Hysterosalpingography (HSG)

Hysterosalpingography is the process of radiographically examining the uterus and fallopian tubes using a contrast medium. HSG, also known as hysterosalpingography;

• In diseases such as infertility, cancer, blocked channels,
• In the detection of intrauterine myomas and polyps,
• It is an imaging method used to detect adhesions that may occur after miscarriage and abortion.

When a hysterosalpingogram is taken, a fluid that can be seen on the radiograph is injected into the uterus and tubes through the cervix. In this way, the inside of the uterus and tubes are made visible on the radiograph. Since it is the imaging method that most clearly reveals the permeability of the tubes, HSG is the most frequently used method for diagnosis in infertility treatment.

The contrast material given during the hysterosalpingography also has a cleansing effect on the tubes. This fluid, given under pressure, contributes to the treatment by clearing the mucus-like structures in the tubes.

How is a Hysterosalpingogram Taken?

Hysterosalpingography   is performed within the first 3-4 days after menstrual bleeding, when the inner lining of the uterus is thin and the probability of pregnancy is lower. During the hysterosalpingography procedure, the patient is laid on the X-ray table and asked to pull her legs together. The vaginal walls are opened with the vaginal speculum used during the gynecological examination, and the cervix is ​​reached. The vagina and cervix are disinfected with a special solution to prevent the risk of infection. Afterwards, a catheter is placed in the cervix to be used to deliver the contrast fluid into the uterus. The liquid contrast material containing iodine is delivered from the cervix to the tubes and into the uterus with the help of this catheter. Thanks to the structure of iodine that retains X-rays, an image of the inside of the uterus and the tubes is taken. This liquid used has no side effects, is odorless and colorless, and does not cause a burning sensation. Although the procedure is known among the public as a medicated hysterosalpingography, the liquid used is not actually a drug. However, pressurizing the tubes and uterus with fluid can be effective in removing blockages in these areas.

The hysterosalpingography procedure is completed in an average of 15 minutes. After the procedure, patients can immediately return to their normal lives. The procedure is quite painless. However, before the hysterosalpingography, it may be recommended that the patient take a non-steroidal anti-inflammatory painkiller to prevent cramps that may occur during the procedure. You can contact our clinic for more detailed information and to make an appointment regarding the   hysterosalpingography (HSG).

What Should You Pay Attention to After Hysterosalpingography?

In recent years, water-soluble contrast agents, which have a very low risk of causing allergies, have been used to prevent the risk of allergy to the contrast agent used in hysterosalpingography. Therefore, the risk of allergy to the procedure is very low.

After the hysterosalpingography procedure, infection can very rarely occur. Fever and foul-smelling discharge after the hysterosalpingography may be signs of infection. There is a low probability of infection after the hysterosalpingography procedure, as low as 1%. The risk of infection can be prevented by using antibiotics after the procedure. However, if symptoms of infection occur after the procedure, a doctor should be consulted.

During the procedure, when the medication is administered, there may be slight contractions and cramps due to the entry of foreign material into the uterus. However, this does not cause severe or long-lasting pain. This feeling of pain, which is more like menstrual pain, usually goes away on its own within an hour after the filming procedure.

It is normal to have light bleeding in the form of spotting for a few days after the hysterosalpingogram procedure. However, if the bleeding is heavy, increases over time, or lasts longer than a few days, you should consult a doctor.

Who Cannot Get a Hysterosalpingogram (HSG)?

Hysterosalpingography is not performed on patients with serious infections or suspected uterine or cervical cancer, as it can facilitate the spread of diseases. In addition, hysterosalpingography may not be performed on patients with a narrow cervix.

  Hysterosalpingography (HSG) Prices

The prices of hysterosalpingography (HSG) may vary from clinic to clinic. In some cases, it may be necessary to take the film under general anesthesia. This is a factor that changes the prices. You can contact our clinic to get detailed information about   hysterosalpingography (HSG) prices and make an appointment.