HSG X-RAY SCAN
Also Known As
SENIOR
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FAMILY
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Certified Labs
NABH Accredited
Reports in
6hrs
Measures
No description available
Identifies
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About The Test
- What it does: Uses iodine contrast and fluoroscopy to outline the uterine cavity and tubes.
- Duration: 15–30 minutes from set-up to finish.
- Best for: Investigating infertility after 12 months of trying, or earlier if risk factors exist.
What is HSG X-Ray Scan?
An HSG X-Ray Scan combines low-dose X-rays with a special iodine dye to create real-time images of the womb and fallopian tubes. The test reveals blockages, abnormal shapes, or growths that could interfere with conception.
Types of HSG X-Ray Scan
- Standard HSG: Uses radio-opaque dye and fluoroscopy (most common).
- HyCoSy (ultrasound-based): A no-radiation alternative when X-rays are contraindicated.
List of Parameters
- Size and shape of the uterine cavity
- Bilateral fallopian tube patency
- Free spill of dye into the peritoneal cavity
- Presence of filling defects (polyps, fibroids)
Why This Test
- Investigate causes of infertility
- Confirm success of tubal ligation
- Detect congenital uterine anomalies
When to Take Test
You may be advised to schedule an HSG if you:
- Have tried to conceive for ≥1 year without success
- Have a history of ectopic pregnancy or pelvic infections
- Need follow-up after tubal surgery or reversal of ligation
Benefits
Benefits of Taking the HSG X-Ray Scan
- Non-surgical: No incisions or general anesthesia.
- Therapeutic edge: Dye may flush minor blockages, boosting pregnancy odds the same cycle.
- Quick results: Images are reviewed in real time.
Illnesses Diagnosed with HSG X-Ray Scan
| Condition | What the X-ray shows |
|---|---|
| Tubal occlusion | No dye spillage, tube swelling |
| Hydrosalpinx | Fluid-filled tube without spill |
| Uterine synechiae (Asherman’s) | Filling defects inside cavity |
| Submucosal fibroids / polyps | Indentations or shadows |
| Uterine septum or bicornuate uterus | Abnormal cavity shape |
Preparing for test
- Timing: Book between day 7–10 of your cycle (after bleeding, before ovulation).
- Pain relief: Take one painkiller 30 minutes prior as advised.
- Personal care: Bring a sanitary pad for light spotting afterward.
Pre-requisites HSG X-Ray Scan
- Negative urine pregnancy test on arrival
- No active pelvic infection or abnormal discharge
- Stop anticoagulants only if instructed by your doctor
Best Time to Take the HSG X-Ray Scan
Early follicular phase—days 7 to 10—ensures the uterus is thin-lined and pregnancy is unlikely.
Eligibility
- Women aged 18–45 with fertility concerns
- Not currently pregnant or breastfeeding
- No known iodine allergy or untreated STI
Procedure for Taking a HSG X-Ray Scan
- Positioning: You lie on an X-ray table in a standard gynecologic position.
- Speculum insertion: A small speculum is placed to visualize the cervix.
- Catheter placement: A thin catheter introduces iodine dye.
- Imaging: Real-time X-rays track dye flow through the uterus and tubes.
- Completion: Catheter and speculum are removed; you rest briefly before heading home.
Caution Before Taking the Test
- Inform Cadabams Diagnostics staff about dye allergies, asthma, or kidney issues.
- A short course of antibiotics is given if you have a history of pelvic infections.
Test Results
Results and Follow-Up:
| Finding / Observation | Description | General Interpretation / Significance |
|---|---|---|
| Normal spill of dye | Both tubes show free spill into peritoneum | Tubes patent |
| No spill, hydrosalpinx | Tube swollen, dye trapped | Blockage present |
| Filling defect | Intracavitary shadow | Possible polyp or fibroid |
| Irregular cavity | Septate or bicornuate shape | Congenital anomaly |
Risks & Limitations
| Risk | Likelihood | Notes |
|---|---|---|
| Mild cramping | Common | Managed with a simple painkiller |
| Infection | Rare (<1 %) | Prophylactic antibiotics if needed |
| Allergy to dye | Rare | Always screened before the test |
| Radiation exposure | Minimal | Comparable to 2–3 chest X-rays |
| Limitations include possible false positives for blockage and difficulty spotting fine adhesions. |
FAQs
Is the HSG X-Ray Scan painful?
Most women feel mild cramps; taking a painkiller beforehand keeps discomfort minimal.
Can the test actually improve fertility?
Yes, the dye sometimes flushes small debris or mucus plugs, increasing conception odds in the same cycle.
How soon can I try to conceive after the scan?
You can start trying right away if no complications are noted.
Is the radiation dose high
No, it’s very low—about the same as 2–3 chest X-rays.
When will I get my results?
Preliminary findings are shared the same day; your full report is ready within 24 hours.
Do I need a referral?
A referral is preferred; however, walk-ins are accepted if you bring prior medical records.