At Conceptions Fertility Center, we utilize the HSG test (hysterosalpingogram) as an essential diagnostic tool in our comprehensive fertility evaluations. An HSG is a specialized X-ray procedure that allows our fertility specialists to closely examine the uterus and fallopian tubes. This test is especially important for women who are experiencing difficulties conceiving, as it helps us determine whether the fallopian tubes are open or blocked—information that is critical for understanding the root causes of infertility.

Blocked fallopian tubes can prevent the sperm and egg from meeting, making natural conception difficult or impossible. By assessing tubal patency with an HSG, our team can recommend the most appropriate fertility treatments based on each patient’s unique situation.

Beyond checking for blockages, the HSG also provides valuable insight into the shape and structure of the uterine cavity. This allows us to identify other possible contributors to infertility, such as uterine fibroids, polyps, adhesions (intrauterine synechiae or Asherman’s syndrome), and congenital uterine anomalies like a septate or bicornuate uterus. These structural issues can not only hinder conception but may also be linked to recurrent miscarriages or abnormal uterine bleeding.

Additionally, the HSG can reveal signs of conditions like hydrosalpinx—a fluid-filled, swollen fallopian tube—or evidence of scarring from previous pelvic infections such as pelvic inflammatory disease (PID). Detecting these problems early enables our fertility specialists at Conceptions Fertility Center to develop a personalized treatment plan, maximizing your chances for a successful pregnancy.

Our experienced team recommends scheduling the HSG test during the early part of your menstrual cycle, ideally between days 7 and 10, counting from the first day of your period. This timing allows us to obtain the clearest images possible, as menstrual bleeding has typically ended and the uterine lining is at its thinnest.

Performing the HSG during this window also minimizes the risk of conducting the procedure during an early, undetected pregnancy, as the test involves both X-rays and the use of a contrast dye. Additionally, the cervix is naturally a bit more open just after menstruation, which can make the procedure more comfortable and efficient.

If you have irregular cycles or are unsure about the optimal timing for your HSG test, our compassionate team at Conceptions Fertility Center is here to provide personalized guidance. We strive to ensure your experience is as smooth and informative as possible, supporting you every step of the way on your fertility journey.

At Conceptions Fertility Center, your comfort and care are our top priorities throughout every step of your fertility journey—including diagnostic procedures like the hysterosalpingogram (HSG) test. After your HSG test, many patients experience mild cramping or discomfort, similar to menstrual cramps, for a few hours. This sensation is common and is caused by the contrast dye used to gently fill your uterus and fallopian tubes during the test.

Some patients also notice light spotting or a small amount of vaginal bleeding for a day or two after the procedure. You may see a little of the dye coming out of the vagina afterward; this is normal and should not be a cause for concern.

Most patients feel well enough to return to normal activities immediately after their HSG. However, if you prefer, you’re welcome to rest at home for the remainder of the day. Over-the-counter pain relievers, such as ibuprofen, are usually effective in managing any lingering cramps or discomfort.

While side effects from the HSG test are typically mild and short-lived, please contact our office right away if you experience any of the following: severe pelvic pain, heavy vaginal bleeding, fever, or foul-smelling discharge. These symptoms may indicate an infection or other complication and should be evaluated promptly by our team.

Dr. Andrew K. Moore at Conceptions Fertility Center has scheduled you for a hysterosalpingogram (HSG), there are a few important steps to take as you prepare for your appointment. An HSG is a specialized X-ray procedure used to evaluate the uterus and fallopian tubes, and is an important part of many fertility assessments.

This test is typically performed after your menstrual period but before ovulation—usually between days 5 and 12 of your cycle. This timing ensures that you are not pregnant during the procedure and allows for optimal imaging.

How to Prepare Before the Test:
● You may be advised to take an over-the-counter pain reliever, such as ibuprofen, about 30 to 60 minutes before your HSG. This can help minimize any discomfort or cramping during or after the procedure.

● Please notify your Conceptions Fertility Center team if you have any allergies, especially to iodine or contrast dye, or if you have had any recent pelvic infections.

● Let us know if you are experiencing any unusual symptoms, such as abnormal vaginal discharge or fever, and provide a list of any medications you are currently taking, as well as any underlying health conditions.

Day of Your HSG:
● You may eat and drink as usual on the day of your procedure unless instructed otherwise by your care team.

● Many patients find it helpful to bring a sanitary pad, as some light spotting or discharge is common after the test.

● While most patients feel comfortable driving themselves home, you may wish to arrange for a ride if you are concerned about discomfort after the procedure.

Dr. Moore is here to support you. If you have any specific questions about your HSG or need more personalized instructions, please contact our office. Following the guidance provided by your fertility specialist will help ensure a safe and successful experience.

Your comfort and care are our top priorities at Conceptions Fertility Center. We look forward to supporting you on your fertility journey. For more information, contact us or schedule an appointment online. We have convenient locations to serve you in Provo, UT, and North Logan, UT. We serve patients from Provo UT, Orem UT, Mapleton UT, Vineyard UT, Highland UT, North Logan UT Hyde Park UT, Smithfield UT, Benson UT, Logan UT, and surrounding areas.