How is hsg done?

Fret not, my fellow ladies! Whether you are trying to conceive or just getting a check-up down there, the Hysterosalpingography (HSG) is a non-invasive procedure that can give insight into the state of your uterus and fallopian tubes. So why don’t we dive deep into this test and find out everything about ‘How Is HSG Done’?

What is an HSG Test?

First things first, let us understand what exactly an HSG exam entails. It’s a radiologic examination primarily used to detect blockages in your fallopian tubes by inserting contrast agents like iodine through the cervix while capturing images via fluoroscopy.


Infertility happens when couples have unprotected sex for over 12 months without any resulting pregnancy. An Hysterosalpingography helps in detecting causes such as blocked fallopian tubes that may lead to reduced fertility chances.

Other Gynecological issues

Also, women who experience ailments such as abnormal menstrual bleeding and repeat miscarriages may need further evaluations using radiologic tests like hysterosalpingography.

Before going for an hsg exam you must ensure:
– You are not pregnant.
– Your monthly cycle falls between day 5 through 12.
– Any prior history related to Pelvic inflammatory diseases gotten tested before going under hsg direction.

Your doctor will also recommend taking ibuprofen or acetaminophen before undergoing the test process.

The Process Involved During An HSG Test

The whole process typically takes about ten minutes; however, make sure you arrive at least half an hour earlier at the clinic since preparation might take some time—change into comfortable clothing except underwear advised by hospital policies instead of tight pants.

Upon arrival at a medical center, the following is standard medical practices throughout hysterosalpingography testing (Don’t be scared):
– Identify yourself by giving your name, date of birth and hospital number to ensure proper records.
– Change into a gown rather than tight clothing, which may make it difficult for the executing radiographer.


During an HSG exam, you’ll lie on x-Ray compatible bed with legs bent up against the buttress. The process involves
1. Sterilization – First off, they will clean your cervix opening thoroughly with antiseptic solution or swabs/sticks dipped in alcohol to prevent any infections from entering through there (The only situation where being naked would be acceptable).
2. Anesthesia/tablet if needed-for people who cannot withstand pain that occurs during IUD insertion may need some tablets meant to reduce pain are pentazocine and diclofenac; others prefer wearing thigh-high pressure stockings instead of taking anesthetics medication that causes drowsiness during the test.
3. A speculum inserted – Once you’re sterilized/cleaned out nicely and numbed [if necessary], radiographers insert a small plastic instrument called a ‘Speculum’ within vaginal walls explicitly made for dilating the cervix slightly making visualization easier.

At this point, things change since specific equipment unlocks way forward:
Water-soluble contrast material Microstream introduced into cervical canal
Oil-based Contrast Agent catheterization

Oil-Based Technique
If oily-based technique carried out After Inserting Speculum Catherization then;
4. The radiologist/gynecologist inserts a thin tube or snake-like cylinder Radiopaque fluid mixed Catheter/ Pipe past cervix towards Uterus capture X-rays images using fluoroscopy tools generating real-time images used later Diagnosis

Oil-Based HSG technique

Water-Soluble Technique

In the case of water-soluble type perfor, microstreams contrast material mixed with air injected through catheter or “snake-like tube,” and you are asked to change position – from one side to the other while x-ray films taken in split second intervals showing fallopian tubes systematically, thanks to images generated later Diagnosis.

Water-Based HSG technique

After all is done close your legs, have a relaxing breath! Sit up then wait for report display results thoroughly explained by analyzing radiographer/gynecologist. Note that it can take about three hours before receiving complete feedback.

‘Painful, but bearable’—that’s how some women describe it (I mean really?). The truth is: everyone experiences pain differently. During IUD insertion into your uterus, patients may feel cramping sensations (some likening them to menstrual cramps), mild pelvic discomfort during dye injection[Source:NHS.UK]. Therefore doctors recommend taking acetaminophen or ibuprofen 30 minutes prior test execution stages as there would be no prescription medications offered.

When do I get my Test Results?

Since in most medical institutions computers run on Hospital Information Management Systems software allowing proper documentation across departments including laboratories; you will get known within max Three days detailing everything observed concerning fallopian tubes where blockages located if present aside from checking Uterus shape anomalies Check out anything additionally recommended making conceiving process easier!

Post hysterosalpingography testing trick leaves recipients feeling woozy requiring just enough rest back home comprising dietary adjustments ensuring food recommendations followed strictly excluding:
– Salty foods
– Spicy meals
– Alcohol beverages
As instructed by Radiographer or Gynecologist.

If experiencing:
– chest pain
– nausea
– high fever
contact your doctor immediately as these pose resounding threats

Final Thoughts on HSG Examination techniques;

Radiographic tests like hysterosalpingography scans are vital for evaluating the overall health of our reproductive system specifically Fallopian tubes shooting up conception chances. As much it may cause some discomfort during insertion, reviewing results sheds lights blocking less alarming compared to other possible outcomes except when blockages exist; next steps advisable include seeking further medical evaluations by specialists whenever an infringement occurs & getting a fair understanding that not all radiographers deliver identical experience across clinics/hospitals.