Infertility Diagnostics

HSG Hysterosalpingogram – is an x-ray procedure that is used to view the inside of the uterus and fallopian tubes to check for blockage of the fallopian tubes or for growths in the uterus. About 15% of infertility is due to blocked fallopian tubes, which can interfere with egg fertilization or stop a fertilized egg from reaching the uterus. If your tube(s) is blocked, Dr. Craig can also attempt to open your tubes during the procedure, something not available at Imaging Centers or some other fertility clinics. An HSG can also detect fibroids, polyps, adhesions and/or other growths or scarring in the uterus.     Read more for patient instructions [expander_maker more=”Read more” less=”Read less”]

Before the Procedure

  • Take antibiotic, if prescribed, the night BEFORE x-ray on a FULL STOMACH.
  • ONE hour BEFORE your x-ray, take 600-800 mg of ibuprofen, Tylenol, or Advil for pain relief.
  • Eat a nutritious meal 2 hours BEFORE your x-ray, this helps with light-headedness or feeling faint.
  • If taking Metformin (Glucophage), discontinue 2-3 days prior to HSG and resume its use the next day.
  • Most people can drive themselves home after having HSG. However, you may not feel well after the procedure, so you may want to make arrangements for someone to drive you home.
  • HSG is not done if you: are pregnant, have a pelvic infection or have heavy uterine bleeding at the time of the procedure. Urine pregnancy test will be done in the office before the procedure…be prepared to leave a sample.
  • Talk to an FTC financial counselor about your out-of-pocket expense, if any. Michella Reynolds, Email: <a href=”mailto:[email protected]”>[email protected]</a> Direct Phone (480) 889-1215

The Procedure

  • You will be asked to lie on your back with your feet placed as for a pelvic exam. A speculum is inserted into the vagina. It holds the walls of the vagina apart to allow the cervix to be viewed. The cervix is cleaned.
  • The end of the cervix may be injected with local anesthesia. You may feel a slight pinch or tug as this is done.
  • A thin plastic tube is passed into the cervical opening. The tube has a small balloon at the end that is inflated. The balloon keeps the tube in place in the uterus and dye is inserted.
  • The speculum is removed, and you are placed beneath an X-ray machine.
  • The fluid slowly is placed through the cannula or tube into the uterus and fallopian tubes. The fluid may cause cramping. If the tubes are blocked, the fluid will cause them to stretch.
  • X-ray images are made as the contrast medium fills the uterus and tubes. You may be asked to change position. After the images are made, the cannula or tube is removed.

After the Procedure

After HSG, you can expect to have a sticky vaginal discharge as some of the fluid drains out of the uterus. The fluid may be tinged with blood. A pad can be used for the vaginal discharge. Do not use a tampon. You also may have the following symptoms:
• Slight vaginal bleeding&nbsp;&nbsp;&nbsp;&nbsp;• Cramps&nbsp;&nbsp;&nbsp; &nbsp;• Feeling dizzy, faint, or sick to your stomach

Risks and Complications
Severe problems after an HSG are extremely rare. They include an allergic reaction to the dye, injury to the uterus, or pelvic infection. Call FTC immediately if you have any of these symptoms (480) 831-2445:
• Foul-smelling vaginal discharge &nbsp; • Vomiting &nbsp; • Heavy vaginal bleeding &nbsp; • Fever, chills or fainting &nbsp;• Severe abdominal pain or cramping

Go To Top >
Semen Analysis – is a test that assesses the formation and maturity of sperm as well as how the sperm interact with the seminal fluid. A fresh semen sample (no more than a half hour old) is collected and then analyzed in a laboratory for a variety of different factors. In order for sperm to be able to fertilize an egg, it is necessary for seminal fluid to be of the correct consistency as well as for sperm to have maximum motility and ideal morphology. If any of these factors are revealed to be less than perfect in a semen analysis, male fertility may be compromised. Male infertility testing is an important part of making an accurate infertility diagnosis. Go To Top >

Infertility Diagnostic Surgery – includes microsurgery, hysteroscopy, laparoscopy, and laser surgery. Laparoscopy is an outpatient surgical procedure utilized to diagnose and treat a variety of infertility and gynecological conditions including pelvic pain, uterine fibroids, endometriosis, pelvic adhesions and tubal disease. During laparoscopy a thin fiber-optic tube, attached to a video camera, is inserted into the abdomen, through a small incision in the belly button. The surgeon can then evaluate the uterus, ovaries, fallopian tubes, appendix, liver and gallbladder for the cause of pain or infertility. Go To Top >