Tubal Patency Test (HSG & Sonosalpingography)

Hysterosalpingography (HSG):

What it is: HSG is an X-ray procedure used to evaluate the fallopian tubes and the uterus. A contrast dye is injected through the cervix into the uterus, and X-ray images are taken to observe the flow of the dye through the uterus and into the fallopian tubes.
Purpose: The test helps detect blockages, abnormalities, or structural issues in the fallopian tubes and uterine cavity.

Procedure: The test is typically performed after menstruation ends but before ovulation, usually between day 7-10 of the menstrual cycle.
A catheter is inserted into the cervix, and the contrast dye is injected. X-ray images are then taken to monitor the flow of the dye.
The procedure usually takes about 15-20 minutes.

Benefits:
Detects blockages, adhesions, or other issues with the fallopian tubes.
Provides information on the shape and structure of the uterus.
Can sometimes clear minor blockages due to the pressure of the dye, a phenomenon known as "tubal flushing."

Sonosalpingography (SSG):

What it is: Sonosalpingography, also called saline infusion sonography (SIS), is an ultrasound-based test used to check the patency of the fallopian tubes. A saline solution is injected into the uterus, and ultrasound imaging is used to observe the flow of the solution through the tubes.
Purpose: Like HSG, it assesses the openness of the fallopian tubes but uses ultrasound technology rather than X-rays.

Procedure:
A small catheter is inserted through the cervix into the uterus.
Sterile saline is introduced into the uterine cavity, and ultrasound images are taken to visualize the flow through the fallopian tubes.
The test is usually performed around the same time in the menstrual cycle as HSG, generally between day 7-10 of the cycle.

Benefits:
A non-invasive, radiation-free method for assessing tubal patency.
Can provide detailed imaging of the uterine cavity and fallopian tubes.
Generally less uncomfortable than HSG for many women.

Why Are These Tests Important?
Blocked Fallopian Tubes: If the fallopian tubes are blocked, sperm cannot reach the egg for fertilization, or the fertilized egg cannot travel to the uterus for implantation.
Assessment of Fertility Issues: HSG and SSG are essential tests to determine whether tubal blockage or other abnormalities are the cause of infertility.
Pre-Treatment Evaluation: These tests are performed before initiating fertility treatments like IVF or IUI to ensure the fallopian tubes are functioning correctly. In cases of tubal blockage, IVF may be recommended, as it bypasses the fallopian tubes entirely.

What Happens After the Test?
Post-HSG or SSG Care:
HSG: Some women may experience mild cramping or spotting after the test. It’s important to rest and follow your doctor’s advice regarding any medications or activities post-procedure.
SSG: Similar to HSG, some mild cramping or discomfort may occur post-test, but it’s generally considered less invasive and painful than HSG.
Results: If the tubes are open, it generally means that conception can occur naturally or with assisted reproductive treatments, depending on other factors.
If a blockage is detected, further steps such as laparoscopic surgery, tubal cannulation, or IVF may be considered, depending on the location and severity of the blockage.

When is Tubal Patency Testing Recommended?
When a woman has been unable to conceive for a prolonged period (typically over one year) and there is no obvious cause for infertility.
When a woman has a history of pelvic infections, endometriosis, or pelvic surgeries that might increase the risk of tubal blockages.
When a woman is planning fertility treatments like IVF or IUI to ensure the fallopian tubes are functional.

Advantages of Tubal Patency Testing at Radiant Fertility & IVF Centre:
Expert Care: The fertility specialists at Radiant Fertility & IVF Centre have vast experience in performing these tests and interpreting the results accurately.
State-of-the-Art Equipment: The Centre uses advanced diagnostic tools, including high-resolution ultrasound machines for sonosalpingography, to provide the most accurate results.
Comprehensive Approach: In addition to tubal patency testing, the Centre provides comprehensive fertility assessments, ensuring that all aspects of fertility are considered before deciding on a treatment plan.
Comfortable Environment: The Centre offers a patient-Centreed approach with a focus on comfort during diagnostic procedures.