Is HSG Test Painful? My Real Hysterosalpingogram (HSG) Test Experience

hsg test

Last year, I had published an article on this site related to my hsg experience in which I tried to explain what I learned from that hsg test experience. In the same article, I also talked about whether hsg test was painful or not. That post gained a lot of popularity on search results, so I am writing this article focusing on the hsg test pain to help you prepare for your upcoming hsg test before and after going to the medical center.

Hysterosalpingogram Explained

Hysterosalpingogram (HSG) test is done to determine the health condition of your fallopian tubes and uterus. This is even more important if you have ever suffered from an ectopic pregnancy or had miscarriages in the past. This is a special test to see if a fake semen (liquid containing iodine) passes through your fallopian tube to the uterus.

If your fallopian tubes are healthy, then you will see the fake liquid pass through a thin tube inserted into your cervix called Cannula without any issues, but if they are blocked for any reason, the fake liquid will not pass through your fallopian tubes. In general, the iodine fluid contrasts with your uterus and fallopian tubes on the Fluoroscope (X-Ray imager).

Your OBGYN might ask you to perform a hsg test if you are trying to conceive but unable to conceive for a longer period or if you have already had blockage in one of your fallopian tubes. The hsg test procedure can also find out whether your uterus is healthy and not affected by fibroids or any other issues.

What If Your HSG Test is Negative

If HSG test comes out negative and your fallopian tubes are blocked, no worries, there are other treatment options available. Tubal Flushing is there to to unblock your fallopian tubes but this is not guaranteed to work for all people. If you are still unsuccessful, you can try another popular but a painful procedure called an IVF treatment. The IVF procedure is the last resort in trying to get pregnant when all the other odds are not in your favor.

HSG Test & Pregnancy

A very common question that is asked is, Does HSG test increase chance of pregnancy? The HSG test is not a treatment but rather a diagnosis procedure; therefore, hsg test does not increase your chance of pregnancy at all. However, if your hsg test is negative, you can go through other medical procedures to treat your blocked fallopian tubes to increase your chance of pregnancy.

Is HSG Test Painful – My Experience

It is obvious to feel little discomfort during the hsg test. I felt strong cramps which lasted for maybe 15 to 20 minutes even after the test was completed. It was definitely not an excruciating pain, and I will not rate the pain level as we all have different capacity to bear the pain. I had mild pain in my pelvic region that entire day later, but I can’t say for sure if it was due to the HSG test.

How to prepare yourself? 

It is very important to be prepared before going for the hsg test; otherwise, it can impact your overall health and hsg test can be very painful.

Here are some tips that you can follow: 

  • Let your doctor know in advance about any allergies and medications that you are taking.
  • If you do not have a ride to go to the medical center, take uber/taxi or a hospital services if there is any, but do not drive by yourself.
  •  Eat healthy and drink plenty of water on a daily basis at least a week prior if you are not doing this already.
  • Do not wear tight clothing and carry valuable items to the medical center.
  • If you experience some pain after the procedure, it is safe to take Tylenol.
  • If you experience unmanaged amount of pain or vaginal bleeding, contact your doctor right away.

Positive HSG result doesn’t always mean you can get pregnant after hsg, but it tells you that you have no problem in your fallopian tube. If you experience pain after hsg, consult with your doctor because it could be caused by an infection.


FAQ’s Related to HSG Test

Video on HSG Test Procedure

Things I wish I would’ve known

In conclusion, if you are having difficulty conceiving, it’s best to talk to your OBGYN regarding the hsg test. I have described my experience in this article, but your experience might be different from this. Please let me know in the comment section if you’ve done hsg test or done similar test in the past. Also, do not forget to follow us on social media and subscribe to our weekly newsletter to get health related posts like this straight to your inbox. For Guest Posts, please email us at


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