How to perform an HSG

Education & Resources

How to perform an HSG

Learn how to perform an hysterosalpingography (HSG), read the procedural steps & watch the videos

Cycle (1)

When to perform an HSG

The procedure is performed after cessation of bleeding period & before ovulation (ideally before the 12th day of the menstrual cycle for women with regular cycle length) 1

Position Gyneco

Patient preparation

The patient is positioned under a fluoroscope, bringing legs up into a gynecological position; a vaginal speculum is gently inserted for visualization of the cervix, which is then cleansed with an antiseptic

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HSG Procedure

A catheter is inserted through the opening in the cervix into the uterus; Lipiodol® Ultra Fluid is slowly infused through the catheter into the uterine cavity; images are taken of the uterine cavity and Fallopian tubes

Syringe 9Ml

Recommended dosage

The total volume injected depends on the volume of the uterine cavity, usually not exceeding 15 mL
Median volume injected: 9 to 10 mL 2,3

Method Of Infusion

Lipiodol® Infusion during HSG Main Methods

Courtesy: Dr. Kim Dreyer, Amsterdam University Medical Center (Netherlands)

Watch video

Procedure

Lipiodol® HSG Procedure

Courtesy: Dr. Kim Dreyer, Amsterdam University Medical Center (Netherlands)

Watch video

HSGF Finding

HSG Findings

Courtesy: Dr. Kim Dreyer, Amsterdam University Medical Center (Netherlands)

Watch video

Learn more from the Expert

Watch the webinar from the British Institute of Radiology (BIR) & Prof. Anne Hemingway to learn more about how to perform the procedure: "Hysterosalpingography with Oil Soluble Contrast Medium - An Update on Clinical Studies & Experience in the UK"

Watch the webcast on BIR website

The site is not country specific and may vary from the approved product information in the country where you are located. Please refer to the local prescribing information and Summary of Product Characteristics (SmPC). Some products mentioned in this website may not be registered, nor commercially available in all countries. Please contact your local Guerbet representative.

Bibliography

1. Collège National des Gynécologues et Obstétriciens Français (CNGOF): http://www.cngof.fr/communiques-de-presse/103-le-cycle-menstruel.
2. Johnson NP et al. The FLUSH trial–flushing with lipiodol for unexplained (and endometriosis-related) subfertility by hysterosalpingography: a randomized trial. Hum Reprod. 2004 Sep;19(9):2043-51.
3. Dreyer K et al. Oil-based or water-based contrast for hysterosalpingography in infertile women. N Engl J Med. 2017 May 25;376(21):2043-52.