Women’s Health Care Resources

Gynecology Services

Hysterosalpingogram (HSG)

This is an x-ray procedure done to assess the uterus and fallopian tubes. This can be done to evaluate for blocked tubes or tubal pathology.

A speculum is used so that a thin catheter can be inserted through the cervix into the uterus. A dye or contrast material is then inserted via the catheter. Pictures are taken as the dye passes from the uterus to the fallopian tubes and spills out the end of the tubes. This can define structural abnormalities of the uterus as well as occlusion of the fallopian tubes.

HSG Test: What to Expect

An HSG test provides information to your physician about the shape and contour of the uterus. This test can document endometrial polyps, fibroids or scarring. If you have a blocked fallopian tube or a growth in your uterus, you may have a reduced chance of getting pregnant. HSG procedures are normally part of an infertility workup. You can expect the test to take between 10-30 minutes.

Is an HSG Test Painful?

Normally the dye used will pass through with little to no discomfort. If your fallopian tubes are blocked, you may feel pressure which can cause substantial discomfort or intense pain. Tell your doctor immediately if you experience any pain. If you take ibuprofen 30 minutes to an hour before the procedure, it should reduce cramping during the test.

Does Insurance Cover HSG Tests?

Since HSG tests are diagnostic procedures, they may be covered by your insurance company. It depends on your insurance plan, so check your policy. If you’re not sure about your coverage, call your insurance provider to find out what they’ll cover. Though these tests can be a bit stressful, they’re often worthwhile in assessing your fertility.


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