Structural defects of the uterus and fallopian tubes can be detected through Hysterosalpingogram (HSG).

What is HSG?

HSG is a x-ray procedure through which the doctor can visualize the inside of the uterus and the fallopian tube. The uterus and fallopian tube are organs made of soft tissue which cannot be seen in a normal X-ray. This is overcome by pushing a dye through the cervix into the uterus. This dye provides contrast to visualize the uterus and the fallopian tubes in X-Ray films. As fallopian tube is connected to the uterus the dye flows from the uterus into the tubes. The ends of fallopian tubes are open so the dye spills out into the abdominal cavity. Any tubal blocks (antral, mid or distal)  and uterine abnormalities show up easily.

Why is HSG needed?

If you are finding it difficult to conceive for a long time then uterine and fallopian tube defects may be the cause.  It is therefore very important to rule out these defects while diagnosing the cause for infertility. This is usually done in the initial stages of diagnosis.
These defects include:

Fallopian tube defects:

An infection may cause severe scarring of the fallopian tubes and block the tubes, preventing pregnancy. A blockage in the fallopian tube(s) would prevent an egg moving through a fallopian tube to the uterus. A blockage also could prevent sperm from moving into a fallopian tube and joining (fertilizing) an egg.

HSG can diagnose tubal pathologies like:

1. Hydrosalpinges
2. Mid-tubal blocks
3. Corneal blocks
4. Peritubal adhesions

Uterine defects:

Uterine anomalies and abnormal growths inside uterus may prevent a fertilized egg from attaching (implanting) to the uterine wall.

These include:

1. Congenital uterine anomalies
2. Abnormal structure of the uterus
3. Injury inside the uterus.
4. Submucosal polyps,
5. Fibroids
6. Uterine synechia
7. Uterine and vaginal septa
8. Endometriosis
9. Tubal phimosis

HSG is highly recommended because of its low cost and low invasiveness.

What is Painless HSG?

HSG procedure involves insertion of a cannula into the cervix to expand it so that a catheter can be pushed through it.  As the external opening of the cervix is usually smal (the sixe of pin head in case of women who have not had vaginal delivery before) the insertion of the cannula will cause a lot of pain. The contrast dye is pushed into the Uterus through the catheter. In some people the dye may cause some amount of irritation inside the uterus. There is always some amount of pain associated with HSG. But HSG can be made relatively painless with proper administration of local anaesthia and oral pain medication before the procedure.

Our physicians have adopted a unique practice to make HSG painless. This practice involves as combination of Oral Pain medications, localised anesthesia of the cervix and use of specialized cannula to prevent pain. 99% of our patients walk out without any or very little pain after HSG.

Find out more about our Painless HSG procedure by downloading our
HSG information sheet (Click Here).

How To Prepare for HSG:

  1. This test should be done 2 to 5 days after your menstrual period has ended to be sure you are not pregnant. To prevent this, we carry out a serum Beta-HCG test before the HSG is scheduled.
  2. You may want to bring along a sanitary napkin to wear after the test because some leakage of the X-ray dye may occur along with slight bleeding
  3. You may need to sign a consent form that says you understand the risks of a Hysterosalpingogram and agree to have the test done.
  4. Talk to your doctor about any concerns you have about the need for the test, its risks, how it will be done, or what the results will mean.