By Dr. Latifa Aboulmajd (Gynaecologist – Reg. No. 03-0311750).
Hysterosalpingography (HSG) or hysterosalpingogram is one of the main tests for diagnosing the causes of female infertility. It shows the shape of the uterus and whether the fallopian tubes are patent in the patient.
This test aims to detect abnormalities that may explain why the patient is unable to conceive naturally.
Hysterosalpingography determines the condition of the uterine cavity and fallopian tubes. X-rays can detect problems in the uterus that prevent embryo implantation. Some of these problems include septa, a unicornuate or bicornuate uterus, polyps, and uterine fibroids.
These problems can also cause miscarriages. It also allows us to determine if the uterus contains adhesions or scars that could interfere with the embryo's implantation.
Hysterosalpingography shows whether the fallopian tubes are open, allowing the egg and sperm to meet. If one of the reproductive tracts is blocked, fertilization between gametes will not occur.
The most important information this test provides is guidance on which treatment will have the best chance of success.
If the tubes are blocked, in vitro fertilization would be necessary. In artificial insemination, the tubes must be open for the egg and sperm to meet and fertilize. They will then travel to the uterus to implant and begin pregnancy. It is possible to perform artificial insemination with a blocked tube, although it is not recommended due to the low success rate of this fertility treatment. At IVF-Life, the fertility specialist will evaluate the patient's options to choose the best path to pregnancy.
This diagnostic x-ray test allows the radiologist to take an x-ray of the uterus and fallopian tubes. This will allow them to see how the contrast fluid moves through them, showing their shape and current condition. The radiologist will use iodinated contrast to take images. This allows them to see how the fluid moves through the cervix, uterus, and fallopian tubes.
With the help of a cannula, the contrast agent is introduced through the cervix. This fluid will appear white on the x-ray. If the tubes are patent, the fluid should be seen being released into the abdomen. If they are not, it indicates a blockage.
We can also see if the tubes are thickened or dilated due to fluid accumulation, as in the case of hydrosalpinx. This occurs when the patient has had a tubal infection or abdominal surgery.
Although it can be uncomfortable, medications can be taken to reduce discomfort and facilitate recovery.
There is an improved version of hysterosalpingography called hysterosalpingosonography (HSSG). It is less uncomfortable, does not use X-rays, and gives the same results as HSG. Hysterosalpingosonography assesses the uterine cavity and tubes using transvaginal ultrasound, following the path of the contrast agent.
A hysterosalpingogram is a simple and quick procedure. It takes 25-30 minutes, although it can take longer. It is performed in a radiology suite. The woman lies on a table under the X-ray machine and places her legs in stirrups. No anesthesia is required, although a series of instructions for proper preparation are required:
In our fertility clinics, we conduct personalized studies to understand all the factors that affect fertility. We thoroughly study each case, assessing everything from the quality of the embryo for transfer to the state of the endometrium.
We focus on genetics and immunology. These are two key areas for understanding the reasons behind implantation failure and recurrent miscarriages. These are factors that help us improve treatment for greater success and achieve life in fewer attempts.
Hysterosalpingography (HSG) or hysterosalpingogram is one of the main tests for diagnosing the causes of female infertility. It shows the shape of the uterus and whether the fallopian tubes are patent in the patient.
This test aims to detect abnormalities that may explain why the patient is unable to conceive naturally.
Hysterosalpingography determines the condition of the uterine cavity and fallopian tubes. X-rays can detect problems in the uterus that prevent embryo implantation. Some of these problems include septa, a unicornuate or bicornuate uterus, polyps, and uterine fibroids.
These problems can also cause miscarriages. It also allows us to determine if the uterus contains adhesions or scars that could interfere with the embryo's implantation.

Hysterosalpingography shows whether the fallopian tubes are open, allowing the egg and sperm to meet. If one of the reproductive tracts is blocked, fertilization between gametes will not occur.
The most important information this test provides is guidance on which treatment will have the best chance of success.
If the tubes are blocked, in vitro fertilization would be necessary. In artificial insemination, the tubes must be open for the egg and sperm to meet and fertilize. They will then travel to the uterus to implant and begin pregnancy. It is possible to perform artificial insemination with a blocked tube, although it is not recommended due to the low success rate of this fertility treatment. At IVF-Life, the fertility specialist will evaluate the patient's options to choose the best path to pregnancy.
Although it can be uncomfortable, medications can be taken to reduce discomfort and facilitate recovery. There is an improved version of hysterosalpingography called hysterosalpingosonography (HSSG). It is less uncomfortable, does not use X-rays, and gives the same results as HSG.
Hysterosalpingosonography assesses the uterine cavity and tubes using transvaginal ultrasound, following the path of the contrast agent.
A hysterosalpingogram is a simple and quick procedure. It takes 25-30 minutes, although it can take longer.
It is performed in a radiology suite. The woman lies on a table under the X-ray machine and places her legs in stirrups. No anesthesia is required, although a series of instructions for proper preparation are required:
In our fertility clinics, we conduct personalized studies to understand all the factors that affect fertility. We thoroughly study each case, assessing everything from the quality of the embryo for transfer to the state of the endometrium.
We focus on genetics and immunology. These are two key areas for understanding the reasons behind implantation failure and recurrent miscarriages. These are factors that help us improve treatment for greater success and achieve life in fewer attempts.