How painful is the HSG?

Although some women may experience some discomfort or pain during the HSG, it is typically well tolerated. Many variables, such as your own pain threshold and any underlying medical issues, might affect how much pain or discomfort you feel.

• During the exam, you may experience cramping or discomfort as the catheter and contrast are inserted into your uterus and fallopian tubes. This discomfort may be similar to menstrual cramps or may feel like a sharp or dull pain. Some women also experience a brief, intense cramp as the dye is injected.

• To minimize discomfort during the exam, you are advised to take over-the-counter pain relievers such as ibuprofen or acetaminophen before the procedure to help manage any discomfort. The HSG is performed while you are awake and does not involve anesthesia.

• Some women experience new cramping approximately 3–4 hours following the procedure. Taking over-the-counter pain medications before and after the HSG can help. After the HSG, you may experience mild spotting or bleeding for a day or two. 

• If you are concerned about pain or discomfort during the HSG, it is important to discuss your concerns with your healthcare provider beforehand. They may be able to provide additional information about the procedure and offer strategies to help minimize any discomfort.