What will occur during the exam?

During the hysterosalpingogram (HSG) exam, you will be asked to lie on an exam table and place your feet in stirrups. The following steps will generally happen during the exam:

1. Preparation: You will be asked to change into a gown and lie on the examination table.

2. Speculum: A speculum is placed into the vagina to hold the vaginal walls apart.

3. Position catheter: A thin catheter will be inserted through the cervix and into the uterus.

4. Injection of contrast: Liquid contrast is then injected slowly and flows into the uterine cavity and out through the fallopian tubes into the pelvis. The flow of the dye is monitored via fluoroscopy (x-ray) images. 

5. Monitoring: You may be asked to move into different positions during the procedure to help the dye flow into your fallopian tubes.

6. Completion: Once the X-rays have been taken, the catheter and speculum will be removed.

The HSG usually takes less than five minutes once the catheter is positioned. You should be able to return to your normal activities immediately afterward. You may experience some cramping, spotting, or light bleeding for a few days following the procedure, but these symptoms usually subside quickly. Your healthcare provider will discuss the results of the HSG with you after the exam.