HSG (Hysterosalpingogram)

A HSG (hysterosalpingogram) is a specialised X-ray test used to assess the endometrial cavity and fallopian tubes. The scan involves inserting contrast dye into the uterus and fallopian tubes. The contrast can improve visualisation, which helps to identify blockages and abnormalities.

HSG FAQs

  • It is important that you are not pregnant when you have this scan. The ideal time to perform a HSG is just after your period finishes, approximately days 7-10 of your menstrual cycle, when bleeding has ceased. If you have irregular periods, please mention this to our team at the time of booking.

    While our team will do our best to keep you comfortable, some patients describe cramping similar to period pain during the scan. We recommend taking ibuprofen a few hours before your appointment to minimise any discomfort.

  • When you arrive, please present to reception. You will be asked to fill out a basic questionnaire outlining your gynaecological or obstetric history.

    You will be asked to change into a hospital gown before the procedure. To complete your scan, you will need to lie down on a bed. The machine taking the X-rays (fluoroscopy machine) will be above the table. 

    The first part of the HSG is similar to a pap smear, with a vaginal speculum gently inserted into the vagina. The cervix is then cleansed with an antiseptic solution.

    A thin, flexible catheter with a tiny balloon is inserted through the opening of the cervix, and the speculum is removed. The balloon at the tip of the catheter is slowly inflated. This is to stop fluid from leaking back out during the scan.

    Contrast dye is injected through the catheter and travels through the uterus and into the fallopian tubes. The radiographer will take X-ray images as the dye flows through.

    The dye creates a clear outline of your uterus and fallopian tubes, showing their shape, any abnormalities, and whether the tubes are open (patent).

    Most women experience little or no pain, though some may feel mild discomfort or cramping during the procedure. The team will work carefully to make this as comfortable as possible for you.

  • You can return to your normal activities after your scan.

    A sanitary pad will be provided to use following the scan, as the fluid used in the test will leak out of the vagina. This is sometimes blood-stained, which is normal.

    To reduce the risk of infection, it is advised not to use a tampon and not to take baths or swim for one week following the procedure

    Showers and intercourse are not restricted. 

  • The time required for an HSG Scan can vary, but averages 45 minutes.

How much will it cost?

Fees for radiology procedures will vary depending on a variety of factors. We will advise you about the cost of your service at the time of booking but if you do have any questions, contact us and one of our team will be happy to help with your query. You can read more about our billing information here.

How do I access my images?

At Queensland X-Ray, we provide our patients with their images and results online. To access your images and results, you’ll need to register for an account when you visit one of our practices. If you’ve already registered, you can access the Patient Portal here.

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