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A hysterosalpingogram (HSG) is a radiological test to examine your fallopian tubes for blockage or scarring.

The test may also be performed to investigate the condition of your uterus for scarring or fibroids.

What happens during HSG?

HSG is usually takes no more than 30 minutes. There is usually no anaesthetic required but you may be given local anaesthetic to slightly numb your cervix. A tiny catheter is inserted through your cervix. Contrast dye is inserted into your uterus so your consultant can examine your organs. Be sure the tell staff if you have any allergies. They may view images on monitor during your procedure. 

If the x-ray shows an abnormally shaped uterus or the dye does not flow freely out of your fallopian tubes your consultant may want to repeat the procedure or order different tests to confirm the result. 

Going home after HSG

You may be asked to wait a short time following HSG to allow any cramping to settle and ensure you do not have an allergic reaction. During and for a few days after your HSG you may experience cramping similar to period pain. You may be advised to take over the counter pain medication such as Paracetamol prior to this procedure to ease any discomfort.

You may also experience discharge or slight bleeding as the dye makes its way out of your body. You should use sanitary towels (not tampons) until this settles. Most women go home shortly after this procedure and return to normal activities the next day. 

As with any procedure there can be complications. These might include:

  • Pain
  • Bleeding
  • Infection
  • Allergic reaction to the dye used


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