A Hysterosalpingogram (HSG) is one of the primary tests for female factor infertility. This tests allow the doctor to see the basic anatomy of the uterus and fallopian tubes. An HSG can identify problems with the uterus such as fibroids and it can identify if one or both tubes are blocked.

The procedure only takes about 10-15 minutes. It begins similar to a pap smear with the insertion of a speculum. Then a device called a tenaculum is attached to the cervix. This part causes cramping. Then a catheter injects dye into the uterine cavity. The doctor takes a series of pictures while the dye is injected and a final one that should capture the dye “spiling” out of open fallopian tubes. If there is no spill then the tube(s) may be blocked.

My HSG came back normal – open tubes no fibroids.

Learn more and see some pictures here.