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A hysterosalpingogram (HSG) is an X-ray test. It looks at the inside the uterus and fallopian tubes and the area around them. It often is done for women who are having a hard time getting pregnant it is to ascertain whether the fallopian tubes are open and to see if the shape of the uterine cavity is normal. An HSG is an outpatient procedure that takes less than one half-hour to perform. It is usually done on day 8th of cycle. This procedure facilitates the treatment of IUI & OI.

What is HSG Test?
Hysterosalpingography is a test performed to evaluate the condition of your uterus and fallopian tubes. X-ray contrast is injected into your uterus, and an X-ray is taken to determine if the cavity is normal and ensure the fluid spills out of your fallopian tubes. With HSG test your doctor will be able to confirm that a woman’s fallopian tubes are open and uterus has a normal shape. It also make sure the cavity is not affected by fibroids, polyps or scar tissue.

How is the HSG test performed?
At the start of the HSG procedure, the cervix is visualized with a speculum inserted into the vagina and cleaned with an antiseptic solution. A thin, plastic catheter is placed inside the cervix and a small amount of contrast dye is passed through the catheter into the cervix, filling the uterus and fallopian tubes.Then with an X-ray the practitioner can watch as the dye fills the uterus and travels into the tubes. The tubes are considered open when the dye is able to move completely through the length of the tube, spilling the dye out on the other side.

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HSG Step-by-Step Guide

Initial Consultation with Neelima Fertility Specialist


Blood Tests

Treatment Plan

Start of Treatment

The Process



Medications are given for development of one or more mature follicles in a woman’s ovaries.


Egg Release

Ovulation induction cycles are followed by a HCG Injection to induce ovulation, the final maturation of the egg and loosening of the egg from the follicle wall.



Pelvic ultrasound scans are used to access the endometrium (lining of the womb) and to determine how the follicles are developing.


Timed Intercourse

The couple is advised to have intercourse as per the ovulation scan and days suggested by the doctor.

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A Quick Question

For whom OI with TI is suggested?

Side effects of HSG Procedure:

There are some common side effects such as pain and/or discomfort, abdominal pain or cramps and vaginal spotting and/or watery discharge.

Risks of HSG Procedure:

There is an uncommon risk of infection involved with HSG Procedure. If you have bleeding that resembles a period or develop a fever, or continue to feel pain for more than a few days, you should contact your physician.