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What is a Hysterosalpingogram (HSG) and How is it Used During an Infertility Evaluation?

Dr. Marika Raff • January 28, 2025

When couples or individuals begin their fertility journey, one of the first and most important steps is a thorough evaluation to identify the underlying causes of infertility. At Caperton Fertility Institute, we use several advanced diagnostic tools to assess reproductive health. One such tool is the hysterosalpingogram (HSG), a specialized test that provides critical information about the health of the uterus and fallopian tubes.

If your fertility care team has recommended an HSG, or if you’re curious about how it fits into the fertility evaluation process, here’s everything you need to know about this procedure and its role in helping you achieve your dream of parenthood.

What is a Hysterosalpingogram (HSG) and How is it Used During an Infertility Evaluation?

When is an HSG Recommended?

An HSG is typically performed as part of the initial fertility evaluation for individuals or couples who are having difficulty conceiving. It’s especially useful if:

  • You’ve been trying to conceive for over 12 months (or 6 months if you’re over 35).
  • You’ve had a history of pelvic infections, endometriosis, or abdominal surgery, which may increase the risk of tubal blockages or adhesions.
  • You’ve experienced recurrent miscarriages.
  • Your care team needs to confirm that your uterus and fallopian tubes are healthy before starting treatments like intrauterine insemination (IUI) or in vitro fertilization (IVF).

What Can an HSG Reveal?

The HSG provides valuable information about two critical components of female fertility:

1. Uterine Abnormalities

The shape and structure of the uterus are essential for successful implantation and pregnancy. An HSG can reveal:

  • Fibroids or Polyps: Growths that may distort the uterine cavity.
  • Congenital Uterine Abnormalities: Conditions like a uterine septum or bicornuate uterus, which can interfere with pregnancy.
  • Scar Tissue (Adhesions): Adhesions inside the uterus (Asherman’s syndrome) that can result from infection or surgery.

2. Fallopian Tube Blockages

Open fallopian tubes are essential for natural conception, as they allow the egg and sperm to meet. An HSG can detect:

  • Blocked Tubes: A blockage in one or both fallopian tubes can prevent fertilization.
  • Hydrosalpinx: A condition in which fluid builds up in the fallopian tubes, potentially impacting fertility and the success of IVF.
  • Tubal Damage: Scarring or irregularities in the tubes caused by infections, endometriosis, or prior surgeries.

Partnering with Caperton Fertility Institute

At Caperton Fertility Institute, we’re committed to providing the highest standard of care for individuals and couples navigating infertility. The hysterosalpingogram is just one of the many diagnostic tools we use to create a personalized treatment plan tailored to your unique needs.

Whether you’re just beginning your fertility journey or seeking answers to long-standing questions, our expert team is here to support you every step of the way. From diagnosis to treatment, we’ll help you take the next step toward achieving your dream of parenthood.

If you’re ready to start your fertility evaluation or have questions about the HSG procedure, we recommend consulting trusted resources for more information, such as:

Dr. Marika Raff is a board-certified fertility specialist at Caperton Fertility Institute. With extensive experience in reproductive medicine, she is dedicated to helping individuals and couples overcome infertility challenges and achieve their family-building goals.

By Caperton Fertility March 7, 2025
As we reflect on the incredible progress of reproductive medicine, it's essential to recognize the remarkable women whose contributions have shaped the field of in vitro fertilization (IVF) as we know it today. From groundbreaking scientists to the very first IVF patients, these women have not only advanced fertility care but have also brought hope to millions of families around the world. At Caperton Fertility Institute, we’re proud to stand on the shoulders of these trailblazers, whose work continues to inspire the future of fertility treatment. 🌟 Pioneering Scientists & Physicians Dr. Jean Purdy (1945–1985) Often overlooked in IVF history, Dr. Jean Purdy was a nurse and embryologist who played a vital role in the world's first successful IVF procedure. As part of the team that brought Louise Brown, the first IVF baby, into the world in 1978, Dr. Purdy managed the lab and helped develop the embryo culture techniques that made the procedure possible. Today, she is finally being recognized as a true pioneer in embryology and reproductive medicine. Dr. Georgianna Seegar Jones (1912–2005) As one of the first reproductive endocrinologists in the United States, Dr. Georgianna Seegar Jones co-founded the country’s first fertility clinic in 1939 alongside her husband, Dr. John Rock. Her groundbreaking work in early fertility treatments laid the foundation for the future of IVF, offering options for patients who had previously been left without hope. Dr. Kay Elder A direct collaborator with IVF pioneer Robert Edwards, Dr. Kay Elder has been instrumental in training and educating generations of fertility specialists worldwide. Her contributions to research and her dedication to knowledge-sharing have elevated standards in reproductive medicine, ensuring that patients today benefit from decades of refined practices and innovation. Dr. Ana Cobo A leader in fertility preservation, Dr. Ana Cobo revolutionized the process of oocyte (egg) vitrification. Her work has been especially life-changing for patients facing cancer treatments and women seeking to preserve their fertility for future family-building. Thanks to her research and advancements, egg freezing has become a safe, reliable, and widely accessible option for patients around the globe. 🌟 First IVF Baby Louise Brown (b. 1978) The birth of Louise Brown marked a new era in reproductive medicine. As the world's first IVF baby, her arrival offered hope to countless individuals and couples experiencing infertility. Louise continues to be a symbol of what’s possible through science, perseverance, and the dedication of fertility pioneers. 🌟 Advocates & Changemakers Elizabeth Carr (b. 1981) As the first baby born via IVF in the United States, Elizabeth Carr has grown into a passionate advocate for reproductive rights and infertility awareness. By sharing her story, she works to break the stigma around fertility treatments and bring attention to the emotional and physical journeys of those seeking care. Dr. Serena Chen Dr. Serena Chen is not only a highly respected fertility specialist but also a leading voice in reproductive health advocacy. Through her public platforms, Dr. Chen champions equitable access to fertility care and works to raise awareness about the barriers many patients face on their paths to parenthood. Dr. Natalie Crawford One of today’s most influential educators in fertility medicine, Dr. Natalie Crawford uses social media to empower women with knowledge about their reproductive health. Her approachable and informative content has helped destigmatize infertility and created a supportive space for people navigating complex fertility journeys. Honoring the Women Who Inspire Us The journey of IVF, from a groundbreaking experimental procedure to a widely used and highly successful treatment, would not have been possible without the contributions of these extraordinary women. Their dedication to science, advocacy, and education continues to transform lives, and their legacies are felt every day at clinics like Caperton Fertility Institute. As we celebrate these pioneers, patients, and changemakers, we are reminded of the power of innovation, compassion, and resilience in the field of fertility care. We are grateful for their work—and we look forward to carrying their mission forward by helping you build the family of your dreams.
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