A hysterosalpingogram (HSG) refers to an X-ray of your fallopian tubes and uterus. According to the American Society for Reproductive Medicine, your doctor will place a cannula (tube) into the opening of your cervix and fill your uterus and fallopian tubes with iodine contrast material. An X-ray machine will allow your doctor to visualize any blockages or problems in your fallopian tube or your uterine cavity. Prior to getting a HSG, it is important to review its many side effects.
Iodine Allergy
According to the American Society for Reproductive Medicine, you may be allergic to the iodine contrast used during the HSG procedure. Symptoms of this allergy include itching, rashes and swelling after the HSG procedure. Inform your doctor whether you are allergic to intravenous (administered through the vein) contrast, seafood or iodine.
Infections
MedlinePlus says a HSG can lead to endometritis or salpingitis. Endometritis refers to an infection of your endometrium, the lining of your uterus. Fever, stomach bloating, vaginal bleeding, vaginal discharge and lower pelvic or stomach pain are just some of the symptoms for endometritis. Salpingitis refers to an infection of your fallopian tubes. Salpingitis shares the same symptoms as endometritis. However, it can also cause pain during sexual intercourse, menstrual cramps, chills, poor appetite, nausea and vomiting, says MedlinePlus.
Radiation Exposure
According to the American Society for Reproductive Medicine, a HSG emits low amounts of radiation that can harm an unborn baby. Tell your doctor if you are expecting. Radiation exposure from a HSG has not been proven to cause adverse effects on nonpregnant women.
Other Side Effects
Fainting, spotting and uterine perforation are other side effects of a HSG. In some cases, you may become lightheaded and dizzy after the procedure. You may lightly bleed two to three days after your HSG, says the American Society for Reproductive Medicine. In rare cases, your doctor may accidentally perforate your uterus. This is a medical emergency that requires surgery.



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