Are Your Fallopian Tubes Open?
One important question to answer when trying to conceive is: Are your fallopian tubes open? This is where the Hysterosalpingogram (HSG) comes in. The HSG is a specialized test that helps us evaluate both the uterus and fallopian tubes to ensure that they are functioning properly.
What is an HSG?
The word HSG originates from Greek:
Gram = study
Salpingo = tube or trumpet
Hyster = uterus
In simple terms, an HSG is a "study of the uterus and fallopian tubes." The test is designed to check if your fallopian tubes are open and if your uterus has any structural abnormalities, such as fibroids or polyps, that could affect your ability to conceive.
Who Performs the HSG and When?
An HSG is typically performed by a Fertility Specialist (Reproductive Endocrinologist, or REI) or a Radiologist. The procedure is usually done between cycle days 6-12, which is after your menstrual period but before ovulation.
How to Prepare for Your HSG
While the HSG is a relatively quick procedure, you may experience some cramping during or after the test. To help minimize discomfort, it's recommended to take Ibuprofen about 1 hour before the exam. This can help ease any pain or cramping from the contrast dye that is injected during the test to visualize the uterus and tubes.
Why is the HSG Important?
The HSG provides valuable information about the structure and function of your reproductive organs. If your fallopian tubes are blocked, it can prevent the sperm from reaching the egg, making conception difficult or impossible. Knowing this information early on helps guide your fertility treatment and gives us the insight needed to develop the best plan for your journey.
What to Expect During a HyFoSy at Ceibo Fertility Center
At Ceibo Fertility Center, we perform a HyFoSy (Hysterosalpingo-foam Sonography), not an HSG. While both are used to check whether the fallopian tubes are open, HyFoSy offers important advantages.
The HyFoSy procedure usually takes about 10–15 minutes.
First, a transvaginal scan is performed to assess your pelvic anatomy. A speculum is then placed in the vagina, and the cervix is gently cleaned. Next, a fine sterile plastic catheter is inserted into the uterine cavity. Another transvaginal scan is performed as a special contrast foam gel is injected through the catheter.
The foam allows us to visualize the fallopian tubes and see the spillage of fluid around the ovaries. If spillage is seen clearly on both sides, the fallopian tubes are considered open (patent).
Most patients find the procedure well tolerated, and in most cases, no painkillers are needed.
Advantages of HyFoSy over HSG
No radiation or iodinated contrast is involved.
Less discomfort than HSG, as the foam gel causes less irritation than the dye used in HSG.
The ultrasound not only assesses the fallopian tubes but can also evaluate other pelvic structures.
So, if you’re wondering whether your tubes are open or if there’s anything unusual about your uterus, the HyFoSy is the first step to finding those answers!
*This content is intended solely for educational purposes and is not to be construed as medical advice. For personalized recommendations concerning your specific healthcare needs, kindly consult with your healthcare provider.