Getting pregnant is like a dream come true for any mother. If your age is growing year by year and you are not able to conceive then the doctor would ask you to get medically tested to check for any abnormalities in your reproductive system.
One such a part of your reproductive system are your ovaries. There is need to produce an egg every month that is called ovulation, the uterus needs to be in a healthy condition and your fallopian tubes should be open.
If any one of these parts is malfunctioning then there is greater chance that you cannot get pregnant.
If the fallopian tubes are blocked, the it is not possible for the sperm to reach to your egg or the fertilized egg cannot get attached to your uterus. There are many reasons for the blocked tubes but there is no need to guess out the reason behind it rather a test called a hysterosalpingogram is suggested for it.
A hysterosalpingogram or HSG test is used by the doctor to help you cross-examine the internal walls of uterus and fallopian tubes. This small procedure gives an insight about the shape and condition of the uterus or to check out if any endometrial polyps, fibroids, or scarring is present. The prime important thing it tells us whetherthe fallopian tubes are open or close.
Either if the fallopian tubes are blocked or there is growth in the uterus then your chances of pregnancy are zero. It is quite obvious when the fallopian tubes are blocked, the sperm can’t mate with the egg. A hysterosalpingogram or HSG procedure uses x-rays and a special dye that can detectany abnormal tissue growth, polyps, fibroids, and any other thing that is blocking your tubes or that obstructs the fertilized egg from implanting inside your uterus.
What are your expectations from the HSG Test?
This test is performed in a radiology lab and may take between 10 and 30 minutes.
Your doctor will make insertion of a speculum into your vagina and then a thin plastic tube is placed inside your cervix that leads to your uterus and fallopian tubes. Through this tube a special dye will be injected that should fill your uterus and then the fallopian tubes and come out of each fallopian tube.
Next step would be taking x-rays so that the doctor can evaluate your uterus and the blockage of fallopian tubes.
Let us learn more about your HSG procedure.
The doctor will plan out this procedure after your period is over but but before ovulation, since it’s very less that you may get pregnant during this time. It will probably be between days 1 and 14.
You may be asked to take a medicine just before an hour before your HSG. Also, you may be prescribed an antibiotic. However, your doctor will discuss with you in detail about their recommendations with you beforehand.
You can drive yourself home immediately after the procedure, however you may need to have an attendant with you in caseyou feel a little bit low.
How the HSG Procedure is Done?
Your gynaecologist may perform the test within their clinic.
You may be asked to lie down on the table under fluoroscope.
After that a speculum is inserted into your vagina in order to keep it open, and then clean the cervix.
Next step would be to insert a thin tube called a cannula into the cervix and then speculum is removed. Thereafter, the uterus is then filled with a liquid containing iodine. The iodine then contrasts with your uterus and fallopian tubes on the X-rays.
At the final stage, your doctor takes images with the fluoroscope X-ray. The contrasting liquid is meant to give an idea to doctor to see how the iodine flows your uterus and fallopian tubes.
You may then be asked by your doctor to move around so that you can get better side views or in case you might feel some cramping. Once the images are properly taken thecannula is removed.
However, some cases of patients are there who have experienced vaginal spotting for few days after the procedure.
HSG is relatively safe, but we know all medical procedures come with side effects or solutions also. In case you have an allergic reaction to the dye in the fluid. There may be any pelvic infection or injury to your uterus. Simply call your doctor in case you have any of the following symptoms:
- An unpleasant vaginal discharge with inappropriate smell.
- Fainting or Vomiting
- There may be unbearable pain or cramps in your abdomen
- Or Heavy vaginal bleeding
A radiologist is the key person here who makes a report about your X-ray images and then sends a report to your doctor. Your doctor may then discuss your report with you and explain to you in case more tests are required.
If in case the report shows that your fallopian tubes are blocked, then your doctor may advise you one procedure called a laparoscopy. It helps the doctor look directly into your fallopian tubes. They may in case also recommend In-vitro fertilization, or IVF. Then the doctor will discuss with you all the options that can help you get pregnant as soon as possible. You will be briefed about all the procedures and their costings and side effects that can help you make the decision that is best for you.