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Hysterosalpingogram (HSG): What to Expect

Hysterosalpingogram (HSG): What to Expect
Medical Contribution By Jason G. Bromer, M.D.

When beginning the infertility treatment process, diagnostic testing will be the first step you take before your clinical plan can be created. Infertility is diagnosed based on the results of three main tests: day 3 hormone bloodwork and a hysterosalpingogram (HSG) for the female partner, and a semen analysis for the male partner. Each test looks at a different component significant to conception:

  • Day 3 hormone bloodwork: FSH (Follicle-Stimulating Hormone) and AMH (Anti-Müllerian Hormone) provide insight about egg quantity, while estrogen and LH (Luteinizing Hormone) levels can indicate information about the maturation of follicles.
  • Hysterosalpingogram (HSG): Determines the condition of the fallopian tubes and uterus.
  • Semen analysis: Evaluates the quantity and quality of the male partner’s sperm, specifically looking at parameters such as sperm count, morphology (size and shape), and motility (the number moving in a forward progression).

hsg

Prior to starting diagnostic testing, many patients have already had their blood drawn and know what to expect regarding hormone evaluation. Most patients, though, have not experienced a hysterosalpingogram (HSG).
Fear of the unknown can make many patients nervous or apprehensive about this aspect of their diagnostic work-up. However, learning all that SGF does to make the test more manageable is hopefully reassuring.

Why Do I Need a Hysterosalpingogram (HSG)?

After ovulation, a current in the body pushes the egg into the fallopian tubes where the sperm and egg will meet and fertilization can occur. Once an egg is fertilized, an embryo will develop and continue through the fallopian tubes until it reaches the uterus, where it will implant into the uterine lining. The hysterosalpingogram is performed routinely for patients having difficulty conceiving because it is an excellent test that not only can confirm that a woman’s fallopian tubes are open, but can also assess whether the uterus has a normal shape. It can also make sure the cavity is not affected by fibroids, polyps or scar tissue.

The HSG Procedure

HSG xrayPrior to starting the HSG, the patient must produce a urine sample. This is an important step as it allows the practitioner to be sure that the patient is not unknowingly pregnant prior to starting the HSG. Should a patient be pregnant, the dye used to fill the uterus can harm or displace the growing fetus, resulting in an increased risk of miscarriage.

At the start of the procedure, a speculum is inserted into the vagina in order to view the cervix, similar to a Pap smear. The cervix is cleaned with an antiseptic solution; then, a thin, plastic catheter, generally about the size of the tip of a pen, is placed inside the cervix. Once placed, a small amount of contrast dye, usually two to three teaspoons, is passed through the catheter into the cervix, filling the uterus and fallopian tubes.

While lying flat on the table, a special type of X-ray imaging technology called fluoroscopy is used to provide a “live” X-ray that allows the practitioner to watch as the dye fills the uterus and travels into the tubes. The tubes are considered open when the dye is able to move completely through the length of the tube, spilling the dye out on the other side. This indicates that the tubes are open and available to “pick up” an egg post-ovulation. Immediately following the HSG test, patients will receive preliminary results from their practitioner. The images taken throughout the procedure are then sent to the ordering physician, along with the practitioner’s findings.

Side Effects and Risks

There are several fairly common side effects associated with HSG tests: abdominal pain and/or discomfort, feeling crampy or achy, and vaginal spotting and/or watery discharge. When spotting or discharge occurs, we encourage patients to use sanitary napkins or pads as opposed to tampons. We also encourage our patients to speak with their physician about taking some over-the-counter pain reliever following the test to reducing any cramps or discomfort.

While uncommon, a risk associated with HSG is infection. Patients that have a diagnosed or suspected problem with their fallopian tubes – such as a history of ectopic pregnancies or a hydrosalpinx – will likely be prescribed an antibiotic to be taken in advance. An HSG will not bring on menses, so if you experience a full menstrual flow, develop a fever, or continue to feel pain for more than a few days, you should speak with your physician. If it is after hours, you should call Shady Grove Fertility’s answering service.

Why Choose SGF for Your HSG?

Shady Grove Fertility places high value on patient safety and comfort and goes out of our way to minimize discomfort. Here’s how:

We encourage taking a pain reliever 30 to 60 minutes prior. Many women feel some cramping for about 2 minutes when the dye is filling the uterus. Therefore, we strongly encourage taking an over-the-counter pain reliever (such as ibuprofen) 30 to 60 minutes before the test to reduce feelings of pain or discomfort. This will help tremendously.

Also, speak with your doctor about taking pain medicine 30 to 60 minutes before the procedure especially if you have a history of ectopic pregnancies or a hydrosalpinx.

We have very experienced clinicians who perform HSGs. The clinicians at our practice who perform HSGs perform thousands each year and have the experience and expertise to help make your experience as comfortable as possible.

We encourage communication. We encourage you, if you are feeling any discomfort during the test, to communicate with your clinician performing the test, let us know if it hurts, and we may be able to make some adjustments to make you more comfortable.

We are selective about dye and instrument type. We select a dye that is known to cause the least amount of cramping and an instrument that is known to cause the least amount of discomfort.

We care about your comfort. We perform this procedure on a GYN table, which makes patients more comfortable, compared with a hospital table common in other locations.

We don’t tell our patients the procedure will be 100% painless but we reassure that we will do everything in our power to make the test more comfortable.

Here’s what our patients are saying:

  • “After reading all that horror stories on internet, I was so nervous! It was nothing at all. Like a regular OB exam, but a little bit longer.” – Tanya
  • “I had my HSG done a few months ago and I did have some pretty intense cramping during mine. I have endometriosis, so I’m used to intense cramps, but I was pretty uncomfortable through the procedure, but it was quick, and it wasn’t anything that I couldn’t bare.” – Stacy
  • “It was not at all painfully except for 2-4 seconds of our very known menstrual pain which occurred when they filled with the contrast dye.” – Ranuak
  • “My HSG went very smoothly. I only felt a little pinch when they inserted and inflated the catheter. When they injected the dye it just felt like a very dull menstrual cramp and then it was over before I knew it!” – Jennifer

SCHEDULE AN APPOINTMENT


Common Patient Questions

How long does an HSG take? While the actual procedure takes about 5 minutes, you should plan to arrive for your HSG 30 minutes prior to your scheduled appointment. You can also expect to be with us for 30-45 minutes after the scheduled HSG start time.

Is it okay to drive home by myself after the test? The standard operating procedure for an HSG does not call for sedation. You are unlikely to have pain following the procedure, but you may feel crampy or achy. The majority of our patients are able to drive after an HSG and even immediately return to work.

When is the best time during my cycle to schedule the HSG? The test should be scheduled after your period ends, but before you expect to ovulate – usually between days 5 to 12 of your menstrual cycle. To figure out the days of your cycle, count day 1 as the day your period begins.

Where can HSGs be performed? HSGs can be completed in many healthcare environments, including hospitals, radiology labs, or other free-standing centers. Shady Grove Fertility has two free-standing HSG suites located in Rockville, MD and Towson, MD.

Do I have to complete my HSG at a Shady Grove Fertility facility? No, Shady Grove Fertility physicians routinely make diagnostic and treatment decisions based on HSGs performed at facilities other than our own. Occasionally, however, the information on an HSG done at an outside facility may be inconclusive or not provide all of the information needed for the best medical recommendation. In these situations, your Shady Grove Fertility physician may recommend repeating the HSG to obtain necessary information.

Because we take great pride in the lengths to which we are able to go to make sure women are as comfortable as possible during an HSG, many physicians refer their patients to SGF for an HSG.

Who can administer an HSG? HSGs can be performed by infertility specialists, obstetrician-gynecologists, radiologists, physician assistants and other health care providers. Health care providers performing HSGs should be trained in performing pelvic exams and be technically proficient with the HSG technique. They should also be able to evaluate its findings and report them comprehensively.

Will I have insurance coverage for my HSG? Most – but not all – insurance policies will cover the expense of an HSG completed at Shady Grove Fertility. The choice to have the HSG performed at Shady Grove Fertility versus another facility is ultimately up to you. Patients whose insurance policy does not extend HSG benefits at Shady Grove Fertility will incur a charge for the procedure and will be responsible for its payment. The cost versus the benefits can be discussed with your primary Shady Grove Fertility physician, as well as other questions you may have about the HSG.

How soon after the HSG can I resume intercourse? Generally, we want patients to abstain from intercourse until after vaginal spotting or discharge stops, usually 1 to 2 days after the HSG.

So much of the infertility treatment process is about narrowing down the cause(s) of an individual’s infertility. The HSG, though not commonly known, is a beneficial way that your physician can determine the best path to help you on your journey to reproductive success.

SCHEDULE AN APPOINTMENT


If you have questions about your fertility options or are ready to
schedule an appointment with a physician at Shady Grove Fertility, please speak with one of our New Patient Liaisons at 877-971-7755.

Editor’s Note: This post was originally published in August 2014 and has been updated for accuracy and comprehensiveness as of April 2018.

42 Comments

  1. Zinhle

    October 24, 2018 - 2:10 pm
    Reply

    Hellow

    I went for HSG about two days after my periods (12 October) and I was supposed to be ovulating on the 19/20. What I would like to know is that does that spotting count as periods or not. Thanks

    • Shady Grove Fertility

      October 24, 2018 - 3:42 pm
      Reply

      Hi there,
      No, the first day of full flow is the first day of your period. Spotting does not count.

  2. Nicole

    July 19, 2018 - 3:53 pm
    Reply

    Hello, Are any of your facilities able/willing to perform a hysterosalpingogram under sedation? I have an extreme phobia of speculums, to the point where I can just barely get pap smears. I have attempted to get the HSG twice, each time which a higher dose of Valium, and backed out both times while lying on the table before the procedure was even started. I believe the only way to get this done is to be completely knocked out, and there are no labs or hospitals near me willing to do this. Please let me know if this is a possibility. Thanks, Nicole

    • Shady Grove Fertility

      August 6, 2018 - 3:28 pm
      Reply

      Hi Nicole, yes we do offer sedation for HSGs at our Rockville office. You can call 1-888-761-1967 to schedule an appointment there.

  3. Rifaat Salem MD

    February 1, 2018 - 4:03 pm
    Reply

    My wife had a test few days ago and was worried if everything done nicely as she didn’t feel anything later. your blog ensure us that its normal after the test, no pains. Thank you for the information.

  4. Katie

    August 21, 2017 - 10:31 am
    Reply

    I had an HSG today and have PCOS. I did not have a blockage.

    Pain-wise, I’ve had an IUD in the past so knew to expect a little bit of awfulness as they out the catheter through my cervix. And yep. Uncomfortably severe period-pain like. Then apparently they inflated a balloon and slowly injected the 1ml of dye? That hurt too.

    It was like 3-5min of constant, severe period pain. Not the end of the world but I definitely did not enjoy it. Got through it by thinking, ‘Well, at least it will be over soon.’

    There are a lot of horror stories commented here. It is not as bad as these comments seem. These are individual cases and it seems people have had some bad experiences. This does not mean that you will, if you are reading this for reassurance. Individuals have had bad experiences. I am another individual who did not have a bad experience. It was uncomfortable, very sore period pain. Like the worst period pain I’ve ever had. However the worst period pain is not the worst pain I’ve felt. I stood in a nail once. I’d say that was worse! So was getting a belly button piercing. You should be fine with an HSG.

  5. Jenn

    January 20, 2017 - 7:59 pm
    Reply

    I had my HSG test done today. After reading some of these comments I was completely anxious and terrified that it would be a very painful experience. An hour before the test my RE recommended taking 800 mg Ibuprofen and a Valium. I felt absolutely no pain or discomfort. After the procedure I was able to go about my day normally without any cramps and very minimal spotting. I had already scheduled to have the rest of the day off but if I had known how easy it was going to be, I would have returned to work.

  6. Maureen

    October 12, 2016 - 2:02 pm
    Reply

    I had one done this week.. the comments here scared me, but I’m glad I read them and knew to take ibuprofen before I went. I took a couple of ibuprofen 2 hours before my procedure and another one about 30 minutes before I went and I was completely fine. I get TERRIBLE cramps during my period and have gotten crampy with pap smears before, so I was very nervous about it.

    I couldn’t feel the dye and didn’t have any pain. I didn’t even realize they had put the dye in until I looked back at the screen. My tubes were not blocked, so I don’t know if that affects the procedure at all, but it was painless.

  7. Jenn

    December 29, 2015 - 9:43 pm
    Reply

    I went and got that hsg test back in June. It was not as bad as I expected, I just felt a little cramping during the procedure. In the end it was worth it, after a year of not being able to get pregnant and not knowing why it turns out that I may have had something blocking my tubes that came loose during the procedure. Iam currently 29 almost 30 weeks pregnant, in fact I had the test done on a Friday in June and the conception date is that weekend!

  8. Marine

    October 13, 2015 - 6:48 pm
    Reply

    I just had an HSG done yesterday and it wasn’t bad at all. I read all the horror stories and worked myself up for no reason. Granted every body is different and everyone’s experiences are different. I did take some Tylenol an hour before the test so that helped a lot. I did (and still am) experience some cramping after the procedure but nothing I cant handle. My advice would be to go in with a open mind, try to relax and remember your going through this for a great reason! Good luck!!

  9. KWeav

    October 13, 2015 - 6:46 am
    Reply

    I was quite nervous about going to have the test done – especially after reading about all of the people who have had such a horrible experience! But for me, it really wasn’t that bad. I took an ibuprofen before I went. I felt the needle but it didn’t really hurt and I had no cramping whatsoever. From what I’ve read online, it seems that people’s experiences vary a lot!

  10. sarah

    September 25, 2015 - 8:07 pm
    Reply

    Thank you for writing this. I cut and paste your review to save in my email and it will be the only one I read from now on. I agree people shouldn’t post these horrendous stories (but also that I shouldn’t read them!) Anyway, really appreciated your review and insight.

  11. Laurel

    September 15, 2015 - 2:19 pm
    Reply

    I had my hsg yesterday. I’m glad I read most of these comments to realized everyone is different and reacts differently to the procedure; It helped me to prepare for the worse. I didn’t experience any pain( although my doctor proscribed me pain meds) but I did feel a little odd toward the end. I had my annual Pap smear a month ago and that felt more uncomfortable then because of the pressure when putting her fingers inside.
    I read someone’s comments some were that they thought the people with blockage felt more pain because the dye had no where to go, and I don’t think that’s something anyone would put there hope in. I was blocked on one side and only a little bit was spilling out on the other. So far I havent even had any discharge.

  12. Edeline C

    September 14, 2015 - 7:46 pm
    Reply

    I just finished my HSG and agree it was painful but not debilitating. I’ve had paps where it felt like 1000 sharp knives and I cried until the dr said, we’re done here you’re a difficult pap don’t come back. So needless to say, i was SHAKING when I was in the waiting room for the HSG.

    Well…here are my survival tips (I’m still alive and can walk):
    – take two Ibuprofens one hr before the exam
    – you will naturally “clam up” if you are in terrified state like me so here’s advice: tense up and then do a long exhale like in yoga and tell yourself ok, don’t tense cuz it’s only going to hurt more
    – hold the assistant’s hand if there is one and keep exhaling
    – the speculum hurts, but it isn’t like writhing sharp knives. Just think a super long Q tip is down there after they open you up.
    – they ask you to turn on your side to get pics and it’s super uncomfortable as you feel th tube or whatever else is digging. Just do it super slowly and remember, no turning = no good pics = can’t diagnose if your tubes are blocked

    In sum. I did not have to get carted out. I wasn’t bent over and crying. Just try your darnedest to breathe and fight the urge to tense up and the painkillers help with that. If I can live through it, you can too!!

  13. E.

    September 10, 2015 - 9:16 pm
    Reply

    I just had my HSG exam done today (September 10, 2015). It was smooth and easy. Took about 15 minutes. I had slight, very bearable cramping which lasted for a few minutes.
    I would say there is nothing to worry, stress about this procedure.

  14. Sharon

    September 5, 2015 - 6:08 am
    Reply

    Totally agree! Had a HSG exam this morning and it was painless. Maybe a little uncomfortable with slight cramping when the dye went in. All you need to do is to breathe, relax and stay positive! I kept my smile and chatting with the Dr and his assistant the whole time, it really helped! Don’t let that fear in your brain scare you. And yes, don’t get frightened by dramatic stories you read on the internet!

  15. Ella

    July 25, 2015 - 6:34 am
    Reply

    Pardon me people about your concern about the procedure I had it done 7-21-15 it didn’t hurt me and it went smoothly, obviously cramps is expected imagine placing a foreign stuff in your vagina and introducing this dye and pumped it up then you have a blockage for example of course it will sore its like it gets infiltrated or let say since the tube going to ovary is just a tiny one it will make you sore because when the dye was introduced it expand but other people exsagerate the pain and story and, you have to understand people have different pain level, maybe sore for some people because you yourself don’t know how to breath normally when this thing inserted, the procedure was so easy and fast so people who need this test don’t get scared just do it so it can get a great result okay

  16. Nicolette

    July 22, 2015 - 5:26 pm
    Reply

    Had an HSG done yesterday and honestly I only felt some discomfort. I took 400mg of ibuprofen about and hour before. The procedure was quick and I had a doctor who talked to me the whole time. He also worked slowly, which I think made a difference in me not experiencing pain. I had done research and was scared because so many women expressed how painful it was. I’ve had pap smears and colposcopies that were much worse than the HSG. I guess everyone is different.

  17. Khristen Bossette

    June 23, 2015 - 3:10 am
    Reply

    I had my Hsg done today and it was totally painless.My tubes were blocked d/t mucus plug .The blockage was addressed and now my tubes are unblocked and patent.

  18. Pat

    May 29, 2015 - 10:36 am
    Reply

    well I did the HSG test and it wasn’t that painful as some say. it was more like period pains and it did not last long. I guess that pain wasn’t too much for me because am used to period pains

  19. Ihuoma

    May 19, 2015 - 11:53 am
    Reply

    Please what matters most in Life is the end result of Everything, no Gold without going through fire, Gold goes through the fire before it becomes useful.
    You can only go for what you cherish most. Painful But Prize Full.
    Full of expectations from God.
    Best of Luck!!!!!!!!!!!!!!!!!!

  20. Samantha

    May 15, 2015 - 9:00 pm
    Reply

    Had My HSG Test today@ 11:00 luckily only 1 min of cramping during procedure and not any residual pain thus far I was worried sick and thankfully it wasn’t as bad as I imagined thankfully.

  21. Sarah

    May 15, 2015 - 3:16 pm
    Reply

    I had an HSG yesterday and wanted to see if others had the same experience I had so I did a google search for “after HSG” – this was the first active thread to come up so I thought I would add my experience even though I’m in Boston. (Thanks to Shady Grove Fertility for allowing these comments, it was very helpful for me to read others experiences.)

    Every woman’s pain tolerance, comfort level and body is different. I thought I would share my experience in case it’s helpful to someone else. I am a very relaxed person and usually have no issues with doctors appointments or procedures. The procedure itself wasn’t scary or painful (for me). It was about as uncomfortable as a normal pap smear but with some extra pressure and prodding. My doctor used a local anesthetic injected into my cervix. I am wondering if that’s the main difference for women experiencing a lot of discomfort with this procedure. I didn’t feel the injection at all (I was afraid I would – I’ve never had a shot ‘below the belt’ before!) and after that I mostly only felt the speculum. I had small amount of cramping but it was mostly just the usual weirdness of a gyno exam. One issue we had was that the tube that administers the dye slipped out! So I had to have the speculum and insertion twice – not fun.

    It was after the procedure that I felt poorly. Immediately after, I took a very long walk and didn’t feel much pain other than some light cramping. When I got home and sat down, I felt VERY uncomfortable. I felt ‘full’ and crampy and achey. It was like menstrual cramps and gas cramps at once with bloating. Ibuprofen helped a little, as did standing. (I’m guessing my long walk after the HSG helped stave off the pain but as soon as I stopped and sat down, the pain started.) It wasn’t unbearable but it wasn’t nice either.

    Now it’s the next day and I am bloated! I still have the fullness feeling but no real pain. My abdomen muscles feel a little sore and tired, probably from the cramping but mostly I’m just puffy and full-feeling. I’m on an antibiotic (I’ve read that’s standard for after HSG) and will continue to monitor how I feel. I generally feel calm about it but any strange feeling when you don’t know how to remedy it can be frustrating and a little scary.

    I hope hearing my experience helps others out there googling “feeling weird after HSG” or “massively bloated after HSG” or other feelings. :)

    Good luck to everyone out there going through this strange but hopefully helpful procedure.

    • Sarah

      May 15, 2015 - 3:22 pm
      Reply

      I will also add that my results were just okay. I was diagnosed with a hydrosalpinx on one side (unilateral). Hopefully that other tube and ovary can do the job.
      Best of luck, ladies.

  22. Carrie

    May 4, 2015 - 7:42 pm
    Reply

    My hsg was about 2 hours ago and I was totally nervous of the unknown and had read lots of mixed reviews in terms of pain & discomfort. I even cried a little on the way there because we’ve been trying to conceive for a year and 1/2 and at this point I am so ready for good news , just like all of you. (Im 37 and my hubby is 47.) I took 2 motrin about 1/2 hour before my appt. I was prepped for everything with a nurse who was pretty imformative of what I was to expect. Once the Dr came in, it felt like I was getting a pap smear, but in a room with lots of equipment. They took an xray pic of my pelvis and then started the procedure. I was totally fine, watching the screen and watching my uterus fill up with dye. The doctor said my right tube was spilling out correctly. Then, after that, I had to look away from the monitor and focus on breathing because I felt cramping and a filling up feeling that was just more uncomfortable than anything. It kinda felt traumatizing for 1 minute but I just kept breathing through it like a bad menstraul cramp that I get every once in a while. The Dr had me tilt my pelvis to the left for about a minute & a half and then he said we were done and everything went well. I was relieved that it was over because nobody likes their insides being messed with, plain and simple. In a nutshell, you may feel, nothing, you may feel pain, you may pass out… But if it leads to a baby it is so worth it in the end. Also, if you can’t get through this, labor is going to be worse so if anything it probably preps us for all the things we will experience as moms. Try to just breathe and meditate by looking at the tiny specs in the ceiling until the uncomfortable stuff passes. Good luck!!!!

  23. Brandi

    April 25, 2015 - 3:40 pm
    Reply

    I took the test two days ago and my anxiety and apprehension were way worse than the test. There was some cramping and then it was over. I was very relieved.

  24. Sneha

    April 25, 2015 - 1:50 pm
    Reply

    Hi I just done by hsg. Its not much painful. And doctor is also told me that my both tubes are normal.so don’t. Worry. Its not so much painful

  25. nicole

    April 10, 2015 - 1:21 pm
    Reply

    Did it feel like you pulled a muscle the next day? Because that’s how I feel and it feels like something is pulling

  26. P.guzman

    April 1, 2015 - 10:02 pm
    Reply

    Ok, so I just had this procedure done a couple hours ago… and of course I freaked myself out a few days before reading all of the reviews and comments from other women. First off, I am a very anxious person and I have a pretty low to medium pain tolerance.
    I was lucky to have had a super sweet and friendly nurse in the room with me to answer any and all questions and walk me through everything. The doctor was also super sweet and friendly and I expressed to them I was scared and they did a good job of walking me through as they did each thing. They also said I could watch on the monitor the fluid going in. To be honest, the catheter going in makes you feel like you have lots of pressure in your pelvic area as well as menstrual cramps. But, what really hurt the most which felt like a stinging/cramping/full-feeling was when the liquid was being injected. I felt faint because I have a history of fainting with strong pain and I told the Dr. I was starting to feel faint and within 30 seconds it was over. Once they take the catheter out, everything subsides. I came to work right after (ugh!) so I’ve been ok thankfully just feeling a tad crampy. I will rest tonight and take it easy and hopefully have everything go smoothly. I ended up having no blockage of my tubes praise God! :) Good luck ladies!!

  27. D.N

    March 21, 2015 - 1:02 am
    Reply

    I had mine done today…whole procedure lasted about 5 minutes and I had some moderate cramping for about 2 of those minutes. Afterwards I felt fine which could have been because I took Advil prior to procedure. The procedure was this morning and other than some mild cramping on and off throughout the day/night I feel fine. Experience definitely wasn’t as bad as I expected.

  28. maribel

    March 17, 2015 - 2:06 pm
    Reply

    Just got out mild cramp pain that’s all I was scared for Nothing lol

  29. smitty

    February 28, 2015 - 1:37 pm
    Reply

    Gm, well I had my HSG test done yesterday and it went very smooth (no exception). The pain that I felt was the dye being released it was very mild cramp (but I also took 2 Aleves 1 hour prior to my scheduled time) and it was ok. What I can say you may feel the dye pushing what’s there out. I had a little pain on the left side right side painless! !!!!! Did not get the results yet cause my doctor office was closed, so I’m going assume everything was good. I plan to stay opened mined!

  30. meleciag

    February 24, 2015 - 12:28 am
    Reply

    Ok so i posted an earlier comment about my concern being more about a male performing this procedure. well it was all women so that was good. and they were super great with me. I felt absolutely NOTHING! no cramps or anything! I did feel slight discomfort when she was cleaning with the q tip but that was it! It all felt like getting a pap smear! seriously guys, if you felt pain then that was your personal experience don’t post and terrify others as if it will be the same for them! It was a simple, easy and pain free process for ME. now i was clear, no blockage or anything, maybe that was the reason for my no pain experience? i dunno, but i didnt take any pain killers or anything plus it was over in 6 mins! So if you are reading comments online about how awful the pain is…keep in mind it is from some one’s own personal experience, we are all different. some one else’s pain or non pain may not be yours! stay calm, think about the reason you need to get this done! Good luck!

  31. Diane

    February 21, 2015 - 10:14 pm
    Reply

    I had my HSG performed roughly 7 hours ago. I was given literature about the procedure roughly 2 weeks before I went to Shady Grove-Rockville. The literature clearly mentions that “Many women feel some cramping, especially when the dye is injected. Women who have a blocked fallopian tube may feel intense pain”. The literature, as well as my nurse and the front desk at Shady Grove-Annandale all said to take an ibuprofen an hour prior to my appointment (this was especially helpful since you are asked to arrive a half hour prior to your appointment.) I did as I was instructed. My uterus and fallopian tubes were not blocked. What I felt was minor cramping that I would associate with being similar to what I experience when I have my period. The cramping lasted 5 minutes.

    For me the whole procedure was very easy. I may have been at the facility for 45 minutes. I arrived at 9:30 for a 10 am appt. Spent 5 minutes reading a consent form. Roughly 10 minutes spent providing a urine sample, having my blood pressure taken, and documenting my height and weight. Then off to the room where they perform the HSG. Stripped from the waist down and waited maybe 7 minutes. Then Jennifer and Erica had me lay on the table and performed the HSG. That maybe took 8 minutes. Followed by 5 minutes of Jennifer explaining what the x-ray showed. I was then given the go ahead get dressed and was in my car at 10:10.

    I want to add that I too read all the previous comments about how painful an experience others had. What I also noticed of those who posted that they had experienced a lot of pain – none of them mentioned whether or not the HSG determined if their uterus or fallopian tubes were blocked. After reading all the posts here, I went to other sites and found women who were recommending the procedure because they felt that the HSG increased their fertility. That perhaps the dye cleared things out.

    As another poster wrote, everyone experiences pain differently. Maybe I have a high pain threshold or my pain was very minor.

    Obviously you will do what is right for you. Best of luck!

  32. Saadia

    January 31, 2015 - 3:59 am
    Reply

    I just got my HSG done today (01/30/2015) at rockville office and I too was super super nervous and read all the horrendous stories online but for me it was a piece of cake. The only thing I felt was the clamp going in which was for a second and after that nothing, yes nothing at all. I don’t know when they injected the dye in or the catheter. I must say the nurse I got, I think her name was Jennifer, she was amazing and so gentle. I felt no cramping during the dye was being injected or after. Of course everybody is different but that was my personal experience and was pleasantly surprised, especially after my friends and family had scared me to death.

    • tiffney

      May 18, 2015 - 9:20 pm
      Reply

      I had my hsg performed today and i too was all worked up over what i has read on the Internet but my procedure was not painful it was like a pap smear…..like u said every woman is different…

  33. Jen

    January 15, 2015 - 9:44 pm
    Reply

    I just had this done an hour ago and it was a piece of cake. I had a tiny bit of cramping when they were putting in the dye but it was nothing. I’ve had worse period cramps.

  34. Mari Allena

    December 6, 2014 - 12:17 am
    Reply

    I had my HSG test done today and thought I would share my experience. As many other women, I read the some horrendous experiences which scared me to death. Last night I couldn’t sleep because I was in such a panic. When I got the hospital my nerves settled a little because being there forced me to mentally prepare for what was about to happen. Yes it was a painful experience but not an unbearable pain and it really doesn’t last long. The worse part for me was the dye going in. I felt 3 sharp pains and that was it the test was over. For me, it wasn’t as scary as some made it sound but everybody is different. I wish I could tell everyone who is nervous about going not to be, but you will be. It wont be as bad as you build yourself up for. The anxiety leading up to it is worse then the test itself. Just relax and breathe. You will do great! :)

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