HSG Test in India | Cost, Procedure, 10-Day Rule

HSG stands for Hysterosalpingography a fertility diagnostic test that uses X-ray imaging and a contrast dye to evaluate the uterus and fallopian tubes. Breaking the word down makes it simple: hystero refers to the uterus, salpingo to the fallopian tubes, and gram to the X-ray image.

During the procedure, a thin catheter delivers a small amount of iodine-based contrast dye into the uterus through the cervix. As the dye flows through the uterus and along the fallopian tubes, a fluoroscopy machine (real-time X-ray) captures images. The test typically takes 15–30 minutes and is done as an outpatient procedure.

HSG tells your specialist whether your fallopian tubes are open (patent) or blocked, and whether the uterine cavity has any structural issues such as polyps, fibroids, or scarring. It can also have a modest "flushing effect" on fertility see The Flushing Effect. For who needs it and how it compares to HyCoSy, see When You Need an HSG and HSG vs HyCoSy.

Why Choose Cloudnine for HSG

Reproductive-Medicine Team Interpretation

Your HSG is reviewed not just by a radiologist but by a fertility specialist who reads the findings in the context of your fertility plan what to do next, not only what was seen.

In-Clinic Radiology Suite HSG

Performed in our own fluoroscopy-equipped procedure room no separate diagnostic-centre visit, and same-day result discussion is often possible.

Comfort-Focused Protocol

A pre-procedure pain reliever offered as standard, a gentle catheter technique, and a supportive nursing team. We treat HSG as the personal experience it is.

Both HSG and HyCoSy Available

When clinically appropriate, we can offer HyCoSy (a saline ultrasound) as a non-X-ray alternative your specialist will recommend which test fits your situation.

Transparent Cost

With Context Procedure, contrast medium, interpretation, and consultation disclosed upfront. Comparable to or below the standard ~₹8,500 range elsewhere with the interpretation premium included.

Integrated With Your Full Workup

HSG is rarely the only test you need. We read it alongside AMH, semen analysis, and other relevant tests a complete picture, not an isolated tubal report.

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When You Need an HSG

Investigation of infertility Couples unable to conceive after 12 months of regular unprotected intercourse (6 months if the female partner is 35+).
Suspected fallopian-tube blockage A history of pelvic inflammatory disease, sexually transmitted infection, prior pelvic surgery, or ectopic pregnancy raises tubal-blockage risk.
Recurrent pregnancy loss Two or more miscarriages; HSG helps identify uterine abnormalities that might contribute.
Suspected uterine abnormalities When ultrasound hints at polyps, fibroids, or congenital uterine-shape variations (septate or bicornuate uterus).
Pre-IVF or pre-IUI workup Confirming the uterine cavity is normal and at least one tube is open before fertility treatment.
After tubal surgery Confirming patency after tubal recanalisation or treatment for an ectopic pregnancy.
Endometrial scarring concerns After procedures like a D&C, where Asherman's syndrome (intrauterine adhesions) is possible.

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WHAT IS A HYSTEROSAL-PINGOGRAM?

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A hysterosalpingogram (HSG) is a simple radiological technique that is used to undertake a tubal evaluation by assessing the shape and size of the uterine cavity and the patency of the fallopian tubes. It begins with the infusion of an opaque dye into the cervical canal via an instrument. This dye eventually permeates into the uterus and the fallopian tubes, accentuating blockages in the fallopian tubes by staying concentrated in a specific region. The procedure is usually undertaken in the window between the sixth and tenth day of the menstrual cycle.

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WHY CHOOSE A HYSTEROSAL-PINGOGRAM?

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A hysterosalpingogram (HSG) is commonly performed to examine women for whom natural conception is proving to be a challenge.

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PATENCY OF FALLOPIAN TUBES

Through an HSG, your doctor can view the structure of your uterus, and also explore the patency of your fallopian tubes. If there is any tubal obstruction or uterine scarring, your fertility consultant will design a suitable treatment solution for you, to augment your chances of conceiving a baby.

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RECURRENT MISCARRIAGES

If you have experienced repeated miscarriages, it is possible that they have been caused by inherent or acquired inconsistencies of the uterus. An HSG can help in ascertaining the presence of tumours, adhesions and fibroids, which are all hindrances to fertility.

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IS A HYSTEROSAL-PINGOGRAM RIGHT FOR ME?

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If you have been experiencing difficulty conceiving, it is possible that your body may be telling you something. For some women, infertility is caused by a tubal blockage, meaning that a fresh egg can never make its way down the fallopian tube. Thus, the egg stops short of reaching the uterus, ending its chances of meeting a potential sperm. A hysterosalpingogram (HSG) can determine whether a tubal blockage exists, and if so, how you can overcome it.

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WHAT ARE THE STEPS OF A HYSTEROSAL-PINGOGRAM?

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A hysterosalpingogram (HSG) is a smooth and short procedure that usually lasts no longer than half an hour.

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1. CANNULA PLACEMENT

To begin with, a small cylindrical tool, called a speculum, is gently inserted into the vagina to dilate it. Then, a cannula is placed inside the cervical canal.

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2. RELEASE OF CONTRAST DYE

Once the cannula is in place, the speculum is removed, and a fluoroscopy camera is activated. Slowly, a contrast dye is released through the catheter into the vaginal canal. The dye then glides up to the uterine cavity, fallopian tubes and peritoneal cavity.

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WHAT ARE THE RISKS OF A HYSTEROSAL-PINGOGRAM?

A hysterosalpingogram (HSG) procedure presents minor risks, although the merits of the routine outbalance the drawbacks.

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EXPOSURE TO RADIATION

There are theories that prolonged periods of radiation can act as a catalyst for cancer. However, on Cloudnine, our HSG routines are gentle and measured, allowing for a diagnosis while keeping the risk of radiation at bay.

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EXACERBATION OF INFECTIONS

If you have previously been diagnosed with a pelvic inflammatory disorder or a sexually transmitted disease, an HSG could exacerbate your condition. Be sure to detail your medical history to your fertility specialist, so that a customised treatment plan can be drawn out for you.

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HYSTEROSAL-PINGOGRAM

A hysterosalpingogram (HSG) discovers or rules out blocked fallopian tubes as a cause of infertility. We perform HSG tests and analysis in-house. A Hysterosalpingogram (HSG) may be done to evaluate the inside of the fallopian tubes and mainly provides information regarding the fallopian tubes. A hysterosalpingogram (HSG) is commonly performed to examine women who find natural conception a challenge.

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FEMALE INFERTILITY EVALUATION

There can be many reasons for female infertility. Recurrent miscarriages and irregular menstruation cycle are few proofs of poor female infertility. Some women who have experienced recurrent miscarriages may have uterus or fallopian tube problems. At Cloudnine fertility clinic, our expert fertility specialist will analyse the causes for these problems through a simple technique called hysterosalpingogram (HSG)

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HSG Test at Cloudnine Fallopian Tube and Uterine Evaluation, Clearly Explained

Why Choose Cloudnine for HSG

When You Need an HSG

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Fertility insights to guide your journey

Awards & Recognitions

HSG (Hysterosalpingography)

WHAT IS A HYSTEROSAL-PINGOGRAM?

WHY CHOOSE A HYSTEROSAL-PINGOGRAM?

PATENCY OF FALLOPIAN TUBES

RECURRENT MISCARRIAGES

IS A HYSTEROSAL-PINGOGRAM RIGHT FOR ME?

WHAT ARE THE STEPS OF A HYSTEROSAL-PINGOGRAM?

1. CANNULA PLACEMENT

2. RELEASE OF CONTRAST DYE

WHAT ARE THE RISKS OF A HYSTEROSAL-PINGOGRAM?

EXPOSURE TO RADIATION

EXACERBATION OF INFECTIONS

HYSTEROSAL-PINGOGRAM

FEMALE INFERTILITY EVALUATION

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