Can you conceive after hsg

When treatment doesn't work, a doctor may recommend certain fertility assessments to help determine the cause of infertility, such as a hysterosalpingogram or HSG. An HSG is a type of x-ray that doctors use to assess fertility. Although it is not a fertility treatment, you may be more likely to conceive after getting an HSG depending on the causes of your infertility and whether the doctor uses an oil-based or water-based contrast medium to perform the x-ray.

Research says the oil-based contrast is more likely to yield positive pregnancy results, but no one is exactly sure why. Some medical experts believe an HSG may clear minor blockages in the fallopian tubes while others say the dye solution itself may somehow enhance the lining of the uterus or the area surrounding the ovaries to improve the ovulation process. East Afr Med J. Farquhar C. Endometrial scratching: How much evidence do you need to stop offering this to women having in vitro fertilization?

Fertil Steril. Contrast ultrasonography for tubal patency. J Minim Invasive Gynecol. Assessment of tubal patency: A prospective comparison of diagnostic hysteroscopy and laparoscopic chromopertubation. Your Privacy Rights. To change or withdraw your consent choices for VerywellFamily. At any time, you can update your settings through the "EU Privacy" link at the bottom of any page.

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Thanks for your feedback! Sign Up. What are your concerns? Verywell Family uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Related Articles. What Is Chromotubation? Does Late Implantation Cause Miscarriage? In the first two cases, menstrual history was wrongly relied upon and no pregnancy tests had been performed.

However, even with a negative pregnancy test carried out prior to the investigation, as in the third case, this was proven not to be foolproof. The outcome of our pregnancies involves one ectopic, one miscarriage and one normal term pregnancy. We advocate not relying solely on menstrual history and to be aware that even in cases where there is a negative pregnancy test before HSG, the patient can still be pregnant.

Hysterosalpingography HSG is a ubiquitous and commonly performed diagnostic investigation to assess tubal patency in infertility patients. Most of the patients will not be using contraception and some may have irregular cycles. To date, only a few reports have been published regarding unsuspected pregnancies during HSG.

The prevalence reported by Justesen et al. Previous reports have advocated various ways to prevent unsuspected pregnancy during HSG, including performing HSG during the first 10 days of menstruation and performing a pregnancy test prior to the investigation. Here, we report that despite taking the above precautions, three patients were still found to be pregnant at the time of HSG.

She had HSG performed by a private radiologist for the investigation of secondary infertility. The radiology report showed no abnormalities and the tubes were patent.

She had regular menstrual cycles of 28 days. Her last menstrual period was 5 days before the investigation and no pregnancy test was performed. Seven days after the investigation she presented to the accident and emergency department with abdominal pain and vaginal bleeding, and the diagnosis of endometritis was made. She was given one course of antibiotics. One week later, she presented to the gynecological department with increasing lower abdominal pain.

Her pregnancy test became positive. She had no sexual intercourse since the HSG and an ultrasound scan showed an empty uterus with right adnexal mass, which was highly suspicious of an ectopic pregnancy. A laparoscopic right salpingectomy was performed and tubal pregnancy was confirmed on histology. Her postoperative course was uneventful.

Her last menstrual period was 5 days before HSG, which showed blocked distal end of the left Fallopian tube. The patient was found to be pregnant 2 months after the HSG when she presented with some vaginal spotting and an ultrasound scan showed a viable intrauterine pregnancy.

As the patient claimed she had had no coitus since the HSG because of on and off vaginal spotting after the procedure, we believe that the conception most likely occurred prior to the investigation. According to fetal parameters, the pregnancy was 2 weeks further along than her calculated estimated date of confinement by menstrual date.

This supported the notion that the conception occurred before the HSG. The patient chose to continue with the pregnancy after detailed counseling. After an uncomplicated pregnancy of 39 weeks, the patient delivered a healthy infant weighing g by vacuum extraction.

HSG tests are meant to be diagnostic tools to help doctors understand the problem in a woman and they can or cannot lead to pregnancy. Try for fertility treatments and soon you will have your little one in your arms!

Also Read: Blocked Fallopian Tubes. Sign in. Forgot your password? Get help. Create an account. Password recovery. FirstCry Parenting. Getting Pregnant Fertility. Sabiha Anjum Obstetrician and Gynaecologist. In This Article. What Is a Hysterosalpingogram? Non-hormonal Birth Control — Pros and Cons. Sonohysterogram for Fertility — Procedure, Benefits, and Risks.

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