A Powerful Tool For Fertility
A hysterosalpingogram (HSG) is a specialized imaging procedure used to evaluate the uterus and fallopian tubes. This diagnostic test is often recommended for individuals experiencing unexplained infertility. Understanding the purpose of an HSG and what to expect when undergoing the procedure can help people better appreciate the many benefits.

Imaging identification
An HSG test is essentially an x-ray procedure that examines the uterine cavity and fallopian tubes. A contrast dye is introduced into the uterus, and images are taken to identify blockages or abnormalities. The test is typically performed in a radiology suite or a doctor’s office and takes approximately 30 minutes. Some minimal discomfort, similar to menstrual cramps, can occur.
Identifying common fertility issues
Hysterosalpingograms are instrumental in diagnosing conditions like uterine fibroids, polyps, or scar tissue that may impede pregnancy. Blocked fallopian tubes, often caused by infections or prior surgeries, can also be detected with the test. Early identification of such issues allows for targeted treatments to take place, which can drastically improve fertility outcomes.
An added benefit
In addition to diagnosing common fertility problems, an HSG can also help treat certain fertility issues. For some women, the flushing of the tubes during the procedure can clear minor blockages. Studies suggest that pregnancy rates may increase significantly in the first few months following an HSG, particularly for individuals with unexplained infertility.
Preparing for the procedure
Once the decision is made to undergo an HSG, the procedure must be scheduled during a specific window in the menstrual cycle. An appointment between days 7-10 of the cycle ensures the patient is not pregnant and allows for the clearest view of the tubes since minimal menstrual debris remains. Over-the-counter (OTC) pain medications to minimize discomfort may be recommended before the procedure, and in some cases, the doctor will prescribe antibiotics to be taken ahead of time. Women can eat and drink normally on the day of the test.
Risks and recovery considerations
While HSG is generally safe, minor risks include infection, cramping, or allergic reactions to the dye. Mild spotting or cramping may occur post-procedure but usually will resolve quickly. Most women can drive home from the procedure and return to work right away. Monitor for unusual or concerning symptoms for the first few days and report any side effects to the doctor.
Clearing a path to parenthood
An HSG is a valuable tool in the fertility journey, offering both diagnostic and therapeutic benefits. Exploring this option can provide answers and open new possibilities for women seeking to overcome unexplained infertility challenges. Make sure to discuss the risks, benefits, and optimal timing for scheduling the procedure with a healthcare provider. With an HSG on the books, the path to parenthood may look clearer than ever before.