When couples experience difficulty in conceiving, doctors often recommend some tests to locate the trouble. An important fertility investigation is the HSG test-often referred to as the fallopian tube dye test. This special X-ray examination assists doctors in determining whether the uterus or fallopian tubes are blocked or abnormal in a way that might impair pregnancy.
This guide explains everything you need to know-what the test is, why it is done, how the procedure works, pain level, cost in India, benefits, aftercare, and chances of pregnancy. The information is explained as simply and easily as possible for clarity.
What is the HSG test?
HSG stands for Hysterosalpingography. It is a diagnostic X-ray test of the uterus and fallopian tubes of a woman. During the test, a particular contrast dye is put inside the uterus, and after that, X-rays are taken to show the movement of the dye.
This test helps to find out whether the fallopian tubes are open and whether the uterus has a normal shape. Doctors commonly include hysterosalpingography as part of infertility evaluation when pregnancy does not occur after several months of trying.
Why Is the HSG Test Recommended?
Doctors recommend this test due to several important reasons, which includes:
- Checking if the fallopian tubes are blocked
- To detect abnormalities of the uterus
- To investigate the causes of infertility
- To locate fibroids, adhesions, or scar tissue
- Evaluation of uterine shape following surgery or miscarriage
Images from this test enable the doctor to correctly plan further treatment related to fertility.
HSG Testing Procedure: Step-by-Step
Knowing what to expect beforehand can ease apprehension.The test is usually scheduled between Day 7 and Day 10 of the menstrual cycle, after periods end and before ovulation.
Procedure steps:
- You will lie on an X-ray table similar to a gynecological exam position.
- A speculum is gently inserted into the vagina.
- The cervix is cleaned, and a thin catheter is placed.
- A contrast dye is slowly injected into the uterus.
- X-ray images are taken as the dye flows through the uterus and fallopian tubes.
The whole procedure usually takes 15 to 30 minutes, and most women can go home on the same day.
Instruments Utilized During the Test
It uses only basic and safe medical instruments like:
- speculum
- Thin catheter or cannula
- Contrast dye
- X-ray imaging machine
All instruments are adequately sterilized, and the procedure is done under medical supervision.
Is the HSG Test Painful?
Pain levels vary from person to person. Some women experience mild to moderate discomfort, while others feel only slight pressure.
Common sensations include:
- Mild cramps similar to a period pain
- Temporary discomfort during the dye injection
- Pain that usually subsides in a few minutes
Physicians may recommend pain-relieving medication before the procedure. Relaxation and slow breathing can also minimize discomfort.
Cost of HSG Test in India
The cost of the HSG test relies on the hospital, the city, and the diagnostic center.
Approximate Price Range:
- Government hospitals: ₹800 – ₹1,500
- Private diagnostic centres: ₹2,000 – ₹5,000
Advanced imaging equipment and accomplished radiologists may slightly increase the cost.
Advantages of the HSG Test
This fertility investigation has many advantages:
- Detects blocked fallopian tubes.
- Helps diagnose uterine abnormalities
- Assists in fertility treatment planning.
- Non-surgical and quick procedure
- Sometimes improves fertility by flushing minor blockages
Sometimes, this is because of improved tubal patency, resulting in a natural conception within a few months following the procedure.
Symptoms of Pregnancy After the Test
Some women begin to notice early signs of pregnancy within a few months of the procedure, including:
- Missed period
- MILD NAUSEA
- Breast tenderness
- Fatigue
- Light spotting associated with implantation
While the test does not ensure pregnancy, in some cases, it could increase the chances.
After-care and Precautions
Mild side effects that may occur after the procedure include:
- Light vaginal spotting
- Mild abdominal cramping for a few hours
Precautions to follow:
- Avoid sexual intercourse for 24–48 hours
- Keep good personal hygiene
- Call a doctor if you have fever, severe pain, or unusual discharge
Who Should Not Undergo the HSG Test?
This test is not indicated in cases of:
- You are pregnant.
- You currently have a pelvic infection.
- You’re having a lot of vaginal bleeding.
If you have any allergies, especially to iodine-based contrast dyes, you should always let your doctor know.
Final Comments
The HSG test is one of the most important diagnostic fertility investigations. It is quick, safe, and non-invasive, offering important information regarding uterine and tubal morphology. Knowing what to expect from the procedure, the price to pay, how painful it can be, its advantages, and how to take post-procedure care will make you confident and prepared to face it.If you are planning for pregnancy and having problems conceiving, you should consult with an experienced gynecologist to determine whether this test is suitable for you. The fertility specialist at Srishti IVF Hospital, Jaipur will watch each patient’s condition and recommend appropriate investigations and treatment plans. Early diagnosis and proper medical guidance can significant improvement in the treatment outcome and increase the success rate of conception.
