Hysterosalpingography

14.05.2026 Prof. Dr. Cihan Kaya

What is Hysterosalpingography (HSG)? Is it Difficult? – A Comprehensive Guide

What is Hysterosalpingography (HSG)?

Hysterosalpingography (HSG) is an X-ray procedure performed to evaluate whether the inside of the uterus and the fallopian tubes are open.

Why is it Performed?

It is performed to investigate fallopian tube blockages, intrauterine structural problems, and causes of infertility.

How is it Performed?

A thin catheter is inserted through the cervix, and X-ray images are taken after administering a contrast agent.

How Long Does the Procedure Take?

It is generally a short procedure lasting 5-10 minutes.

Is it Painful?

Mild to moderate pain similar to menstrual cramps may be felt. It is tolerable for most patients.

How is Pain Reduced?

Pre-procedure painkiller use, gentle technique, and an experienced practitioner reduce pain.

After the Procedure

Mild cramping and spotting may occur. It usually subsides quickly.

Are there Risks?

Rarely, infection, allergic reaction, or severe pain may occur.

Effect on Pregnancy Chances

In some patients, the chance of pregnancy may temporarily increase after the procedure due to the opening of the fallopian tubes.

Conclusion

Hysterosalpingography is a short and generally tolerable procedure. When performed correctly, it is very valuable for diagnosis.

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