Hysterosalpingogram (HSG)

• Cramping or discomfort like strong menstrual cramps
  • Call the clinic if your pain does not get better.
• Infection
  • Call the clinic if you have a fever of 100.4° F (or 38° C).
• Vaginal spotting or bleeding

Schedule it after your period ends, but before you expect to ovulate. This will be about days 5 to 13 of your menstrual cycle.

• Count “day 1” as the day your period starts to figure out the days of your cycle.
• Call to reschedule if:
  • Your period is late
  • You are menstruating (more than light vaginal spotting)
  • You are past ovulation

Many women feel some cramping, especially when the dye is injected. Women who have a blocked fallopian tube may feel strong cramping.

Take a pain medicine 30 to 60 minutes before you HSG. This will help prevent or lessen pain during the test.

Your provider recommends you take:

• Ibuprofen 800 mg
  • 4 tabs of the 200mg Advil™ or other over-the-counter ibuprofen tabs
• 650 mg (2 tabs) of acetaminophen (Tylenol™), if you cannot take aspirin or ibuprofen

Check in at the UI Center for Advanced Reproductive care 2nd floor of the UI Health Care-North Dodge clinic. A nurse will take you to a room to complete intake and do a urine pregnancy test. Please come with a full bladder so you can supply a urine sample for this test. You will then proceed to the check in desk on the 2nd Floor to check in for the HSG procedure and be directed to the radiology waiting area on the 1st Floor.

Many women have no pain after the HSG, but you may feel crampy or achy. It may help to have someone else drive you home.

You may try to get pregnant in the same cycle your HSG was done.

The provider doing your X-ray will look at the images and give you preliminary test results right away. The X-ray will be reviewed by a faculty reproductive endocrinologist later.

Your doctor will talk with you about other treatment recommendations at your next visit or by mail.