Hsg how many days after period
This is to reduce the risk of having the test when you're pregnant. Your fertility clinic or doctor will advise you to call the radiology facility on day 1 of your period to schedule the test. The HSG is performed while you are awake and does not involve general anesthesia. You won't need to fast the day or night before. On the day of the test, your doctor may suggest taking a painkiller like ibuprofen an hour before your HSG is scheduled.
This can help with the discomfort of the test. Also, some doctors prescribe antibiotics to reduce the risk of infection. If they don't have stirrups, you might need to lie on the table, bend at your knees, with your feet sort of flat on the table, and hold your legs apart.
The doctor will perform a quick pelvic exam. The technician, nurse, or doctor will insert a speculum into your vagina. This is the same metal device used during your yearly gynecological exam.
If you experience pain during your annual visit, then this may be painful for you. Women who suffer from sexual pain may also experience pain during gynecological exams. An x-ray machine will be lowered over your abdomen. This can be a bit awkward, especially with the speculum and your knees up.
Next, they will insert a swab to clean off the cervix. This is to reduce the risk of infection. Next, they will insert a plastic catheter called a cannula into the cervical opening.
This feels kind of like a pap smear and might be a little uncomfortable. Or, you may not feel anything. Finally, an iodine-based dye will be injected through the catheter. When the dye is injected, you may feel a warming sensation.
This dye will go through your uterus, through the fallopian tubes if they are open , and spill out into the pelvic cavity. If your tubes are blocked, you may experience discomfort when dye is injected. Tell your doctor right away if you begin to become uncomfortable. After injecting the dye, your doctor will take the x-rays. For each x-ray picture you'll be asked to hold your breath for a moment or two. You may be asked to change your position. For example, you may be asked to lie on your side.
You may feel uncomfortable with the speculum inside and the x-ray over you. Your doctor understands. Ask for help if you need it. Once the doctor has decided that the pictures are satisfactory, the x-ray machine will be lifted up and the speculum removed.
You're free to go home. The test can be nerve-wracking, with this big x-ray machine hovering over you while you're lying on your back, legs apart, with the speculum inside. The nurse or doctor may ask you to roll over to your side for an x-ray or two, and you have to do it with the speculum still between your legs.
In most women, the dye painlessly passes through the uterus, through the fallopian tubes , and out into the abdominal cavity. However, if your tubes are blocked, the dye can cause pressure. This is what can then lead to substantial discomfort or even pain. The good news is that if you do feel intense pain, it shouldn't last for more than a minute. During the test, if you feel pain, tell your doctor right away.
They can quickly remove the catheter, which will release the pressure and should eliminate your pain. Most doctors recommend taking ibuprofen an hour before the HSG. This can reduce mild cramping during the test. Anxiety and fear about the test can increase your perception of pain. You may experience mild cramps and light spotting. You'll be able to resume regular activity after the test.
Some doctors may tell you to refrain from sexual intercourse for a few days after the test. While mild cramps are normal, if your discomfort seems to be increasing after the test or you develop a fever, contact your doctor.
A woman is positioned under a fluoroscope a x-ray imager that can take pictures during the study on a table. Her cervix is cleaned, and a device cannula is placed into the opening of the cervix. The doctor gently fills the uterus with a liquid containing iodine a fluid that can be seen by x-ray through the cannula.
The contrast will be seen as white on the image and can show the contour of the uterus as the liquid travels from the cannula, into the uterus, and through the fallopian tubes. As the contrast enters the tubes, it outlines the length of the tubes and spills out their ends if they are open. Abnormalities inside the uterine cavity may also be detected by the doctor observing the x-ray images when the fluid movement is disrupted by the abnormality.
The HSG procedure is not designed to evaluate the ovaries or to diagnose endometriosis, nor can it identify fibroids that are outside of the endometrial cavity, either in the muscular part of the uterus, or on the outside of the uterus. Often, side views of the uterus and tubes are obtained by having the woman change her position on the table. After the HSG, a woman can immediately return to normal activities, although some doctors ask that she refrain from intercourse for a few days.
An HSG usually causes mild or moderate uterine cramping for about minutes. The HSG is a very accurate test to document tubal patency. Occasionally the dye used during the procedure pushes through and opens a blocked tube. In other patients, dye does not spill through the fallopian tubes at all. If your tubes are blocked, or if you have a uterine polyp or fibroid, your RMACT physician will review your hysterosalpingogram findings and future treatment with you.
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