During the HSG test, a contrast dye is injected into the uterus through the cervix. The dye fills the uterine cavity and flows into the fallopian tubes. X-ray images are then taken to observe the shape, size, and structure of...
The HSG test, also known as hysterosalpingography, is a medical procedure used to evaluate the female reproductive system, specifically the uterus and fallopian tubes. It is often performed to investigate the cause of infertility or to diagnose certain gynecological conditions.
During the HSG test, a contrast dye is injected into the uterus through the cervix. The dye fills the uterine cavity and flows into the fallopian tubes. X-ray images are then taken to observe the shape, size, and structure of the uterus and fallopian tubes, as well as the flow of the dye. This allows the radiologist or gynecologist to detect any abnormalities, such as blockages, polyps, fibroids, or structural issues.
The HSG test is typically performed in an outpatient setting and usually takes about 15 to 30 minutes to complete. Some women may experience mild cramping or discomfort during the procedure, and there might be a temporary increase in vaginal discharge after the test. It is advisable to consult with a healthcare professional for detailed information and instructions regarding the HSG test.
Why do I need an HSG Test?
The HSG test is typically recommended for women who are experiencing infertility or have certain gynecological issues. Here are some common reasons why a healthcare provider may suggest an HSG test:
- Evaluation of infertility: The HSG test can help determine the cause of infertility by identifying any structural abnormalities in the uterus or fallopian tubes. It can detect blockages, abnormalities in the shape or size of the uterus, or abnormalities in the fallopian tubes that may be hindering conception.
- Assessing fallopian tube patency: The test can evaluate whether the fallopian tubes are open and functioning properly. Blocked fallopian tubes can prevent the egg from reaching the uterus and sperm from reaching the egg, thereby causing infertility.
- Diagnosis of gynecological conditions: HSG can help diagnose certain gynecological conditions such as uterine fibroids (noncancerous growths in the uterus), uterine polyps (small tissue growths in the uterus), and certain abnormalities in the shape of the uterus, such as uterine septum (a wall-like structure dividing the uterus).
- Confirmation of tubal ligation: For women who have undergone tubal ligation (a surgical procedure for permanent birth control), the HSG test can confirm the success of the procedure by confirming the fallopian tubes are blocked.
It's important to note that the specific reasons for recommending an HSG test can vary depending on individual circumstances and the recommendations of your healthcare provider. They will evaluate your medical history and symptoms to determine if an HSG test is necessary in your case.
What are the Different Types of HSG Test
There are no different types of HSG tests per se, as hysterosalpingography (HSG) is a specific procedure used to examine the uterus and fallopian tubes. However, there are variations in how the test is performed based on the technique or equipment used. These variations include:
- Conventional HSG: This is the traditional method of performing the HSG test. It involves the use of a fluoroscopy machine, which is a type of X-ray machine that produces real-time moving images. A contrast dye is injected into the uterus, and X-ray images are taken to visualize the flow of the dye through the uterus and fallopian tubes.
- Digital Subtraction Angiography (DSA) HSG: This is a more advanced technique that utilizes digital imaging technology. It involves the injection of contrast dye and the use of a computer to subtract the background structures, resulting in clearer images of the uterus and fallopian tubes.
- Saline Infusion Sonohysterography (SIS): While not technically an HSG test, SIS is a similar procedure used to evaluate the uterus. Instead of using X-rays, SIS involves the introduction of saline solution into the uterus and the use of ultrasound imaging to visualize the uterine cavity and detect abnormalities.
HSG Test Preparation & Procedure
Preparing for an HSG test involves a few steps to ensure accurate results and a smooth procedure. Here is a general overview of the preparation and procedure for an HSG test:
- Schedule the test: Coordinate with your healthcare provider to schedule the HSG test. It's typically performed during the early phase of your menstrual cycle, preferably between days 7 and 10.
- Inform your healthcare provider: Inform your healthcare provider about any allergies you may have, particularly to iodine or seafood. Also, let them know if there is a possibility of pregnancy, as HSG is not performed if you are already pregnant.
- Timing: It's important to avoid sexual intercourse or using vaginal creams, foams, or tampons for a day or two before the HSG test to minimize the risk of infection.
- Pain relief: You can discuss with your healthcare provider if you should take over-the-counter pain relievers, such as ibuprofen or acetaminophen, before the procedure to manage potential discomfort or cramping.
- Empty your bladder: Before the test, you may be asked to empty your bladder to improve the visibility of the uterus and fallopian tubes during the procedure.
- Procedure: Here is a general outline of the HSG test procedure:
a. You will be asked to change into a hospital gown and lie on an examination table with your feet in stirrups, similar to a pelvic exam.
b. A speculum is inserted into your vagina to visualize the cervix.
c. The cervix is then cleaned with an antiseptic solution to reduce the risk of infection.
d. A thin catheter is gently inserted through the cervix into the uterus. This may cause mild cramping or discomfort.
e. A contrast dye is slowly injected through the catheter into the uterus. You may feel a warm sensation as the dye fills the uterus and moves into the fallopian tubes.
f. X-ray images or fluoroscopy is used to capture real-time images as the dye flows through the reproductive organs. You may be asked to change positions during the procedure to get different angles.
g. Once the necessary images are obtained, the catheter is removed, and the procedure is complete. - After the procedure: You will be given a pad or sanitary napkin to wear, as there may be some vaginal discharge following the test. You can typically resume normal activities after the procedure unless instructed otherwise by your healthcare provider.
What happens during an HSG test?
During an HSG (hysterosalpingography) test, the following steps typically occur:
- Preparation: Changing into a hospital provided gown and lying on an examination table. The healthcare provider may position you with your feet in stirrups, similar to a pelvic exam.
- Speculum insertion: A speculum (a device used to gently open the vagina) is inserted to provide access to the cervix. This allows the healthcare provider to visualize and access the cervix for further steps.
- Cleaning the cervix: The cervix is cleaned with an antiseptic solution to reduce the risk of infection.
- Catheter insertion: A thin, flexible catheter is gently inserted through the cervix and into the uterus. Some women may experience mild cramping or discomfort during this step.
- Injection of contrast dye: A contrast dye, often containing iodine, is slowly injected through the catheter into the uterus. The dye helps to highlight the uterine cavity and fallopian tubes, making them visible on X-ray or fluoroscopy images.
- Imaging: X-ray images or fluoroscopy (real-time moving X-ray images) are taken as the dye flows through the reproductive organs. This allows the healthcare provider to observe the shape, size, and structure of the uterus and fallopian tubes. You may be asked to change positions during the procedure to capture images from different angles.
- Catheter removal: Once the necessary images are obtained, the catheter is carefully removed.
- Completion: The procedure is considered complete at this point, and you will be provided with any necessary post-procedure instructions.
It's important to note that individual experiences during the HSG test can vary. Some women may experience mild discomfort or cramping, while others may not feel any significant discomfort. The entire procedure usually takes about 15 to 30 minutes.
After the HSG test, you may have some vaginal discharge due to the contrast dye. This is typically temporary and should subside within a day or two. If you experience any persistent pain, excessive bleeding, fever, or signs of infection after the procedure, it's important to contact your healthcare provider for further evaluation.
What is price of the HSG Test?
The cost of medical procedures can vary over time and between different healthcare facilities in Delhi. The price of an HSG test can depend on factors such as the location, the specific healthcare provider or hospital, additional services or tests included, and whether it is performed at a public or private facility.
To obtain accurate and up-to-date pricing information for an HSG test in Delhi, we recommend contacting hospitals, clinics, or diagnostic centers directly. They can provide you with the most accurate and current pricing details, as well as any additional information regarding insurance coverage or packages that may be available.
Best Diagnostic Centre for HSG Test in Delhi
There are several reputable diagnostic centers in Delhi such as Ganesh Diagnostic Center that offer HSG tests. It's advisable to research and compare different diagnostic centers based on factors such as their reputation, the expertise of their staff, facilities, and customer reviews. Additionally, you may want to consider factors like proximity to your location and any specific requirements you may have. It's recommended to contact the chosen diagnostic center directly to inquire about the availability, pricing, and any additional information you may need.
