Hystero-salpingography (HSG)

What is Hystero-salpingography or HSG

Posted Mar 17, 2020

HSG or Hysterosalpingography is an X-ray done after injecting contrast medium in the uterine cavity to evaluate the uterus and fallopian tubes. It is an outpatient procedure done with local anesthesia.

When is HSG done?

-    HSG is one of the first-line investigations for female infertility. HSG can identify a tubal block or tubal dilation due to hydrosalpinx. It can also tell us about uterine issues like Ashermann Syndrome, uterine polyp or septa. Also, adhesions near the fallopian tube can also be diagnosed with HSG.

Is HSG very painful?

-    If properly done, by slowly injecting contrast media, HSG causes mild cramps. Hence there is no need for anesthesia during HSG.

Is HSG 100%  accurate? 

-    No, no test is 100%  accurate. In certain patients, HSG might misdiagnose a tubal block, where there is none. Hence it is advisable to confirm tubal blockade by laparoscopy before proceeding further. 

Who does HSG & where is it done? 

-    HSG is done by your gynecologist or fertility specialist at an imaging centre.

Are there any alternatives to HSG?

-    Yes, there are alternatives to HSG like sonosalpingography, HyCoSy, etc. Please discuss with Dr. Prerna Gupta, the best infertility specialist in Delhi to look for correct options for you.