However, a complication may occur less than 1 percent of the time. The most common complications include infection and fainting. You should notify your physician if you have a fever or increased vaginal discharge after the procedure.
Vaginal spotting commonly occurs for 1 to 2 days after HSG. Unless otherwise instructed, you should notify your doctor if you experience heavy bleeding after HSG. If your tubes are blocked, the dye cannot pass and this is visible on X-ray. Sometimes this can be corrected at the time of the HSG. Uterine abnormalities such as polyps, fibroids, or congenital malformations are usually visible in the HSG.
Sometimes forcing dye through the tubes will cause them to open or small obstructions might be removed. Consequently, some women may have an increased chance of pregnancy in the months immediately following the HSG.
Our Physician Liaisons partner with referring physicians in our community and beyond to provide information on our physicians and clinical services. The cervix may be swabbed with a local anesthetic to minimize any discomfort. You may then be positioned so that you lie flat under the movable arm of the X-Ray machine. The physician will place a narrow tube into the cervical opening and a clear radio-opaque dye will be injected into the uterine cavity and fallopian tubes.
As the dye is being passed into the uterus and fallopian tubes, X-Ray pictures are being taken. You may be asked to change position from side to side in order to enhance visualization of your anatomy during the HSG.
Once the HSG is completed, the instruments will be removed. You will be able to get dressed and leave the procedure room soon after the HSG. You may experience some mild cramping in the first hour after the HSG. The physician will discuss the preliminary findings after the HSG. However, you should schedule a follow up consultation with your physician to discuss the next steps after all of your test results are ready.
The results of the HSG will be used by your physician to determine ongoing treatment and services. Some complications can occur as a result of an HSG. Although mild to moderate cramping is common during the 2 - 3 minutes that the dye is passed into your system some patients experience more severe cramping and pain which is much less common and usually resolves quickly.
Allergies to the iodine based dye solution may occur, but are rare. You will lie on your back on an examination table with your feet in stirrups. You may take ibuprofen to help with cramps or pain during the test. You may also get a sedative to help you relax. The doctor uses a device called a speculum to gently spread apart the walls of the vagina.
A thin tube is put through the cervix into the uterus. A dye is put through the tube. The X-ray pictures are shown on a video screen during the test.
There is always a small chance of damage to cells or tissue from being exposed to any radiation. This can include the low levels of radiation used for this test. The chance of damage from the X-rays is generally very low compared with the possible benefits of the test. There is a small chance of a pelvic infection after the test. Your doctor may give you antibiotics if he or she thinks you might get a pelvic infection.
There is a small chance of damaging or puncturing the uterus or fallopian tubes during the test. There is a small chance of an allergic reaction to the iodine X-ray dye. You will probably be able to go home right away. You can go back to your usual activities right away.
Some of the dye will leak out of your vagina. You may have some vaginal bleeding for several days after the test. Call your doctor or nurse call line now or seek immediate medical care if: You have a fever. You have new or worse pain in your pelvis.
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