Hysterosalpingiogram (HSG, Salpingiogram)
This exam uses contrast to visualize the uterus and fallopian tubes. It is often done to assess infertility or tubal occlusion.
How do I prepare for the exam?
It is advised to take Advil or Ibuprofen one hour prior to the exam to help reduce cramping. You should also bring a feminine pad or pantiliner, as there is contrast discharge after the exam.
The exam should be performed 9 to 10 days after the last menstrual period, when there is a reasonable confidence the patient is not pregnant.
What can I expect during the exam?
This exam is typically conducted by a radiologic technologist and a radiologist. Sometimes it is performed by the patient's OB/GYN.
You will lie on the table in a similar fashion to having a pelvic exam. A speculum will be inserted and a small soft catheter will be inserted into the cervix. This may cause a pinching sensation.
Contrast will be injected into the uterus through this tube under pressure to fill the uterine cavity and push the contrast through the fallopian tubes. Images will be taken during the procedure.
The exam takes about 30 to 45 minutes.
What can I expect after the exam?
The radiologist or your OB/GYN will discuss the findings with you. It is not uncommon to experience a clear, sticky discharge from the contrast or mild spotting.