The Importance of an HSG Test in Your Journey to Become Pregnant

If you’re a woman, your body needs to be healthy and ready for pregnancy. A hysterosalpingogram (HSG) test is done to check whether your uterus is in good shape and your fallopian tube is open. 

When should HSG test be done?

An abnormally shaped uterus can affect your chances of getting pregnant. An HSG test is usually the first test that the doctors suggest if women have difficulty conceiving and if the man has a healthy sperm count. It’s also suggested to some women who have suffered from two or more miscarriages. The HSG test is usually done right after the menstrual cycle and before ovulation. This is because the follicles are most proliferated at this stage of the cycle.  

Apart from helping in understanding your chances of getting pregnant, it also helps in assessing the overall health of the female reproductive organs. 

How much does an HSG test cost?

The cost of an HSG test may range from Rs. 1200/- to Rs 5000/- depending on the city that you’re in and the hospital or clinic that you choose. It’s usually performed on outpatients and will take no more than a couple of minutes. Since you can go home on the same day, you won’t have to worry about paying room charges. 

What does the HSG procedure entail?

An HSG test is a special X-Ray test administered using iodine dye. It’s done during the small gap between the last day of your periods and before ovulation. This test is conducted using a fluoroscope—a special type of X-ray imager. Women are advised not to have intercourse during this time to ensure that they’re not pregnant during the test.

Getting an HSG during pregnancy can be harmful to both the mother and the foetus. Before the test begins, the woman is asked to change into an X-Ray gown and is fully briefed on the procedure. After addressing any questions the patient might have, her consent is taken to proceed with the test. In some cases, your doctor might advise you to take an over-the-counter painkiller an hour before the procedure and sometimes he might give you local anaesthesia. A small metal instrument is inserted into the cervix for a detailed inspection. This metal instrument, also known as a speculum, passes through the cervical canal into the womb. The iodine dye or the contrast is injected into the womb as a doctor watches over the entire procedure on a screen. Some images are captured to be kept in the record.

Once the procedure is over, your radiologist will refer to these images to create a full detailed report, which will be sent to your doctor. Although the test will take approximately five minutes or less and you can leave on the same day, it’s advised to have someone to help you out at home to settle in. 

Are there any HSG test side effects?

The HSG test usually does not have any serious side effects. However, there are some risks involved. 

  1. Cramps: Some women experience mild to moderate cramps during this process, which might last for a couple of minutes to several hours depending on their pain threshold. That being said, some women don’t experience any pain at all. 
  2. Radiation: Radiation is harmful and exposure to high levels can have detrimental effects on your health. However, HSG tests are usually conducted by medical experts and they ensure that they adhere to the national guidelines regarding its uses. 
  3. Fainting: Some women might feel dizzy or lightheaded right after the procedure. But this condition is extremely rare. 
  4. Iodine Allergy: Before the procedure, doctors do a detailed check on whether the patient has any significant allergies. And most women react well to the modern dye. 
  5. Spotting: Spotting is normal after the procedure. But if you experience heavy bleeding, please make sure to get in touch with your doctors immediately 

On the bright side, an HSG test also has various benefits like boosting your chances of getting pregnant.

Published by Nova IVF Fertility Center


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