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Hysterosalpingogram (HSG)

A hysterosalpingogram (HSG) is a 15-minute office procedure that checks for scar tissue, polyps, fibroids, or other growths that may be blocking the fallopian tubes or preventing a fertilized egg from implanting properly in the uterus.

uterine fibroids causes of infertility

What to Expect

During this procedure, you will be asked to lie on an examination table with your feet in stirrups. A relatively large machine, called a fluoroscope, will be positioned over your pelvis to take a “real-time X-Ray” of the reproductive tract. Your doctor will then place a speculum in the vagina and insert a small catheter through the natural opening of the cervix. A small amount of contrast material will be delivered through the catheter into the uterus and the doctor will monitor the dye as it moves through the uterus into the fallopian tubes.

The dye will outline intrauterine abnormalities such as polyps or fibroids, if present. If the fallopian tubes are open, the dye will pass easily through the tubes. If they are blocked or damaged, the contrast dye will not flow through the tubes as expected. Unfortunately, as the contrast dye passes through the reproductive tract, you may experience some cramping, but the discomfort should resolve quickly as the dye flows back out of the uterus.

Interpreting Results

When the HSG is done, your RMA doctor will immediately review the results of the test with you and make recommendations for proceeding with fertility treatment.

Read this article to learn more about HSG test results.

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