Hysterosalpingogram or HSG, Page 2

Typical Procedure Protocol

semen analysis of male partner
may require pre-admit paperwork be completed in hospital, as most HSG's are performed in hospital radiology departments
in some cases, administration of oral antibiotics a few days prior, as a prophylactic (prevention) measure
determination with provider of type and amount of over-the-counter pain medication (typically, Ibuprofen) to be taken by patient the day of procedure, before procedure

patient lies on exam table with feet in stirrups
speculum, similar to that used in typical female exam, is inserted into vagina
soft, thin tube inserted into cervical opening; a tenaculum (surgical instrument) may be used to assist in holding the cervix open
contrast dye is injected through the tube and flows into the uterus
Xray picture is taken as the uterus fills and then as fluid is observed moving (or not) through the tubes
if no fluid spill is shown through the tubes, patient is asked to roll on her side for a different view by Xray
instruments are removed and patient remains on table for several minutes recovery period

US $175. to $600., depending on where procedure is performed and the going rate for geographical area

Mild discomfort during insertion of tube into cervical opening
More intense pain during dye injection, typically from the pressure of fluid within the uterus, resembles mild to severe menstrual cramping
Remaining pelvic discomfort lasting from a few hours to a day beyond the procedure

Pelvic or abdominal cramping that continues for more than 24 hours past procedure, or that is so severe as to restrict all activities of daily life
Fever

Slight risk of pelvic inflammatory disease (PID) resulting from bacteria introduced into body through procedure itself
Uncommon risk of allergic reaction to dye itself
Very uncommon risk of uterine perforation