If the contrast cannot pass through the Fallopian tube, there is increased pressure at the point of the blockage. Again, all of this takes a minute or less.
And to reduce the cramping, it is our practice at SGF to advise Ibuprofen or similar over the counter non-steroidal anti-inflammatory product 1 hour prior to the procedure on a full stomach.
Complications are exceptionally rare. We advise our patients to refrain from intercourse for 24 hours after the procedure to avoid infection. No antibiotic is recommended prior to the procedure. Any fevers post-procedure, you must let your doctor know immediately. Occasionally, patients will experience spotting a few days following.
A potentially serious complication can result if you are allergic to the contrast. If you have had any allergic reaction to prior contrast as used with a CT scan, or IVP you need to notify your physician to determine if it is still safe to proceed and if you require additional medications prescribed prior to the procedure to reduce your risk for a reaction.
To schedule a virtual consultation with an SGF physician, please call our New Patient Center at or submit this brief form. Medical contribution by Anish A.
Shah, M. S Anish Shah, M. Schedule Appointment. Search Search Resources. Your doctor understands. Ask for help if you need it. Once the doctor has decided that the pictures are satisfactory, the x-ray machine will be lifted up and the speculum removed. You're free to go home.
The test can be nerve-wracking, with this big x-ray machine hovering over you while you're lying on your back, legs apart, with the speculum inside.
The nurse or doctor may ask you to roll over to your side for an x-ray or two, and you have to do it with the speculum still between your legs. In most women, the dye painlessly passes through the uterus, through the fallopian tubes , and out into the abdominal cavity. However, if your tubes are blocked, the dye can cause pressure. This is what can then lead to substantial discomfort or even pain. The good news is that if you do feel intense pain, it shouldn't last for more than a minute.
During the test, if you feel pain, tell your doctor right away. They can quickly remove the catheter, which will release the pressure and should eliminate your pain. Most doctors recommend taking ibuprofen an hour before the HSG. This can reduce mild cramping during the test. Anxiety and fear about the test can increase your perception of pain. You may experience mild cramps and light spotting.
You'll be able to resume regular activity after the test. Some doctors may tell you to refrain from sexual intercourse for a few days after the test. While mild cramps are normal, if your discomfort seems to be increasing after the test or you develop a fever, contact your doctor. There is a rare risk of infection following an HSG. Increasing pain may be a sign of infection. Increasing pain may hint that an infection is brewing. After your test, your provider will deliver your test results.
The HSG helps the doctor check out two important factors:. If the x-ray shows a normal uterine shape, and the injected dye spills freely out from the ends of the fallopian tube, then the test results are considered normal. This doesn't, however, mean your fertility is normal. It just means whatever may be wrong wasn't seen on the HSG. Hormonal-based causes of infertility will not be seen on an HSG. Not all uterine based fertility problems can be visualized with an HSG.
In other words, the HSG showed a normal uterine shape, but a hysteroscopy showed abnormalities. Also, endometriosis can't be diagnosed with an HSG. Only an exploratory laparoscopy can rule out or diagnose endometriosis. If the dye shows an abnormally shaped uterus, or if the dye does not flow freely from the fallopian tubes, there may be a problem. The blockage appears to be right where the fallopian tube and uterus meet. If this happens, the doctor may repeat the test another time or order a different test to confirm.
An HSG can show that the tubes are blocked, but it can't explain why. Your doctor may order further testing, including exploratory laparoscopy or a hysteroscopy. These procedures can both help investigate the issue and possibly correct the problem. An HSG is a generally safe procedure. Still, there many people are concerned about safety and potential risks of an HSG test.
This is more common if you've already had an infection or you're at risk for pelvic inflammatory disease PID. If you have a history of PID, sexually transmitted infection, or abdominal surgery such as an appendectomy , your doctor may prescribe antibiotics for the procedure as an extra precaution. Another risk is fainting during or after the test. If you feel dizzy after the exam, tell your doctor.
It may be better for you to remain lying down until you feel less woozy. A rare but potentially serious risk is iodine allergy. If you are allergic to iodine or shellfish, tell your doctor before the test. If you have any itching or swelling after the test, tell your doctor. Usually, when you have an x-ray, the first thing the technician does is cover your pelvic area. During an HSG, the x-ray is aimed right at the pelvis.
Parry, a reproductive endocrinology specialist and chief of the Division of Reproductive Endocrinology and Infertility, has come up with a technique that minimizes discomfort while also being more accurate, faster, cheaper, safer and convenient. It's called the Parryscope, not a piece of equipment, but instead a specific procedure that replaces HSG.
During HSG, a physician inserts either a stiff or flexible tube into a woman's cervix on the way to her uterus. Dye is passed through the inserted tube; if the fallopian tubes are open, the dye will flow through, but if they're blocked, it won't.
What's different about Parry's procedure: He uses a narrow, flexible fiber-optic camera, saline and air to determine if the saline and air bubbles can enter the fallopian tubes and if the uterus is receptive to pregnancy. Dye isn't used at all. It was times more painful than the Parryscope. I'll never forget it. Parry presented findings on his Parryscope procedure at the October meeting of the American Society for Reproductive Medicine.
To his knowledge, Parry said, no one had previously published data validating the use of a hysteroscope to observe air bubbles and saline for fertility testing. The data shows it's as accurate, if not more accurate, than anything else out there, and light years more gentle. The Parryscope is performed by Parry; Dr. They know the nurses and staff members who are involved in their care.
While saline used in the Parryscope generally seeps back out of the uterus' opening because of the thin scope used, dye used in the HSG procedure stays in the uterus longer, Butler said. There's pressure, and the pain occurs when the dye is placed in the tubes.
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