Hysterosalpingogram (HSG)

A hysterosalpingogram, or HSG, is a specialized X-ray procedure used to evaluate the shape of the uterus and check whether the fallopian tubes are open. It’s an important test for understanding possible causes of infertility, especially when there’s concern that scarring, blockages, or structural changes could be affecting conception.

At Veritas Fertility & Surgery, you don’t have to travel to a hospital radiology department for this test. We offer HSG in our own office—making the process more convenient, comfortable, and efficient for our patients.

Hysterosalpingogram (HSG) procedure in St Louis MO

What is an HSG?

HSG-procedure-room

An HSG combines X-ray imaging with a contrast dye to create a detailed outline of the uterine cavity and fallopian tubes. This procedure allows us to:

  • Identify blockages in the fallopian tubes
  • Detect scarring or adhesions
  • Evaluate the shape of the uterine cavity

It’s one of the most direct ways to assess whether the tubes are open, which is essential for natural conception.

How the Procedure Works

  1. A small, soft catheter is gently inserted through the cervix into the uterus.
  2. A special contrast dye is introduced, which flows into the uterine cavity and through the fallopian tubes.
  3. X-ray images are taken in real time to capture the dye’s movement and identify any blockages or abnormalities.

The entire test typically takes less than 10 minutes.

Hysterosalpingogram

Benefits of an HSG

  • Clear assessment of tubal patency (whether tubes are open), or whether there is scar tissue surrounding the end of either tube
  • Detailed uterine imaging to detect structural problems
  • Immediate results—images are reviewed promptly after the procedure
  • Essential for a fertility evaluation when tubal factors are suspected

FAQs

Most patients feel mild to moderate cramping during the dye infusion, similar to menstrual cramps. The discomfort usually lasts only a few minutes. Taking ibuprofen 1-2 hours beforehand can help minimize symptoms. Our care team will talk you through the process to help you feel at ease.

An HSG is used primarily to determine if the fallopian tubes are open or blocked. If a tubal blockage is present, an HSG can usually identify the location of the blockage (near the uterus, in the middle of the tube, or at the end of the tube), which is an important step in developing a specific treatment plan for you if you have a tubal blockage.  In some cases, a uterine anomaly (such as a uterine septum or bicornuate uterus) can also be found with an HSG.

WHAT OUR PATIENTS SAY

“Dr. Puthoff is amazing! He is compassionate, patient, and very intelligent. He seems to really care, and it feels like you’re in good hands. It is reassuring that he is so good at what he does and still allows you to make your own choices.”

“I am very blessed that the Lord brought Dr. Puthoff and his team into my life. His work and the treatment I received made it possible for us to have another child. That is a priceless joy and we couldn’t say thank you enough to Dr. Puthoff.”

“The friendly and welcoming attitude of Dr. Puthoff put me right at ease. He thoroughly explained the procedure and answered all of my questions. I felt extremely confident that he is the right surgeon for my procedure.”

“My husband and I were very pleased with how approachable and comforting Dr. Puthoff was. He took time to listen and to care. We never felt rushed. He gave us hope. That’s what we needed. Thank you Dr. Puthoff for what you do. Your job truly has a lasting impression and gift on your patients.”

“Because of my first visit and the attentive phone calls I have received since, I am confident I am in caring hands for my upcoming surgery. I feel extremely grateful to be getting such amazing care.”

“I always feel involved in my care. Dr. Puthoff has an excellent bedside manner and demonstrates a high level of professionalism.”

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