If your doctor has recommended that you have a hysterosalpingogram (HSG) then you are in the right place. HSGs are performed on women who have had difficulty becoming pregnant or have had recurrent miscarriages.
Unfortunately, some doctors may have told you to go the hospital radiology department to have this done. We have heard many horror studies from patients who did this. Radiologists don't do very many of these procedures and they aren't trained as gynecologists. The results is more discomfort for the patient and often inaccurate or poor results.
At IVF1, we are fertility specialists who have extensive training in this procedure and perform several hundred HSGs every year.
What is a hysterosalpingogram (HSG)?
An HSG is an x-ray procedure to look at the uterine cavity and fallopian tubes. Fallopian tube blockage can cause infertility. Abnormalities in the shape of the uterus or abnormal growths inside the uterine cavity can cause infertility or miscarriage.
How is the HSG performed?
An HSG is performed shortly after the bleeding from your period has ended. A very small catheter (tube) is gently inserted through the vagina and into the uterus. A contrast agent (a clear liquid that shows up on x-rays) is injected through the catheter into the uterus and tubes while the doctor (and you!) watch on an x-ray monitor.
That's it! The whole test takes about two to three minutes to complete.
Why doesn’t my doctor or a radiologist do this?
Some gynecologists are trained to do this procedure. Doctors that do not perform HSGs may refer patients to a radiologist. As noted above, patients who have had HSGs with a radiologist often complain they are much more uncomfortable.
More importantly, if Dr. Morris finds some tubal blockage, he is trained in the special technique of selective salpingographywhich can be used to open the blocked tube without surgery. Radiologists are not trained to do this.
Once the procedure is completed, Dr. Morris will explain the findings to you and send a report and digital images to your doctor.