanding your fertility health.
