Hysterosalpingogram (HSG) Test

As part of our commitment to providing comprehensive care to patients undergoing evaluation and treatment of infertility, Dr. Sasha Hakman and Dr. Irene Woo both perform the X-ray dye test known as a hysterosalpingogram (HSG) at HRC’s Surgery Center at the Encino location.

What is an HSG Test?

The HSG test is used to determine if a woman’s fallopian tubes are open, and evaluates the uterus to rule out the presence of abnormalities including, fibroids, polyps, congenital anomalies, or scar tissue. Even women who intends to undergo IVF may need this test, as it has been shown that certain types of tubal blockage, as well as uterine abnormalities can significantly lower success rates.

The test involves inserting a soft balloon-tipped catheter into the uterus. With fluoroscopic visualization, iodine-based dye is slowly injected into the uterus. The dye outlines the shape of the uterus, revealing any structural abnormalities that might be present. The dye then enters the tubes, hopefully showing that they are open..

Who performs the HSG test?

The test is usually performed by a radiologist, often in a hospital setting, which can be a cold and impersonal experience for the patient. On occasion, the radiologist may have difficulty inserting the soft catheter through the cervix, which can be painful or result in cancellation of the procedure. At HRC, Dr. Hakman will perform the test with local anesthesia to reduce the pain of the procedure.

Is sedation necessary or available for the HSG test?

Some women experience some pain from the manipulation of the cervix and the distension of the uterus. Unfortunately, the pain from the uterus cannot be totally eliminated, but it is short in duration, and for most it is the equivalent to a strong menstrual cramp. For women who are concerned about this, or have had a previously difficult experience with the test, conscious sedation can be provided by licensed anesthesiologists for a small additional fee.

It is important for women electing conscious sedation to not eat or drink anything for 8 hours prior to the scheduled procedure. Other women do not have to restrict their diet that day. Antibiotic use is not routine, but your ordering physician may request it.

Patients who have insurance coverage should bring their insurance information with them. The test only takes a few minutes, and the total time at the office should be an hour or less. Women who have not had conscious sedation can drive afterwards. Conscious sedation patients will require a ride home, and should not drive or participate in any activities that require mental acuity until the next day.

Please call the HRC Surgery Center directly at 818-990-5210 to speak with a representative for further information on the HSG procedure.