Infertility — Hysterosalpingogram (HSG)

A hysterosalpingogram (HSG) is a procedure that involves the injection of dye into the uterus to outline the anatomy of your uterus and fallopian tubes.

The HSG is a time-sensitive procedure and should be scheduled between days 7 and 12 of the menstrual cycle. Please call our office on the first day of your menses to make arrangements for the procedure.

The procedure will be performed at Abbott Northwestern Hospital. Please check in 30 minutes prior to the scheduled time at the radiology department on the first floor of the main hospital. 

Preliminary information

We advise taking Advil (2-3 tablets) or Ibuprofen (600 mg) one hour prior to the procedure. This will decrease any cramping experienced during the procedure. There is no restriction on diet or activity prior to the procedure.

During the exam

A speculum will be placed in the vagina. The cervix will be cleansed with an iodine solution, and a local anesthetic may be used. The cervix will be grasped with another instrument called a tenaculum. This may produce some momentary discomfort. A thin cannula (small, soft tube) will be inserted into the cervix. A dye will then be injected through this cannula into the uterus and the fallopian tubes. X rays will be taken at various intervals during this time. You may be asked to turn on your side in order to obtain a clearer view. It is common to experience some abdominal cramping and rectal pressure during this time. A television monitor will be available for your viewing if desired.

After the exam

Vaginal spotting is common. This may last for 1-2 days. Mild cramping may continue for 1-2 hours. Advil or Ibuprofen may be taken. If a fever, heavy bleeding, or abdominal pain develops, contact our office. There is no restriction on activity. The results of the exam will be discussed with you.