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HYSTEROSALPINGOGRAM (HSG)

What is a Hysterosalpingogram (HSG)?
Your healthcare provider has requested that you undergo a hysterosalpingogram. This is a test to determine whether an abnormality of the uterus or fallopian tubes may be a cause of infertility. This is done by injecting x-ray dye while taking pictures of the uterus and fallopian tubes.

How Should I Prepare?
You may be directed not to eat or drink anything for six hours prior to your procedure. You may take your medications as directed. Speak to your doctor if you need to adjust your insulin dosing. Prior to your procedure, you should make sure all medications and allergies are updated. If you are on a blood thinner you may be requested to stop that medication for a period of time. You will want to arrange a ride home from a responsible adult afterwards should you require sedation.

How is the Procedure Performed?
The procedure will be performed by a radiologist with specific training in this procedure. The procedure will be performed under fluoroscopy (x-ray). The procedure is similar to a gynecological exam where you will be positioned on your back. A speculum is inserted into the vagina and a small tube (catheter) placed into the cervix. Dye will then be injected into the uterus and x-ray pictures taken. The catheter and speculum are then removed.

What should I expect after the procedure?
Following the procedure, you may be monitored for any complications. It is not unusual to experience some mild cramping and vaginal spotting for a few days.

Who interprets the results?
The interventional radiologist can advise you on whether the procedure was a technical success upon completion. The physician who ordered the test will discuss the final results with you.

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Glenn C. Cook, MD
Jason R. Kerr, MD
Sean Perini, MD

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