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The Hysterosalpingography (HSG) test is an X-ray procedure used to check the health of a woman's uterus and fallopian tubes. It helps diagnose blockages or structural issues that may affect fertility. The cost can vary depending on the hospital and location. Knowing the normal range helps in accurate diagnosis and treatment planning. The test is generally safe, with minor risks like discomfort or mild cramping during the procedure.
What is the Hysterosalpingography (HSG) Test?
The hysterosalpingogram (HSG) test is a diagnostic test that utilizes X-ray imaging and a specialized dye to detect fertility-related issues.
- The process aims to assess possible obstacles that may impede pregnancy, like obstructions in the fallopian tubes or an abnormally shaped uterus.
- This entails injecting dye into the uterine cavity and fallopian tubes.
- Subsequently, X-ray images are taken to evaluate the reproductive structure.
- This examination is advantageous in detecting irregularities in the reproductive anatomy.
- It plays a crucial role in determining the right treatment to support individuals in their journey towards conception.
When Should a Hysterosalpingography (HSG) be Done?
- The provider sets up the procedure to take place within the initial two weeks of the menstrual cycle.
- This timing happens after the previous period but before ovulation.
- Scheduling the procedure during this specific timeframe lowers the likelihood of getting pregnant or having your period while undergoing the procedure.
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Get Second OpinionWho shouldn't get a Hysterosalpingography (HSG)?
- If you are pregnant or suspect pregnancy, an HSG test should not be performed.
- Individuals with active pelvic infections should avoid this procedure to reduce the risk of further complications.
When is the Hysterosalpingography (HSG) Test Needed?
- The HSG (hysterosalpingogram) procedure helps the doctor determine if the fallopian tubes are open or blocked.
- This information is crucial for diagnosing fertility problems.
- When the fallopian tubes are open, it creates a smooth path for conception.
- For fertilization to occur, sperm needs to travel through the fallopian tubes and reach the egg.
- Once fertilized, the embryo travels through the fallopian tubes towards the uterus.
- In the uterus, the embryo can implant and develop into a healthy fetus.
Blocked fallopian tubes obstruct these processes and are a leading cause of infertility. An HSG will also enable the provider to:
- Examine the outcome of a tubal ligation or tubal reversal: An HSG can determine whether a tubal ligation treatment successfully can close the fallopian tubes, preventing pregnancy. It can also indicate whether or not the procedure was successfully reversed.
- Plan for further imaging: An HSG can detect uterine anomalies (fibroids, aberrant shape) that the provider can utilize to prepare for additional imaging, such as sonohysterography and hysteroscopy. A sonohysterogram can refine the results of an HSG and provide a final diagnosis, whereas a hysteroscopy can treat specific uterine disorders.
Who performs a Hysterosalpingography (HSG)Test ?
An HSG can be performed by a gynaecologist, radiologist, or reproductive endocrinologist. After this, a radiologist will review the X-rays and prepare a report to inform the doctor of the results.
How is the Hysterosalpingography (HSG) Test Performed?
A dye is injected into the uterus and fallopian tubes during an HSG. On an X-ray, the dye generates an outline of the uterus and fallopian tubes.
The HSG test procedure starts with a doctor inserting a catheter into the cervix and injecting a contrast into the uterus and fallopian tubes. This dye appears on X-ray images, allowing the doctor to evaluate the shape and patency (openness) of the reproductive structures. The whole process typically takes about 30 minutes.
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How Should I Prepare for the Hysterosalpingography (HSG) Test?
To prepare for the procedure, follow the instructions provided by the health provider. The provider may recommend you to:
- An hour before the treatment, take an over-the-counter pain reliever.
- To avoid infection, take antibiotics beforehand.
You might be able to drive by yourself. But if you have cramps driving may be difficult. It's a good idea to have someone along if something goes wrong.
Is an HSG Painful?
Moderate pain or discomfort is common with an HSG before and after the operation. When the provider inserts the dye solution into the uterus, you may experience cramping. When the tubes become blocked, people may suffer more cramping.While HSG test side effects vary from person to person.
The cramping could continue from five minutes to many hours following the surgery. It could be minor or moderate. Over-the-counter NSAIDs can help relieve cramping.
What to Expect After the HSG Test?
You may need to wear a pad after the test to catch any leftover dye solution that escapes the vagina. The discharge is frequently sticky and contains small amounts of blood. You may also experience the following side effects:
- Dizziness
- Cramps
- Vaginal bleeding for a day or two
- Upset stomach or nausea
- Sticky discharge
- Light bleeding
Depending on your comfort level, you may continue all normal activities immediately after the HSG.
Are There Any Risks or Side Effects of the HSG Test?
The level of radiation used by an HSG to record X-ray images is minimal. HSG test is not risky. But, below are instances of uncommon complications:
- Injury to the uterus
- Infection in the reproductive system
- An allergic reaction to the dye solution
These risks are rare, and your healthcare provider will take necessary precautions to minimize them.
What Should I Do After Getting My HSG Results?
Consult the Doctor. The provider will inform you of the results and advise you on the next steps. If the HSG reveals a blockage, the doctor may suggest other treatments, such as laparoscopy, to identify and treat the problem. However, they may recommend fertility therapies that do not necessitate clean fallopian tubes, such as in vitro fertilization (IVF).
Who Should Take the HSG Test?
- Women experiencing infertility or trouble conceiving.
- Women who have had recurrent miscarriages or pregnancy complications.
- Individuals with a history of pelvic infections or conditions such as endometriosis or fibroids.
- Women with irregular menstrual cycles or those who are undergoing fertility treatments, such as IVF.
- Women who have had previous pelvic surgery or abnormal ultrasound findings indicating possible blockages or issues with the fallopian tubes or uterus.
What Type of Sample is Collected for the HSG Test and How?
- The HSG test involves no sample collection like blood or urine.
- Instead, a special contrast dye is injected into the uterus through the cervix.
- The procedure is done under X-ray imaging, allowing the doctor to see the shape of the uterus and the fallopian tubes, and whether the tubes are blocked.
Are There Other Ways to Collect the Sample for the HSG Test?
- No, there are no alternate methods for the HSG test. The primary method involves using a contrast dye injected through the cervix into the uterus, which is then observed using X-ray imaging.
How Long Does the HSG Test Take?
- The HSG test is relatively quick, usually taking about 20 to 30 minutes.
- The procedure itself lasts only 5 to 10 minutes, but some time is needed for preparation and X-ray imaging.
When Will I Get My HSG Test Results?
- The results of an HSG test are typically available immediately after the procedure, as the images are reviewed by the doctor during or shortly after the test.
- A formal report will usually be sent to you within a day or two, depending on the facility.
- Your doctor will explain the results and discuss any necessary follow-up or treatment options based on the findings.
How Do I Understand My HSG Test Results?
- A normal (negative) result indicates that the uterus and fallopian tubes are clear, and there is no blockage.
- An abnormal (positive) result may show blockages, structural issues with the uterus, or conditions like fibroids or polyps.
- Depending on the result, your doctor may recommend further tests, treatments, or surgical options.
What are the Factors Affecting HSG Test Cost?
- The cost of the HSG test can vary based on the type of hospital and the location (city or rural areas).
- The complexity of the test and whether additional imaging techniques or consultations are included may influence the price.
- The lab's facilities and reputation can also play a role in the cost.
How Much Does the HSG Test Cost in India?
- The average cost of an HSG test in India ranges from Rs.2,000 to Rs.3,400.
- Prices may vary depending on the city, the hospital, and the type of facility where the test is conducted.
HSG Test Price in Different Cities Across India
| City | Price |
| Hyderabad | Rs 2000 to Rs 3400 |
| Chandanagar | Rs 2000 to Rs 3400 |
| Karimnagar | Rs 2000 to Rs 3400 |
| Nizamabad | Rs 2000 to Rs 3400 |
| Warangal | Rs 2000 to Rs 3400 |
| Vizag | Rs 2000 to Rs 3400 |
| Srikakulam | Rs 2000 to Rs 3400 |
| Kakinada | Rs 2000 to Rs 3400 |
| Kurnool | Rs 2000 to Rs 3400 |
| Nellore | Rs 2000 to Rs 3400 |
| Navi Mumbai | Rs 2000 to Rs 3400 |
| Nashik | Rs 2000 to Rs 3400 |
| Chhatrapati Sambhaji Nagar | Rs 2000 to Rs 3400 |
| Pune | Rs 2000 to Rs 3400 |
| Sangamner | Rs 2000 to Rs 3400 |
| Bengaluru | Rs 2000 to Rs 3400 |
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Frequently Asked Questions
Most healthcare providers advise patients to avoid eating or drinking before the procedure.
Most healthcare providers recommend that women wait for at least one menstrual cycle after an HSG before trying to conceive.
According to healthcare professionals, women should only undergo an HSG once every six months.
Other diagnostic tests for fertility-related issues include ultrasound, laparoscopy, and hysteroscopy.
Men are not exposed to HSG, but related tests, such as sperm analysis, can be used to diagnose male fertility concerns.
After an HSG, some women may have bloating or abdominal discomfort, but this is usually minimal and goes away within a few days.
Although uncommon, there is a slight chance of uterine or fallopian tube damage with an HSG.
Although the radiation used in the HSG is generally regarded as safe for breastfeeding women, it is recommended that they wait until they are no longer breastfeeding before undergoing the procedure.
If a woman has an active vaginal infection, she should wait until the infection has cleared before having an HSG.
The cost of a hysterosalpingography (HSG) test ranges from Rs 2000 to Rs 3400 in India.
