Hysterosalpingography (HSG)

A hysterosalpingography (HSG) is an X-ray examination in which the uterus and fallopian tubes are visualized by introducing a contrast fluid.

The examination is used to detect any abnormalities of the uterus and to examine the patency of the fallopian tubes. This can serve as a fertility test or to investigate whether the fallopian tubes are completely closed after sterilization.

Course

Before the examination

A hysterosalpingography (HSG) takes place by appointment only and in consultation with the treating gynecologist if he or she will conduct the examination. The examination is best carried out between the last day of menstruation and the next ovulation.

The examination is only carried out on the basis of a medical prescription. Please note that the investigation may start later than planned due to unforeseen circumstances.

To register, you can register directly at the Medical Imaging / Radiology desk with your identity card and medical prescription. Images and/or access codes of relevant previous studies conducted elsewhere must be brought with you.

If you are allergic to iodine or are taking anticoagulants, inform your doctor or medical imaging professional.

The examination sometimes causes some discomfort, but taking a painkiller (NOT ASPIRIN) before the examination can be useful.

During the examination

The examination is done on the X-ray table, on the back with the knees pulled up. The treating gynecologist gently inserts a fine tube into the uterus using a speculum. The contrast fluid is slowly injected into the uterus through this while X-ray images are being taken. Injecting the fluid can sometimes be annoying or a bit painful.

The examination takes approximately 20 minutes.

After the examination

The examination may induce temporary uterine cramps. This causes pain in the lower abdomen and back and can feel like menstrual pain. The first days after the examination you may have some transient bleeding or brownish discharge. If these symptoms do not go away on their own within three days or if your complaints persist longer or become more severe, contact your gynecologist.

The radiologist makes a report of the examination. You will receive a code/link with which the images and the report can be viewed by yourself and the requesting doctor. The referring doctor/gynecologist will discuss the results with you.