A Hysterosalpingography is simply an x-ray that is used to inspect the uterus (womb) of a woman as well as fallopian tubes (which transmit the eggs from the ovaries to the uterus). It consists of contrast material so fallopian tubes and uterus show up well on the images. It is known as fluoroscopy which is used to create a video image instead of a still image.


A radiologist keeps track of the dye while moving it along the reproductive organ. Then, they can look for any blockage in the fallopian tubes or any abnormalities in the uterus.


What is the purpose behind this test?

If you have had complications in pregnancy like several miscarriages or having problems in conceiving, this test may be ordered by the doctor. The cause of infertility can be diagnosed with this test. There are several causes of infertility like –

  • Blockage of fallopian tubes
  • Uterine fibroids
  • Polyps or uterine tumors
  • Scar tissue in the uterus
  • Structural abnormalities in the uterus, which is subjected to be acquired or genetic (congenital)


Your doctor may prescribe Hysterosalpingography (HSG) to check the success rate of tubal surgery if you have gone through it. This test is also ordered to check if the fallopian tubes are closed well if you had a tubal ligation (in which the fallopian tubes are closed). In this test, the doctor can also check the successful reversal of tubal ligation when it comes to reopening the fallopian tubes.



For some women, this test might be painful. So, pain medication might be prescribed by the doctor. You need to take painkillers around an hour before the procedure. A sedative may also be prescribed by the doctor so you can calm down if you are nervous before the procedure. An antibiotic might be given before or after the test to avoid infection.


The doctor may schedule the test a few days or a week after having a menstrual period. It is important to check if you are pregnant. It also helps control infection. Your doctor may find out if you are pregnant as it can be harmful to the womb. You also need to avoid this test if you have unusual vaginal bleeding or pelvic inflammatory disease.

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