Hysterosalpingography: Pain, Concerns, and Aftercare

Hysterosalpingography-related questions?

I had a hysterosalpingography (HSG) procedure yesterday, but it was only partially completed.
The catheter was in for over 30 minutes, and it seems the balloon may have burst.
They changed the catheter twice, but before the contrast agent was administered, I asked to stop the procedure.
I would like to ask the doctor if it is normal to feel soreness when the catheter is placed? However, I experienced soreness and bloating even before the contrast was injected, and there was a bit of bleeding.
Today, my abdomen still feels bloated.
Should I be concerned about an infection? I have been taking antibiotics, and currently, there is no bleeding, but after using the restroom, I noticed a very light pink color when wiping.
I also feel pain on the right side near the ovary, similar to menstrual cramps, and I have a feeling of nausea.

Xin, 30~39 year old female. Ask Date: 2016/07/28

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is normal to experience soreness after intubation.
Generally, prophylactic antibiotics are administered, and some bleeding is also considered normal.
Wishing you good health.

Reply Date: 2016/07/28

More Info

Hysterosalpingography (HSG) is a radiologic procedure used to examine the uterus and fallopian tubes, often performed to investigate infertility issues. It involves the insertion of a catheter into the uterus through the cervix, followed by the injection of a contrast dye to visualize the reproductive organs via X-ray. While HSG can provide valuable diagnostic information, it is not uncommon for patients to experience discomfort or pain during and after the procedure.

From your description, it seems that you encountered significant discomfort during the procedure, which is not unusual. The insertion of the catheter can cause cramping or a sensation of pressure, and some women report feeling pain similar to menstrual cramps. The fact that you experienced pain and discomfort for an extended period (30 minutes) before deciding to stop the procedure is understandable, as many women find the experience quite uncomfortable.

Regarding your concerns about potential infection, it is important to monitor your symptoms closely. The presence of light pink discharge after the procedure can be normal, especially if there was some trauma to the cervix or uterus during the catheter insertion. However, if you notice any of the following symptoms, you should contact your healthcare provider immediately:
1. Increased Pain: If the pain worsens or becomes severe, it could indicate a complication.

2. Fever: A fever may suggest an infection.

3. Heavy Bleeding: If you experience heavy bleeding (soaking through a pad in an hour), it is essential to seek medical attention.

4. Persistent Nausea: While mild nausea can occur, persistent or severe nausea should be evaluated.

The discomfort you are feeling in the right ovary area could be related to the procedure itself, especially if the catheter was manipulated or if there was any spillage of the contrast dye. It is also possible that the sensation is related to your menstrual cycle, particularly if you are close to your expected period.

As for aftercare, here are some recommendations:
1. Rest: Allow your body time to recover. Avoid strenuous activities for a few days.

2. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help alleviate discomfort.

3. Hydration: Drink plenty of fluids to help flush out any contrast dye and stay hydrated.

4. Monitor Symptoms: Keep track of any changes in your symptoms, and do not hesitate to reach out to your healthcare provider if you have concerns.

In summary, while some discomfort and mild bleeding can be expected after an HSG, it is crucial to remain vigilant for signs of complications. If your symptoms persist or worsen, or if you have any concerns about infection, please consult your healthcare provider for further evaluation and guidance. They can provide personalized advice based on your medical history and the specifics of your situation.

Similar Q&A

Post-Hysterosalpingography Pain: Causes and Concerns Explained

Hello doctor, I had a hysterosalpingography this month, and a few days after the procedure, I started experiencing pain in my lower back and near my right hip. I’ve researched online and found many symptoms that are similar, but I'm unsure if this pain is due to my previous ...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, generally there are no issues. Please continue to monitor your condition. If you still experience discomfort, I recommend seeing a gynecologist. Wishing you good health.

Understanding Hysterosalpingography: Pain Levels and What to Expect

Hello, doctor. I have been married for almost a year and have not used contraception, but I still haven't gotten pregnant. I would like to undergo a series of infertility tests. I have an appointment at Cathay General Hospital in Hsinchu for a procedure called "hysteros...

Dr. Wei Fumao reply Obstetrics and Gynecology
It's just a slight pain, so general anesthesia is not necessary.

Is Hysterosalpingography Necessary for Fertility Issues?

Hello, I gave birth to my first child in 2003, and since last year, I have not used contraception but have not become pregnant. I visited a gynecologist, and the doctor arranged for a hysterosalpingography (HSG). I have a few questions: (1) The HSG requires the injection of a con...

Dr. Wei Fumao reply Obstetrics and Gynecology
(1) It is difficult to determine if there is an allergy. (3) If there is a blockage, it can be checked; if both sides are blocked, conception may be difficult, but if only one side is blocked, one can wait. (4) Laparoscopy can be used to observe the condition of the pelvic cavity...

Post-Hysterosalpingography: Key Questions and Concerns Addressed

Hello Dr. Lin, I just completed a hysterosalpingography yesterday and would like to ask you a few questions: 1. How many days after the procedure can I resume sexual intercourse? 2. I arranged for the examination on short notice, so I only started taking antibiotics on the same...

Dr. Lin Wenbin reply Obstetrics and Gynecology
You should ask your treating physician these questions. Different timing in the cycle and various techniques (such as whether there is resistance during injection or if there is a cervical clamp) can lead to different responses.