Hysterosalpingogram (HSG) Test for Fertility Treatment

Dr. Seif Sadek

Authored and medically reviewed by Dr. Seif Sadek

Dr. Sadek is a reproductive endocrinologist and fertility specialist who sees patients in Celebration.

Posted on February 18, 2025

When it comes to fertility treatment, there are many tests and procedures that help fertility specialists understand the underlying causes of infertility. One such test is the Hysterosalpingogram (HSG), which plays a vital role in diagnosing issues that could prevent conception.  

 

What is an HSG? 

An HSG, or Hysterosalpingogram, is a special X-ray procedure used to examine a woman's uterus and fallopian tubes. This procedure helps fertility specialists determine if there are any blockages, abnormalities, or issues that could impair implantation or pregnancy. It is a common diagnostic test because it provides valuable information that can influence the next steps in fertility treatment. 

 

Why is HSG Important in Fertility Treatment? 

The HSG procedure is very important in fertility treatment for several reasons.  

  1. Identifies Blocked Fallopian Tubes: One of the most common causes of infertility is blocked fallopian tubes. These tubes are where the sperm meets the egg, and any blockage could prevent fertilization. An HSG allows fertility specialists to check if the fallopian tubes are open or blocked. 

  1. Detects Uterine Abnormalities: Conditions like fibroids, polyps, or congenital abnormalities (e.g., uterine septum) can interfere with pregnancy. An HSG provides clear imaging of the uterine cavity, allowing fertility specialists to identify any abnormalities that might hinder implantation or pregnancy. 

  1. Provides Insight for Treatment Plans: The results of an HSG can help fertility specialists determine the best course of action. If a blockage or abnormality is identified, different treatments may be recommended. Treatment options may include surgery, medication, or assisted reproductive technologies like IVF. 

 

Does an HSG Hurt? 

The HSG procedure may feel uncomfortable, like a heavy period. The dye may cause cramping while it moves through your uterus and fallopian tubes. This discomfort should be minor and not last long.  

At the Center for Reproductive Medicine, our providers have years of expertise performing HSGs ensuring you are as comfortable as possible during the procedure.  Your provider will also recommend taking over-the-counter pain medicine before the procedure to improve your comfort levels.  

 

Conclusion 

An HSG is a valuable diagnostic tool in the fertility treatment process. It helps uncover issues with the uterus and fallopian tubes, which are key to successful conception. Although the procedure may sound daunting, it’s a quick, relatively painless process that can provide crucial information for your fertility journey. By identifying blockages, abnormalities, or other factors, it enables fertility specialists to tailor treatment options that increase the chances of a successful pregnancy. 

If you are ready to take the first step on your fertility journey, schedule a consultation with one of our award-winning fertility specialists. They will perform fertility tests to help identify underlying conditions that may be impacting your fertility and create a personalized plan to help you reach your family building goals. 

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      Welcome to the Center for Reproductive Medicine Blog! Nationally and internationally recognized for providing exceptional reproductive care, our team believes in empowering people with the knowledge they need to navigate their unique fertility journeys.

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