HSG
Plain-English guide for patients and families.
An HSG checks whether dye spills from the tube ends (patency) and shows cavity defects. Some studies suggest a short post-HSG fertility bump — debated. It is one tool alongside hysteroscopy and ultrasound.
Aftercare
Cramping and spotting are common; infection risk is low but seek help for fever or severe pain.
AI Information
EducationalThe HSG (hysterosalpingogram) is a first-line imaging test for assessing tubal patency and uterine cavity shape. A radio-opaque dye is injected through the cervix while X-ray images are taken — if the dye spills out of both tube ends, the tubes are likely patent. Interestingly, some studies suggest that HSG itself may have a therapeutic effect, slightly improving fertility rates in the months following the procedure.
Key Points
- HSG is typically performed between cycle days 6–12 (after period, before ovulation) to avoid disrupting a potential pregnancy.
- Oil-based contrast may have slightly higher fertility-enhancing effect compared to water-based contrast (H2Ofoam).
- Pain during HSG varies — pre-medication with NSAIDs is recommended. Most women describe it as moderate cramping.
- False positive results (apparent blockage that isn't real) can occur due to tubal spasm — laparoscopy may be needed to confirm.
- HSG cannot diagnose endometriosis or adhesions — it shows tubal patency and gross cavity defects only.
Who Should Know This?
All women in the early stages of fertility investigation, those with a history of pelvic infection or ectopic pregnancy, and women who want to understand their tubal status before considering IVF.
Clinical Context in Pakistan
HSG is part of the standard fertility workup at IVF Experts Lahore. Dr. Adnan Jabbar interprets results in context — a normal HSG is reassuring, while abnormal findings may lead to further evaluation with laparoscopy or proceed directly to IVF depending on the clinical picture.
Important Disclaimer
This AI-generated summary is for educational purposes only and should not replace professional medical advice. Always consult with Dr. Adnan Jabbar or your fertility specialist for personalised clinical guidance tailored to your specific situation.
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