- Hysterosalpingography may cause pain, but most patients can endure it mainly because Hysterosalpingography involves injecting contrast medium into the fallopian tubes, the contrast medium circulates in the body, eventually flowing into the pelvic cavity, where it can clearly show whether the fallopian tubes are unobstructed, whether there is any accumulation of fluid, thus determining whether a woman can conceive successfully. Due to individual differences in constitution, the perception of pain varies, and some patients may feel some pain, but generally can endure. Hysterosalpingography is performed by injecting contrast medium through the vagina, the contrast medium enters the fallopian tubes, passes through the uterine cavity, and then enters the fallopian tubes. The contrast medium circulates in the body and occasionally causes some damage to the endometrium, but the damage is generally minor, and the pain sensation is relatively mild. Since the contrast medium is injected into the uterine cavity, it may cause a small amount of bleeding, which usually clears up on its own in 2-3 days.
- Prior to hysterosalpingography, a vaginal examination and intrauterine manipulation are required, so sexual activity is prohibited 72 hours before the examination. Adequate bladder emptying preparation is required before the examination, and if vaginal inflammation is present, treatment is needed before the procedure. For sexually active women, a complete blood count and coagulation time should be checked before the procedure. If the coagulation time is prolonged or if there are any blood system-related diseases, the condition needs to be managed before the hysterosalpingography procedure.
- After the contrast examination, it is recommended to rest for 3-5 days, avoid vigorous exercise and sexual activity for about a week, and take precautions against infections. Avoid pelvic baths and sexual activity within a month. If there is significant vaginal bleeding, it is advisable to seek medical attention promptly.
Will it hurt to have a hysterosalpingography (HSG) procedure done?
