HSG/SHG

Can I eat and drink prior to and after the HSG procedure?

Yes, but try to avoid dairy products when taking the antibiotic because it can cause stomach upset.
 

How long does the HSG procedure take?

The procedure itself takes about 5 minutes.
 

Can I leave immediately after the HSG?

Yes.
 

Is an HSG uncomfortable?

An HSG may cause mild or moderate uterine cramping for about one to two minutes. However, some women may experience cramps for several hours. The symptoms can be greatly reduced taking medications used for menstrual cramps.
 

How much time do I need to arrive before my HSG appointment?

Please arrive 20-30 minutes prior to your appointment to ensure adequate time to check-in.
 

What are the risks and complications of HSG?

An HSG is considered a very safe procedure. However, complications may very rarely happen. Please contact the RFP if these occur:
Infection
The most common serious complication with HSG is pelvic infection. This usually occurs in the presence of previous tubal disease. In rare cases, infection can damage the fallopian tubes or necessitate their removal. If you experience increasing pain or a fever within one to two days of the HSG, please contact the RFP clinic.
Fainting
Light-headedness during, or shortly after, the procedure may occur on rare occasions.
Radiation Exposure
The radiation exposure from an HSG is very low. There have been no demonstrated ill effects from this radiation, even if conception occurs later the same month. The HSG should not be done if pregnancy is suspected.
Iodine Allergy
Since iodine is used as the contract medium in an HSG, a patient should inform her doctor if she is allergic to iodine or seafood. If a patient experiences a rash, itching, or swelling after the procedure, she should contact the RFP.
Spotting
Spotting commonly occurs for one to two days after the HSG. A patient should notify her doctor if she experiences heavy bleeding after the HSG.
 

If I am allergic to anti-inflammatories what else can I take for pain relief?

Tylenol extra strength 2 tablets 2 hours prior to the HSG .
 

How soon do I get the results from the HSG?

You will generally be informed of the results at the time of the procedure. However, it is important to make a follow-up appointment with your physician at the same time as the nurse books your HSG.
 

Can a support person be in the room with me?

No, generally not in view of the risk of radiation exposure.
 

Can a HSG be done on Saturday or Sunday?

No, HSGs are only done Monday-Thursday @ 8:00 am or Fridays @ 8:30 am.
 

If I am still bleeding on the day of my HSG is it okay to proceed?

An HSG can’t be done if you have full flow bleeding. However, if you are just lightly spotting you can still have the HSG performed.
 

How soon can I have intercourse after having the procedure?

If there are no complications 3-4 days later.
 

Can I drive after having the HSG done?

Yes, but we recommend that someone drive you to and from the procedure given the possibility that you may experience some abdominal cramping.
 

Will I be able to go back to work after the procedure?

It all depends on how you feel, you may need to take a half day or a full day off work depending on how much cramping you experience after the procedure.
 

Do I have to pay for a HSG?

The HSG is covered under your provincial health care plan.
 

Does a hysterosalpingogram enhance fertility?

It is controversial whether this procedure enhances fertility. Some studies indicate a slight increase in fertility lasting about three months after a normal HSG.
 

Why do I need a Sonohysterogram if I have already had an HSG?

The SHG gives a clearer view of the uterine cavity and can identify abnormalities such a polyp ( small growth of the uterine lining) , a fibroid or congenital abnormalities of the cavity.
 

Is there a wait-list for SHG?

No, but there is high demand for these tests and limited space, so it may take 1-2 months to have the test completed.
 

Is the Sonohysterogram painful?

It may cause some mild cramping but you will be given a prescription for an anti-inflammatory to help with any discomfort.
 

When in the cycle is the SHG booked?

Usually it is booked earlier in the cycle after your period has finished but before you have ovulated.
 

What is my chance of getting an infection from this procedure?

You will be given a prescription for an antibiotic to start prior to the SHG to minimize any risk for infection.
 

Is there a cost for the SHG procedure?

No, the SHG is covered under your provincial heath plan.