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Hysterosalpingography (HSG)

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Hysterosalpingography (HSG)

A Clearer View of Your Tubes. A Stronger Path to Parenthood.

At Sparsh IVF, understanding the condition of your fallopian tubes and uterus is crucial to building a successful fertility plan. One of the most effective tools to achieve this is Hysterosalpingography, or HSG — a specialized X-ray test that evaluates the patency (openness) of your fallopian tubes and the shape of your uterine cavity.

The HSG test is simple, safe, and highly informative. It often answers a critical question: Are your tubes allowing the egg and sperm to meet?

What Is an HSG Test?

Hysterosalpingography (HSG) is a diagnostic imaging test that involves injecting a contrast dye into the uterus and capturing X-ray images to visualize the shape and structure of the uterus and fallopian tubes.

The test is particularly useful to detect:

  • Blocked fallopian tubes
  • Uterine abnormalities (polyps, fibroids, adhesions, or septum)
  • Tubal scarring from past infections, surgery, or endometriosis
  • Congenital uterine defects that may cause miscarriage or implantation failure

At Sparsh IVF, the HSG is performed by expert gyne-radiologists in a sterile, controlled environment, using the latest imaging technology for precision and safety.

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Why Is HSG Important in Fertility Diagnosis?

For natural conception to occur:

  • The ovary must release an egg
  • The sperm must travel up through the uterus into the fallopian tubes
  • Fertilization must occur inside the tube
  • The embryo must travel back to the uterus for implantation

Any block or abnormality in this passage can prevent pregnancy. That’s why the HSG test is an essential part of fertility testing, especially before recommending IUI or IVF.

When Is HSG Recommended?

Your fertility expert may advise an HSG if:

  • You’ve been trying to conceive for over 6–12 months
  • You’ve had a pelvic infection (PID), TB, or surgery
  • Your ultrasound shows uterine anomalies
  • You’ve experienced recurrent miscarriages
  • You’ve had an ectopic pregnancy
  • You’re planning IUI or IVF and tubal patency is unclear

HSG is typically done between Day 6 and Day 10 of the menstrual cycle, after bleeding has stopped but before ovulation.

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What to Expect During the Procedure

  • A speculum is inserted into the vagina and a thin catheter is placed into the cervix.
  • A special iodine-based contrast dye is slowly introduced into the uterus.
  • X-ray images (fluoroscopy) are taken in real-time as the dye flows through the uterus and fallopian tubes.
  • If the tubes are open, the dye will spill freely into the pelvic cavity. If they are blocked, the dye will stop or backflow.
  • The entire process takes about 15–20 minutes.
  • Mild cramping or spotting may occur for a few hours
  • You can resume normal activities the same day
  • Painkillers may be prescribed to reduce discomfort

Risks & Safety

HSG is considered very safe when performed in proper conditions. Rare risks may include:

  • Mild allergic reaction to dye
  • Pelvic infection (very rare, especially with sterile technique)
  • Vaginal spotting or slight discomfort

At Sparsh IVF, we ensure sterile technique, detailed counselling, and same-day observation to minimize any complications. Antibiotics may be prescribed prophylactically in selected cases.

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Advantages of HSG at Sparsh IVF

  • Expert Team: Performed by experienced fertility radiologists and clinicians
  • Advanced Imaging: Digital fluoroscopy for enhanced image clarity
  • Painless Technique: Gentle procedure with supportive staff and real-time guidance
  • Instant Results: Doctors review and explain the scan right after the procedure
  • Integrated Records: All images and findings are linked to your digital fertility file for continuity of care

FAQs

You may feel mild cramping, similar to menstrual pain. The discomfort is brief and manageable with medication.

Yes — in some cases, flushing the tubes with dye may temporarily open minor blockages, improving chances of natural conception in the following months.

Yes. In fact, many patients conceive naturally within 1–3 cycles after a normal HSG, especially if no other major issues are present.

Your doctor will recommend the next best step — such as laparoscopy, tubal surgery, or IVF — depending on the findings and your goals.

Book Your HSG Test With Confidence

If you’ve never had your fallopian tubes evaluated, or if previous scans have been inconclusive, HSG may be the test that brings you the answers you’ve been looking for.

Schedule your HSG at Sparsh IVF and move forward with clarity, confidence, and expert care.

You can’t fix what you don’t see. And with HSG at Sparsh IVF, we make the invisible visible — so you can move ahead with certainty.