Wednesday, June 8

Pregnancy after HSG - Myth or Reality

Considering the good number of questions surrounding HSG and pregnancy, we got a
Questionnaire answered from Dr. Ranga. Please read on to find his opinion and feel free to ask him any questions surrounding the same.

Q1: Will HSG increase my chances of pregnancy?

Fact 1: No, The only reason why we see some cases of pregnancy after HSG procedure is due to the cleaning action of iodine dye. This flow of liquid might clear small obstructions in the fallopian tube, which might increase the chances of more sperm reaching the ovum, and so more chance of achieving pregnancy. But still it is only a chance and won't work out if you have other infertility issues.

Q2: Whether HSG will cause damage to my ovary or fallopian tube?

Fact: The Iodine dye used in HSG is water soluble, and does not react with internal organs. The only purpose of using iodine dye is that it increases the visibility of the X-ray, so that your doctor can easily detect any blockages. Iodine is a radiocontrast agent and is also used in angiography to detect blockages in other arteries related to heart and brain. There is no question of any damage just due to the iodine dye itself.

HSG Iodine DYE flow
Flow of Iodine DYE in HSG

Q3: My doctor asked me if I am using Metformin before conducting HSG . Is this a harmful combination?

Fact: It's not harmful. If HSG is done for testing fallopian tubes, there is no correlation between the two. If you are going in for intra-vascular administration, then in some very rare cases (1 in 10000), the iodine dye might abrupt kidney functions. If you use metformin in this situation, your kidneys won't be able to flush the metformin out of your body. This might deposit toxic compounds in the body. Although this is treatable, your health care provider will ask you to avoid taking metformin before coming in for HSG procedure.

Q4: Will HSG Cause ectopic pregnancy?

Fact: Please go through the below case studies regarding correlation between ectopic pregnancy and HSG.

Q5: Having an intercourse immediately after HSG will increase the chances of conception?

Fact: No evidence to suggest this, but will surely cause a lot of discomfort to both the partners due to residual elements present inside the vagina. Intercourse is never advisable until few days after HSG has been conducted.

Q6: Having HSG under anesthesia decreases conception chances?

Fact: At max, it can relieve you of pain during the procedure. That's it. You will still have post procedure symptoms.

Q7: What are the precautions, required to be taken before HSG test.

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  1. AnonymousJune 15, 2011


    Thanks for providing the information on HSG, as it will really help me a lot,b'coz I am also undergoing HSG procedure tomorrow and was really confused, but after reading this,i am much comfortable.

  2. We can't be sure that HSG will lead to pregnancy .
    It must be sheer luck , else the OB-GYN will make this as the best treatment to cure PCOS and infertility.

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  20. I think there is some relation between HSG and pregnancy I was not getting conceived since last 2 years , had a failed IUI . Repeated HSG second time , and got natural conception. There is some kind of corelation and i guess , its definitely should be the first recourse for infertility.

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