What you need to know about:

Hysterosalpingography

Fast Fact

87%
Worth It Rating
Average Cost:
$494
Recovery Period:
1 to 2 days
Permanence:
Not specified
177
Doctors
Time it takes:
10-30 minutes
96
Hospitals & Clinics
Reviews
Anesthetize:
Local or general anesthesia

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Overview of

Hysterosalpingography

in Thailand

Hysterosalpingography, or HSG, is an X-ray imaging procedure that is used to diagnose problems with the uterus as well as blocked fallopian tubes. HSG is also commonly performed to assess repeated cases of miscarriage which may have resulted from abnormalities in the shape of the uterus.

The procedure makes use of a particular form of X-ray called fluoroscopy, which enables your doctor to have a look at the movement of your internal organs.

Your uterus and fallopian tubes are first filled with a water-soluble contrast material, after which your doctor uses fluoroscopy to make a thorough evaluation of these organs.

Goals of

Hysterosalpingography

HSGs are commonly performed by doctors for diagnosing infertility.

During the procedure, your doctor will check for any irregularities in the structure and shape of your uterus, whether your fallopian tubes are blocked, and if your uterine or abdominal cavity has any scarring present.

An HSG also assesses the effects of tubal surgery, which include:

  • Tubal litigation
  • Fallopian tube blockage as a result of scarring or infection
  • Fallopian tube closure as a result of undergoing sterilization and subsequently reversing the effects
  • Fallopian tubes reopening after a blockage caused by disease, or sterilization

The procedure is also performed to examine repeated cases of miscarriage which may have resulted from hereditary or acquired uterine conditions, including:

  • Intrauterine adhesions
  • Uterine fibroids/tumors
  • Uterine (or endometrial) polyps
  • Inherited uterine anomalies

Price of

Hysterosalpingography

Average Cost

$494

Price Range

$201-787

Pros and cons of

Hysterosalpingography

Pros

  • Hysterosalpingography has rarely caused complications and is generally considered to be a safe procedure.
  • In some cases, this procedure can open blocked fallopian tubes, which would enable the patient to finally conceive thereafter. However, it is important to note that HSGs are primarily performed for diagnosis, not for treating infertility.
  • Using X-rays as a diagnostic tool typically causes no side effects, as there will be no presence of radiation in the body after the procedure is completed.

Cons

  • HSGs only enable doctors to assess the internal uterine cavity and fallopian tubes. Irregularities in other pelvic organs, such as the uterine wall and ovaries, will have to be investigated via magnetic resonance imaging (MRI), ultrasound, or other alternative imaging methods.
  • Additional factors which contribute to infertility, such as low/unusual sperm count or the unsuccessful implantation of a fertilized egg in the uterus, cannot be assessed by hysterosalpingography.
  • Abnormalities of the cervix can sometimes hinder the procedure from being performed successfully. These may be due to:
  1. Blockages that prevent the injection of the contrast material into the uterus
  2. The cervix having too large of an opening, which may cause the contrast material to spill out

How it works:

Hysterosalpingography

How hysterosalpingography is performed is quite similar to that of a vaginal examination. You may experience some cramping that is somewhat comparable to period pains during or after the procedure. This may be due to blocked fallopian tubes, or the contrast material leaking out into your abdominal cavity.

However, the pain experienced is typically not very intense and usually requires no medication. This, of course, varies on a case by case basis and depends on an individual’s pain tolerance and other underlying conditions.

Preparation before

Hysterosalpingography

Pre - treatment

It is recommended that you:

  • Schedule your HSG test about 7 to 10 days after the first day of your menstrual cycle but prior to ovulation, as this is the best time to have it performed.
  • Avoid getting an HSG if you have a known active pelvic infection.
  • Notify your doctor/technologist prior to the procedure of any signs of a pelvic infection or an untreated STD.
  • Inform your doctor if you are currently taking any medications and if you have any known allergies, particularly for iodinated contrast materials.
  • Notify your doctor of any recent illnesses or underlying medical conditions.
  • Take over-the-counter medication if needed to minimize discomfort during the procedure.
  • Take any antibiotics prescribed by your doctor before and after the procedure.
  • Remove metal objects and any clothing in the pelvic area which might obstruct X-ray imaging. You will be given a gown to wear prior to the test.

Recovery after

Hysterosalpingography

Post - treatment

  • After hysterosalpingography, you might notice some sticky vaginal discharge with light spotting as the fluid is being drained from the uterus. It is recommended to wear a pad during this time and to avoid tampons. You may also experience some cramps, nausea, dizziness, or fainting spells.
  • The X-ray images will be evaluated by a radiologist, and a report will be sent to your doctor, who will have a discussion with you and inform you if any additional tests are necessary. If the results confirm that you have blocked fallopian tubes, you may need to undergo laparoscopy, which is a procedure that allows your doctor to have a proper look at these structures. Your doctor will let you know the treatment options available to you, such as in vitro fertilization (IVF), and help determine the best choice to settle for based on your situation.

Risks & side effects

  • It is important that you inform your doctor prior to the HSG of any signs of pelvic infection, untreated sexually transmitted infection (STI), or inflammatory disorders, in order to avoid the possibility of aggravating the condition. If you think you may be pregnant, you must also notify your doctor right away as you should not be undergoing this procedure due to radiation exposure.
  • There is a small chance of a pelvic infection or uterine perforation after the procedure. To lessen the risk of possible infection, some doctors usually prescribe antibiotics for you to take over the following two to three days.
  • An allergic reaction to the contrast material is usually very rare, however it typically manifests itself as an extremely mild rash.

FAQs:

Hysterosalpingography

Is this procedure painful or uncomfortable?

Mild cramping may be experienced during the procedure for about 5 to 10 minutes, which can last up to several hours afterward. To counter this, medications that treat menstrual cramps can be taken prior to the test or whenever necessary. It is recommended to have a friend or family member drive you home post-HSG in case you experience some cramping.

What will the results from the HSG test tell me?

A radiologist will assess the X-ray images after your test and deliver the findings to your doctor. Results from the HSG can help your doctor to assess:

  • The state of your fallopian tubes: If the tubes are blocked, conception is not likely to take place as the egg will not meet the sperm. This blockage may be due to several factors, each of which have their own relevant treatment options available.
  • The shape of your uterus: Repeated cases of miscarriage may be due to abnormalities in the shape of the uterus.
  • The presence of fibroids or polyps: Fibroids and polyps are tissue growths that can interfere with successful embryo implantation or growth.

In some cases, surgery can be performed to treat uterine irregularities.

What happens next if my fallopian tubes are blocked?

If the results from the test show that your fallopian tubes are blocked, your doctor will have a thorough discussion with you and may recommend surgical laparoscopy to enable a proper view of the tubes, or to perform IVF as a means to circumvent the issue and induce conception.

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