Infertility Diagnostics

• 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