Infertility is a growing concern among women, especially in urban areas like Delhi, where lifestyle, stress, and medical conditions contribute to reproductive health issues. Many women struggle to conceive and seek medical help to identify potential causes. One of the most crucial diagnostic procedures for female infertility is the HSG test.
This test helps evaluate the condition of a woman’s fallopian tubes and uterus, playing a significant role in fertility assessment. If you’re planning to get pregnant and facing difficulties, understanding the HSG test can be the first step toward finding a solution.
What is an HSG Test?
Hysterosalpingography (HSG) is a specialized X-ray test that examines a woman’s uterus and fallopian tubes to check for blockages, abnormalities, or scarring that could affect fertility. A contrast dye is injected into the uterus, and X-ray images are taken to track the movement of the dye through the reproductive system.
Why is the HSG Test Performed?
- To detect blockages in the fallopian tubes
- To evaluate the shape and structure of the uterus
- To check for adhesions, fibroids, or scarring
- As part of fertility assessment for women struggling to conceive
How Does an HSG Test Work?
An HSG test works by using contrast dye that fills the uterus and flows into the fallopian tubes. X-rays track this movement to determine if the tubes are open or blocked.
What Do the Results Indicate?
- Normal results: The dye flows freely through the fallopian tubes, meaning they are open and not blocked.
- Blocked tubes: If the dye does not pass through, it indicates a blockage, which could be a cause of infertility.
- Uterine abnormalities: The test may reveal fibroids, adhesions, or congenital malformations affecting fertility.
Who Needs an HSG Test?
This test is recommended for women who are experiencing infertility, especially those who have:
- Difficulty in conceiving for more than one year
- History of pelvic infections or sexually transmitted diseases (STDs)
- Previous miscarriages or ectopic pregnancies
- Suspected uterine abnormalities or fibroids
Preparing for an HSG Test
Proper preparation ensures accurate results and reduces discomfort.
Pre-Test Precautions:
- Schedule the test after your period ends but before ovulation (Day 6 to 10 of the menstrual cycle).
- Avoid intercourse for at least 24-48 hours before the test.
- Inform your doctor if you have any allergies, infections, or pregnancy concerns.
Best Time to Schedule the Test
The HSG test is best done within the first 10 days of the menstrual cycle, ensuring the uterus is free from potential pregnancy.
Step-by-Step Procedure of an HSG Test
Understanding what happens during the procedure can help reduce anxiety.
Before the Test:
- The patient lies on an X-ray table, similar to a gynecological exam.
- A speculum is inserted into the vagina to access the cervix.
During the Test:
- A small catheter is inserted into the cervix.
- Contrast dye is injected into the uterus.
- X-ray images are taken as the dye moves through the reproductive system.
- If the tubes are blocked, the dye will not pass through.
After the Test:
- Some mild cramping and spotting may occur.
- Normal activities can be resumed within a few hours.
Is the HSG Test Painful?
Pain levels vary from mild discomfort to moderate cramping, similar to menstrual pain. Some women experience:
- A pinching sensation when the dye is injected.
- Mild cramps lasting a few minutes.
- Pain relief with over-the-counter medications like ibuprofen.
Risks and Side Effects of an HSG Test
Although generally safe, potential risks include:
- Mild spotting or bleeding for a day or two.
- Pelvic infections, though rare.
- Allergic reactions to the dye.
Seek medical help if you experience severe pain, heavy bleeding, or fever after the test.
Benefits of an HSG Test
- Accurate diagnosis of blocked tubes or uterine abnormalities.
- Non-invasive compared to surgical alternatives.
- May improve fertility, as the dye can flush out minor blockages.
HSG Test vs Other Infertility Tests
| Test Type | Purpose | Invasiveness | Accuracy |
| HSG | Checks fallopian tube blockages | Minimally invasive | High |
| Ultrasound | Checks uterus and ovaries | Non-invasive | Moderate |
| Laparoscopy | Detects endometriosis and blockages | Surgical | Very High |
Cost of an HSG Test in Delhi
The cost varies depending on:
- Hospital or clinic reputation
- Technology used
- Doctor’s expertise
On average, the cost of an HSG test in Delhi ranges from ₹3,000 to ₹10,000.
Best Hospitals and Clinics for HSG Test in Delhi
Delhi has several reputed hospitals and fertility clinics offering HSG tests with modern technology and experienced specialists. When choosing a clinic, consider cost, expertise, hygiene, and patient reviews.
Top Diagnostic Lab in Delhi for HSG Test in Delhi:
HR diagnostic – Provides comprehensive fertility solutions, including HSG tests.
How to Choose the Right Clinic?
- Check the doctor’s experience in fertility treatments.
- Ensure the hospital follows strict hygiene and safety protocols.
- Compare costs and services before booking.
- Read patient reviews to assess clinic reliability.
Success Stories and Case Studies
HSG tests have helped many women diagnose and overcome infertility. Here are some inspiring real-life success stories.
Case Study 1: HSG Test Revealing a Blockage
Meera, a 32-year-old woman from Delhi, had been trying to conceive for three years. After an HSG test, she discovered a blockage in one fallopian tube. She underwent a minor procedure, and within six months, she conceived naturally.
Case Study 2: HSG Test Leading to Natural Pregnancy
Pooja, 29, had unexplained infertility. Her HSG test showed no blockage, but the dye used in the test helped flush out minor debris in her tubes. Surprisingly, she conceived within two months of the test without further treatments.
Case Study 3: HSG Test Before IVF
Ritu, 35, planned to undergo IVF but first had an HSG test. The results showed that her uterus was healthy, increasing her IVF success rate. She conceived on her first IVF attempt.
Conclusion
The HSG test is a vital diagnostic tool for women facing infertility issues. It helps doctors detect fallopian tube blockages and uterine abnormalities, providing clear guidance for further treatments.
If you are struggling to conceive, an HSG test might be your first step toward parenthood. Consult a trusted fertility expert in Delhi, choose a reliable clinic, and take charge of your reproductive health.
FAQs
1. How long does an HSG test take?
The entire procedure takes about 15 to 30 minutes. However, you may need to spend an additional hour at the clinic for preparation and observation.
2. Can I conceive naturally after an HSG test?
Yes! Many women conceive naturally within a few months after the test, especially if minor blockages are cleared.
3. Is there any alternative to an HSG test?
Yes, alternatives include:
- Sonohysterography (SHG) – Uses ultrasound instead of X-rays.
- Laparoscopy – A surgical method to check and treat fallopian tube issues.
4. What should I do if my HSG test results are abnormal?
If results show blockages or abnormalities, your doctor may recommend:
- Medication to treat infections or inflammation.
- Surgery for severe blockages.
- IVF or IUI treatments if natural conception is unlikely.
5. How soon can I try to conceive after the test?
Doctors usually advise waiting for at least one menstrual cycle before trying to conceive. However, many women become pregnant within three to six months post-HSG.