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The hysterosalpingogram, or HSG, is a basic fertility test done to evaluate the uterine cavity and to determine if the fallopian tubes are open. This test is conducted in the radiology department, usually by a radiologist and interpreted with the fertility specialist. After a catheter, or tube, is placed into the cervix, X-ray dye is slowly injected into the uterus and out through the fallopian tubes into the abdomen. The dye is radio-opaque, meaning it is detected by an X-ray. 
The test is performed between Cycle Days 6-10, with Cycle Day 1 being the first day of the period. If there is usually light spotting before a period, then, Cycle Day 1 is the first day of full flow. If the period seems light (spotting), there may be a pregnancy and therefore the test cannot be conducted unless there is a negative blood pregnancy test. Call our office with the onset of menses so that we may schedule the HSG in radiology.
An antibiotic, doxycycline (100 mg), will be prescribed to prevent a uterine infection. Take doxycycline, twice daily, starting the day before the HSG, and continue for a total of 3 days (the day before, the day of, and the day after the HSG). Also, please take Ibuprofen 800 mg (four Advil) or  other over-the-counter pain medicine one hour before the procedure. Cramping may be experienced when the HSG dye is injected because the uterus is a muscle that contracts when distended with fluid.
Patients who are allergic to doxycycline, iodine, or X-ray dye, should notify us before the HSG is scheduled. Patients who are allergic to the iodine-containing X-ray dye must take a special course of immune/allergy suppressing drugs before the HSG can be performed.
Review Hysterosalpingogram
(HSG) Patient Handout
Hysteroscopy
Office hysteroscopy is a procedure which involves the fertility specialist directly looking at the inside of the uterus (uterine cavity) using a special instrument called a hysteroscope. The hysteroscope has a small telescopic lens which is placed through your cervix into your uterus. Saline is injected into your uterus to distend the uterine wall to allow visualization of your uterine cavity. The hysteroscope is attached to a camera and can be viewed on a video monitor.
The test is performed between cycle days 6-10, with Cycle Day 1 being the first day of your period. If you have light spotting before your period, then Cycle Day 1 is the first day of full flow. If your period seems light (spotting), you may be pregnant and therefore can not have the test conducted unless you have a blood pregnancy test. Call our office with the onset of your menses so that we may schedule your hysteroscopy or sonohysterogram.
An antibiotic, doxycycline (100mg), will be prescribed to prevent a uterine infection. Take doxycycline, twice daily, starting the day before the procedure, and continue for a total of 3 days (the day before, the day of, and the day after). Also, please take Ibuprofen 800mg (four Advil) or other over-the-counter pain medicine one hour before the procedure. You may experience cramping when the saline is injected because the uterus is a muscle which contracts when distended with fluid.
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