The HSG Test (Hystersalpingogram) - What to Expect

I was diagnosed with PCOS (Polycystic Ovarian Syndrome) 6 months ago. About two months ago, my doctor told me I would need to undergo a HSG Test. This test is part of the standard work-up prior to beginning infertility treatment.

The purpose of a HSG Test is to inject dye by way of the cervix into the uterus and in turn the fallopian tubes. It is used to diagnose tube blockages, fibroids and other uterine disorders.

I wasn't told to take any pain relievers prior to going in. My husband was able to go with me so I didn't have to go alone. They had me put on a gown and sit on this large table. The technician explained the whole procedure to me before we began. He showed me the tools he was going to use and what each one did.

The first thing he showed me was this long (about 9 inches long) plastic stick that was the catheter. It has a bubble on the end that he could air up to keep the catheter in place. I lay back and he used a speculum and attempted to put the catheter in. He attempted this three times before he stopped and said he was unable to continue and would need to call an OBGYN in to do it. This stopped the entire procedure for that cycle and was told to reschedule next cycle.

The next month we went in and the same thing was done. This time the OBGYN was able to get the catheter in. They had me lay down flat and put the x-ray machine over top of me. The doctor then started to inject the dye into my uterus. I'm not going to lie to you at this point. It hurts. Bad. They had a hard time visualizing one of my tubes so it took a little more effort. Just when I thought "I can't take this anymore" it was over.

They took the catheter out. I was told I could get dressed and to take some ibuprofen when I got home. They gave me a sanitary napkin for the ink discharge and sent me on my way. I did have some cramping for a few hours after but nothing unbearable.

I was lucky. I had no blockages or abnormalities. I remember before the test being extremely nervous and googling HSG test for every scrap of information I could get. Most said either it doesn't hurt or it was worse than labor. There really wasn't any in between information.

I hope this article can help someone who is undergoing the same situation. Yes, it hurt but I think any woman undergoing treatment for infertility would agree with me when I say I'll take a little pain now if it will give me a child in my arms.