How many times hsg

These symptoms can be greatly reduced by taking medications used for menstrual cramps before the procedure or when they occur.

Women should be prepared to have a family member or friend drive them home after the procedure in the event that they are experiencing cramping.

It is controversial whether this procedure enhances fertility. Some studies show a slight increase in fertility lasting about 3 months after a normal HSG. However, most doctors perform HSG only for diagnostic reasons. HSG is considered a very safe procedure. If your tubes are blocked, your doctor will likely recommend either a surgical procedure to directly view the tubes laparoscopy or to bypass the tubes and perform in vitro fertilization IVF.

This is a complex decision that should be discussed with your doctor. For more information, please see the ASRM booklet Laparoscopy and hysteroscopy and fact sheet What do I need to know about conceiving after tubal surgery? Laparoscopy can also determine if tubes are open, using a procedure called chromopertubation.

It can determine if your fallopian tubes are open and if there are fibroids or polyps in the cavity of you uterus which might interfere with implantation of an embryo. It can also identify an abnormally shaped uterus which might increase the incidence of pregnancy loss. So the really great thing is that an HSG can be therapeutic in addition to being diagnostic.

The test can be painful. Our practice is to offer pain medication for patients. I would encourage you to take it because it is hard to know ahead of time which person will need pain medication.

Afterwards you may be crampy for the day, but the stronger pain actually lasts for about one minute or less during the procedure. If the fallopian tubes are not completely blocked, the contrast may then flow from the fallopian tubes into the abdominal area.

The fluoroscope images can show an abnormality of the uterus or a blockage of the fallopian tubes. A blockage could prevent the egg from ever becoming fertilized. Occasionally, an HSG can have a therapeutic effect. The contrast may flush unseen blockages and enable conception without additional medical procedures; however, that should not be relied upon. Abnormalities in the uterus could prevent fertilization or implantation of an egg or could be the cause of miscarriages.

An HSG is needed three months after the placement of a permanent contraceptive device i. Essure or Adiana. This ensures that the micro-inserts are properly in place and that the fallopian tubes are completely blocked. This procedure should be done within the first 10 days of your menstrual cycle, but after blood flow has stopped. This is usually between days 7 and This is to ensure you are not pregnant and to avoid using x-rays, which emit radiation, during an early pregnancy.

If you are not having menstrual periods, a pregnancy test may be required. Contact your personal physician for a referral for this exam. Then call to schedule. Infertility workup procedures such as a hysterosalpingogram are often not covered by insurance. Check with your insurance company to be sure. If your insurance company will cover the exam, please bring your insurance card with you. If an HSG is not covered by your insurance, please plan to pay for the procedure at the time it is performed.