A Hysterosalpingogram (HSG): is an x-ray examination of the uterus and fallopian tubes and is usually requested by a qualified physician.  It may be required when a patient complains of primary or secondary infertility or has habitual abortion.

  • The Hysterosalpingogram examination requires the patient to attend for the procedure on or around the 7th to 12th day of the menstrual cycle (the 1st day being the 1st day of the period), arrangements are to made with the radiology appointment clerk.  The period must be finished (i.e. no bleeding) and there must be no contact with the husband between the end of the period until after the procedure has taken place to ensure no chance of pregnancy. 
  • The examination which will take approximately 30-minutes, will require the patient to remove all clothes and wear an examination gown, before the procedure starts.
  • During the examination, which will be carried out by a radiologist and a technician, the genital area of the patient is cleaned and a speculum is inserted into the vagina.  The area around the cervix is cleaned then a small catheter is inserted into the cervix.  This procedure may cause some discomfort but with deep breathing and relaxation this will be lessened. 
  • Contrast will be injected through the catheter in a attempt to fill the uterus and fallopian tubes which will then spill into the abdomen.  During this passage of contrast, x-rays will be taken until a diagnosis is reached.
  • Once the examination is finished, the speculum and the catheter will be removed. A bathroom is available for the patient to wash and change. A sanitary pad is provided as the patient may experience spotting and/or leaking of the contrast but these should cease within one-day, if not a doctor should be consulted.  Mild abdominal pain similar to that of period pain may be experienced.  This can be relieved by taking a usual analgesic medication.  Once the spotting has stopped normal marital relation can be resumed.
  • Please note, husband or relatives may not allowed in the examination room during the x-ray procedure.  This is to maintain radiation protection consideration and patient privacy.
  • The result of this examination will be given to the patient or to the requesting doctor.


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