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Trying to get pregnant but repeatedly failing? Reveal the "hysterosalpingography" test to help you find the truth
Source: LelaiwaPublished: 2025-06-18
This article is compiled and published by the lelaiwa team. Unauthorized reproduction is prohibited. For ongoing updates on fertility preparation, IVF, and overseas or U.S. childbirth, scan the consultant's QR code on the right to get free updates, or contact lelaiwa for free consultation anytime.

1. HSG inspection: Accurately locate the "scouts" in the fertility channel

Hysterosalpingography (HSG) is an examination method that injects contrast media into the uterine cavity and uses X-ray or ultrasound to observe the uterine shape and tubal patency in real time. It can not only detect common problems such as fallopian tube obstruction and adhesions, but also assess whether the uterus has malformations, polyps or fibroids.
1. Full analysis of the inspection process
·Timing: 3-7 days after menstruation is clean, when the endometrium is thin and the risk of operation is low.
· Timing: It is suitable to choose this period when menstruation has ended, 3-7 days after it. At this time, the endometrium is thinner, reducing the risk of complications during the procedure.
① After disinfection, a catheter was placed through the cervix and contrast medium was slowly injected.
After disinfection, a catheter is inserted through the cervix, and a contrast agent is slowly injected into the body.
② Under X-ray or ultrasound examination, observe the flow of the contrast agent in action, and capture images of the uterine cavity and fallopian tubes.Some examinations require delayed films taken at an interval of 20 minutes to the next day to observe pelvic diffusion.
· Pain management: Most people experience only mild abdominal discomfort, similar to menstrual cramps. If the blockage in the fallopian tubes is severe, there may be temporary worsening of symptoms, which can be relieved through deep breathing.
The fallopian tube is the "magpie bridge" for the union of sperm and eggs, and its patency directly affects the success rate of conception.
“”,.HSG inspection can accurately identify the following issues
·Obstruction of the fallopian tube: The proximal, middle or fimbria ends are blocked, resulting in the "inability of sperm and eggs to meet".
·Adhesions or fluid accumulation: Inflammation or postoperative adhesions can cause the fallopian tubes to become deformed, resulting in the accumulation of contrast agent in a “sausage-like” pattern.
·Abnormalities of the uterus: Such as septate uterus, polyps or fibroids that compress the uterine cavity, thereby affecting embryo implantation.
case warning322,HSG.After laparoscopic combined surgery, the operation was successfully dredged, and a healthy baby was born the following year. This confirms the key role of HSG in early diagnosis.
2. Oily developer ="pregnancy aid"?
,=“”?Truth and Dispute

It is rumored that "the pregnancy rate doubles after doing HSG", and the core of this lies in the choice of developer type
·Oily contrast media (such as iodized oil): High viscosity, may slightly unblock minor adhesions, and have anti-inflammatory effects. The pregnancy rate 3-6 months after surgery is slightly higher than that of aqueous media.
·Water-based contrast agents: They offer higher safety levels and lower risks of allergies. Ideal for those who are allergic to iodine or have sensitive skin due to inflammation.
experts remind,,.Don't blindly pursue oily agents, but must be oriented towards the treatment goal.
These situations cannot be done for the third or third categories of taboo groups!
III. Three categories of people who should avoid this activity: These individuals cannot undergo this procedure.

Although the HSG is a security check, the following circumstances need to be strictly circumvented
1. Physical Taboo
·Menstruation or pregnancy (including suspected pregnancy).
·Rural reproductive tract infections (such as pelvic inflammatory disease or untreated vaginitis).
·History of severe allergies (especially iodine), heart disease or abnormal thyroid function.
·Have a history of severe allergies (especially to iodine compounds), heart disease, or thyroid dysfunction.
·Within 6 weeks after childbirth, or in cases of uterine cavity malignancies, an abortion may be necessary.
If you develop persistent abdominal pain, fever or abnormal secretions after examination, seek medical attention immediately to be alert to the risk of infection or uterine perforation.
If persistent abdominal pain, fever, or abnormal discharge occur during the examination, seek medical attention immediately. Be aware of the risks of infection or uterine perforation.
4. Post-examination nursing care: the "prime time" for scientific preparation for pregnancy
4. Post-examination care: The “golden period” for scientific preparation before pregnancy

·Recovery period: Avoid sexual life and bath within 2 weeks, and take antibiotics according to doctor's advice to prevent infection.
·Contraceptive advice: If iodinated oil is used for imaging purposes, it is recommended to use contraception for one month (during the radiation metabolic cycle). You can try to conceive in the following month.
·Patency: Combine ovulation monitoring and male semen analysis to formulate a pregnancy preparation plan.
·For those with normal conditions: A pregnancy preparation plan should be formulated based on ovulation monitoring and male semen analysis.
·Blocker: Choose either fallopian tube repair surgery or in vitro fertilization based on the specific condition.

5. Scientifically preparing for pregnancy starts from "seeing clearly"

HSG examination is not only a diagnostic tool, but also a cornerstone for developing personalized treatment plans. For women who have failed repeatedly, it is like a "golden eye", helping doctors accurately locate problems and avoid blind treatment. Remember that the answers to fertility problems are often hidden in the details, and scientific examination and active treatment are the shortest path to happiness.If you have failed to prepare for a pregnancy for more than one year (it is recommended to shorten it to half a year for women over 35 years old), please seek medical advice promptly and solve the fertility mystery through HSG and other examinations. Early detection and early intervention will make "good pregnancy" no longer far away!


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