HSG/SSG

Usually completed in about 3-5 minutes, HSG is performed by instilling radio opaque contrast into the uterine cavity while using fluoroscopy with intermittent still images for documentation. Proper technique is important to enhance patient comfort and ensure the highest quality images. Having the patient empty her bladder prior to positioning may ease discomfort from the speculum, which should be warmed prior to insertion. Supporting the patient’s hips on a short stack of towels or an overturned bed pan often aids in visualization of the cervix. As with any pelvic examination, the operator should attempt to drape as much of the patient’s lower body as possible, have a female chaperone, and explain to the patient each step of the procedure.