Hysterosalpingogram

HSG (Hysterosalpingography), Uterosalpingography

Risks

There is always a small chance of damage to cells or tissue from being exposed to any radiation, including the low levels of radiation used for this test. The chance of damage from the X-rays is generally very low compared with the potential benefits of the test.

There is a small chance (less than 1 in 100) of a pelvic infection, endometritis, or salpingitis after the test. The chance may be higher for women who have had pelvic infections before. Your doctor may give you antibiotics if he or she thinks you might develop a pelvic infection.

There is a small chance of damaging or puncturing the uterus or fallopian tubes during the test.

There is a small chance of an allergic reaction to the iodine X-ray dye, especially if you are allergic to any shellfish.

In rare cases, if an oil-based dye is used, the oil can leak into the blood. This can cause blockage of blood flow to a section of the lung (pulmonary embolism). Most hysterosalpingogram tests use water-based dyes.

After the test

After the test, some of the dye will leak out of the vagina. You also may have some vaginal bleeding for several days after the test. Call your doctor immediately if you have:

• Heavy vaginal bleeding (soak more than one tampon or pad in one hour).
• A fever.
• Severe belly pain.
• Vaginal bleeding that lasts for more than 3 to 4 days.

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Author:	Carrie Henley Jan Nissl, RN, BS	Last Updated: September 26, 2006
Medical Review:	Renée M. Crichlow, MD - Family Medicine Tom Bailey, MD - Family Medicine Kirtly Jones, MD - Obstetrics and Gynecology
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