Definition: A guide to x-ray examination of the uterus and fallopian tubes. Purpose: The diagnostic test called hysterosalpingogram or HSG involves injecting dye through the cervix into the uterus. The dye flowing through the uterus and into the tubes will enable the physician to determine if the reproductive tract is open and may diagnose abnormalities affecting fertility.


A speculum is inserted into the vagina (as in a pelvic exam for a pap smear). This enables the physician to view the cervix (the opening of the uterus). An instrument is placed on the cervix which causes a pinching sensation. This will allow the cervical canal to be straightened so that a thin plastic tube can be inserted. This tube is attached to a syringe containing the x-ray dye. On a nearby television screen you will be able to see the fluid as it enters the uterine cavity if you wish. You may feel some pelvic discomfort, similar to menstrual cramps as the uterus and tubes appear. Remember that your physician, the radiologist, and a technician will be there to help you. After one or two films are taken, the instruments will be removed. The entire procedure usually takes less than five minutes. An additional x-ray may be taken about 30 minutes after the HSG, but no internal instruments are necessary. Expect to spend about one hour for the procedure and associated consultations.


To schedule an HSG, call 278-0396 when your menstrual cycle begins. If your menstrual cycle begins on the weekend, notify the office on Monday. The first day of your menstrual period is considered day one. The HSG will be arranged usually during cycle days four though ten. Most procedures will be scheduled at 8:00 a.m., 11:00 a.m., or 1:00 p.m. Please bring a sanitary pad with you as there will be some vaginal bleeding for a day or two.


Ibuprofen 200 mg (Advil, Nuprin, Motrin IB). Take two tablets every six hours the day before the procedure. The day of the HSG take two tablets at breakfast and two tablets with a light lunch (liquids). This will reduce your discomfort. Your physician may prescribe an antibiotic for the procedure, if so, please take as directed. NOTE: Someone should accompany you to the procedure to drive you home if necessary.