The Hysterosalpingogram (HSG) test remains valuable after all these years because it visualizes the fallopian tubes better than any other test.
- If your treatment depends on normal tubal function, then an HSG should be done within 3-4 treatment cycles.
- If you have a history of
- previous tubal infection (PID – Pelvic Inflammatory Disease),
- previous tubal surgery,
- previous tubal pregnancy
- If you are planning IVF, to make sure that you do not have a hydrosalpinx – a dilated blocked fluid filled tube
- Some people might argue that if the pelvic ultrasound does not show a hydrosalpinx then the HSG is unnecessary
- I probably could go along with that in many cases but I have been fooled before
Here is a video of my slides on the HSG-Hysterosalpingogram fertility test. The video is about 7.5 minutes and shows some examples and information about the test.