Women's Health Texas – San Antonio


Hysterosalpingography is a special X-ray examination

Hysterosalpingography, or HSG, provides a view of a woman’s uterus and fallopian tubes. This exam uses fluoroscopy and a contrast medium that allows the radiologist to view the uterus and fallopian tubes. Our doctors commonly use it to diagnose fertility and pregnancy problems. Our San Antonio OBGYNs will also order an this test after a woman has surgery for permanent birth control to examine the fallopian tubes to ensure that they are properly blocked.

What happens during a hysterosalpingography?

Hysterosalpingography can occur at an office or hospital using local anesthesia. During the procedure, the woman lies on her back on a table with her feet in stirrups. After inserting a speculum into the vagina, the radiologist cleans the cervix and injects it with local anesthesia.

During HSG, the radiologist inserts dye and takes X-ray images. The imaging captures pictures as the dye fills the fallopian tubes and uterus. Our San Antonio OBGYNs then review these images.

What to expect after HSG?

After an hysterosalpingography, women should wear a pad because they will have vaginal discharge as the contrast medium leaves the uterus. They may also experience cramps, dizziness, nausea or light vaginal bleeding. While complications or serious problems after HSG are rare, women should call us if they experience any of these symptoms.

  • Heavy vaginal bleeding
  • Severe cramps or abdominal pain
  • Fever
  • Chills
  • Fainting
  • Vomiting
  • Vaginal discharge with a foul odor

What are the benefits of HSG?

HSG is a minimally invasive procedure that is usually performed on an outpatient basis. It doesn’t require a long recovery period, complications are rare and it can help our team assess the uterus and fallopian tubes.

Our San Antoni OBGYNs offer testing and treatment for infertility

Women who are concerned about infertility or worried that they may have a physical problem that is making it difficult to get pregnant can benefit from hysterosalpingography. This minimally invasive procedure even, on occasion, opens up a woman’s blocked fallopian tubes, making it possible to get pregnant. The procedure also helps our physicians diagnose fertility problems.

In addition to hysterosalpingography, our San Antonio OBGYNs offer other tests and treatments for infertility. Contact us for an appointment.