Hysterosalpingography (HSG): Insights from the Best Gynecologist in Delhi

For many women struggling with infertility, understanding the cause is the first step toward finding a solution. One of the most commonly recommended tests in such cases is Hysterosalpingography (HSG). Though the name sounds complex, it’s a straightforward and effective diagnostic tool that helps doctors evaluate the health of the uterus and fallopian tubes.

The best gynecologist in Delhi often advises HSG as an early step in a fertility assessment. This blog explains everything you need to know about HSG—from what it is, how it’s done, and what it reveals—to how expert gynecologists ensure the procedure is comfortable, informative, and safe.

What is Hysterosalpingography (HSG)?

Hysterosalpingography is a special X-ray test that examines:

• The shape and structure of the uterus

• Whether the fallopian tubes are open or blocked

It helps determine if a woman has any physical barriers to natural conception. It’s typically done between Day 6 and Day 10 of the menstrual cycle, after bleeding stops but before ovulation begins.

Why is HSG Important?

Infertility can be caused by:

• Blocked or damaged fallopian tubes

• Uterine abnormalities (fibroids, polyps, adhesions)

• Previous infections or surgeries

HSG helps detect these issues early. It provides a clear roadmap to plan treatments like IUI, IVF, or surgery if needed.

When Do Gynecologists Recommend HSG?

The best gynecologists in Delhi recommend HSG when:

• A couple has been trying to conceive for over 6–12 months

• There is suspicion of tubal blockage

• There is history of pelvic infections or ectopic pregnancy

• There were miscarriages or uterine surgeries in the past

• Before starting fertility treatments like IUI or IVF

It is also used to check tubal recanalization after sterilization reversal.

How is HSG Done? Step-by-Step Process

Most women worry about the process, but knowing what to expect makes it easier.

1. Preparation

• Scheduled in the first half of your menstrual cycle

• Avoid intercourse 24–48 hours before the test

• Eat a light meal before the test

• May be given an antibiotic or painkiller (if needed)

2. The Procedure

• You lie down like a regular pelvic exam

• A speculum is inserted into the vagina

• A thin tube (catheter) is placed into the cervix

• A contrast dye is injected slowly into the uterus

• X-ray images are taken in real-time (fluoroscopy)

The dye outlines the uterus and tubes. If tubes are open, dye flows freely into the abdomen. If blocked, it stops.

3. Duration

The entire test takes around 15 to 30 minutes.

Is HSG Painful?

Some women feel:

• Mild cramping (similar to period pain)

• Slight pressure when dye is injected

• Spotting for a day or two

To reduce discomfort:

• The best gynecologist in Delhi offers a calming environment

• Painkillers may be given an hour before

• Proper communication throughout the procedure ensures comfort

What Can HSG Reveal?

HSG can diagnose:

These results help gynecologists decide the next step—whether surgery is needed or assisted reproductive techniques should be considered.

Benefits of HSG

• Quick and accurate diagnosis

• Non-surgical and outpatient-based

• Affordable and accessible

• May even help some women conceive naturally (dye clears minor blockages)

How the Best Gynecologist in Delhi Ensures a Safe HSG Experience

The top gynecologists in Delhi ensure:

1. Thorough Counseling Before the Test

• Explaining the reason, process, and outcomes

• Addressing emotional concerns or anxiety

• Giving written instructions

2. Comfortable Procedure Setup

• Sterile, modern imaging setup

• Trained technicians and nurses

• Empathetic handling to reduce pain and fear

3. Immediate Result Review

• Images are reviewed instantly

• Detailed discussion with the patient follows

• Further steps are planned on the same day

4. Post-Test Care

• Advice on rest, hygiene, and pain relief

• Emergency contact for rare complications like infection or fever

• Follow-up scheduled to discuss next plans

Real Story: How HSG Helped Priya Find Clarity

Priya, 33, had been trying for a baby for 1.5 years. All hormone tests were normal. Her gynecologist suggested an HSG.

The results showed a blockage in her left tube but the right tube was open. This changed her treatment plan:

• IUI was done targeting the right ovary

• She conceived in her second cycle

Without HSG, her journey may have been delayed or misdirected. Early diagnosis helped save time and emotional stress.

Are There Any Risks with HSG?

HSG is generally safe. Rare complications may include:

• Pelvic infection (especially in women with past PID)

• Allergy to dye (very rare)

• Spotting or light bleeding

• Mild cramping or discomfort for a day or two

Choosing an experienced gynecologist reduces the risk of any complication significantly.

After the Test: What’s Next?

Depending on results:

• If tubes are open and uterus is normal → Try natural conception or IUI

• If one or both tubes are blocked → Consider laparoscopy or IVF

• If uterine abnormalities are seen → May need hysteroscopy or correction surgery

Your doctor will guide the next steps clearly, based on your fertility goals and findings.

FAQs

1. Can I get pregnant after HSG?

Yes. Some women conceive soon after HSG, especially if minor blockages are cleared during the dye flush.

2. Is HSG done under anesthesia?

No. It’s an outpatient test and does not require anesthesia. Mild discomfort is normal but manageable.

3. How soon can I try to conceive after HSG?

Usually, you can try in the same cycle unless there’s an infection risk or other complication.

4. What if my tubes are blocked?

Your gynecologist may recommend laparoscopy to confirm and possibly treat the blockage. IVF is another option in case of both tubes being blocked.

5. Can HSG miss a problem?

Like any test, HSG has limitations. It shows the outline of the uterus and tubes but doesn’t confirm internal tubal health. Sometimes, further evaluation is needed.

Conclusion

Hysterosalpingography may sound technical, but it plays a powerful role in unlocking answers in fertility cases. With early testing, accurate diagnosis, and clear guidance, couples can move forward confidently on their journey toward parenthood.

The best gynecologist in Delhi ensures that HSG is not just a test—but a turning point. She offers clarity, comfort, and a clear plan tailored to your unique needs.

If you’re trying to conceive and haven’t had an HSG, it might be time to explore it with expert care by your side.