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HYSTEROSALPINGOGRAM (HSG)
The diagnostic test called Hysterosalpingogram or HSG involves injecting dye through the cervix into the
uterus. The dye flowing through the uterus and into the tubes will enable the physician to determine if the
tubes are open and if the uterus is shaped normally.
First, a speculum is inserted into the vagina (same as for a pap smear.) This enables the physicians to
view the cervix (the opening to the uterus). A small plastic tube is inserted through the cervix.
Sometimes a tenaculum (metal clip) may need to be placed on the cervix to straighten it; this causes a
pinching sensation. The tube is attached to a syringe containing X-ray dye, which is injected into the
uterus and tubes. On a nearby television screen you will be able to see the fluid as it entered the uterine
cavity. You may feel some pelvic discomfort, similar to menstrual cramps, as the uterus and tubes
appear. There will be a physician, radiologist, and technician there with you if you need any help. After
1-2 films are taken the instruments will be removed. The entire procedure usually takes about 10-15
minutes.
If you are allergic to previously used X-ray dyes, crabs or shellfish please let us know since you may also
be allergic to the dye used for HSG. If you develop hives, shortness of breath or a rash you should notify
your doctor as soon as possible. Risk factors may include: Bleeding ,infection, pain, or need for further
procedures.
In order to schedule a HSG, call (806) 743-4256 when you menstrual cycle begins. If your period starts
on a weekend, please call the following Monday. The HSG will be scheduled between your period and
time for ovulation usually between cycle days 5-10.
You should take Doxycycline as prescribed the day of the procedure and the next 4 days. Please bring a
sanitary pad as there may be some vaginal staining for 1-2 days.
You should check with your benefits from your insurance company to see if this is a covered procedure.
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3502 9 , Suite G10 • Lubbock, TX 79415 • Ph (806) 743-4256 • Fax (806) 743-4462
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