Hysterosalpingography (HSG) is a specialized radiological examination used to evaluate the shape of the uterus and the condition of the fallopian tubes. This test is an important diagnostic tool in reproductive medicine and plays a major role in identifying the causes of infertility.
🔹 How is HSG performed?
The procedure is performed on an outpatient basis and only takes a few minutes. During the examination, a contrast agent (usually iodine) is injected through the cervix into the uterine cavity. With the help of X-rays (fluoroscopy), the doctor follows the flow of the contrast to see if the uterus has a regular shape and if the fallopian tubes are open.
🔹 Why is it important?
One of the main causes of infertility is blockage of the fallopian tubes or uterine abnormalities that prevent embryo implantation. Hysterosalpingography helps diagnose these problems by providing a clear and accurate view of the reproductive structures.
🔹 When is HSG recommended?
This test is usually recommended in the following situations:
When a couple has been trying to conceive for more than a year without success
In cases of suspected tubal blockage after pelvic infections
After repeated miscarriages to assess the shape of the uterus
Before fertility treatments such as artificial insemination or IVF
🔹 Is the procedure painful?
Although pain sensitivity varies from patient to patient, HSG is generally tolerable. You may feel mild menstrual cramps for a few minutes after the procedure. Your doctor may recommend taking a mild painkiller before the test.
🔹 What happens after HSG?
After the procedure is complete, you can resume normal daily activities. In some cases, studies have shown that the chances of getting pregnant may temporarily increase after HSG, especially if the contrast has easily cleared any partial blockage.
