Do You Need a Hysterosalpingogram?

A hysterosalpingogram (HSG) is a commonly ordered test for women who are having difficulty conceiving a pregnancy because blocked fallopian tubes (hydrosalpinx) are a major cause of infertility world-wide.  Approximately 25-35 percent of female factor infertility cases involve tubal disease.  Understanding what an HSG is and what the risk factors are for tubal disease may help you understand if you …

The Evolution of Fertility Treatment

This year marks the 50th anniversary of the U.S. Food and Drug Administration approving the sale and marketing of clomiphene citrate (Clomid) for the “treatment of ovulatory dysfunction in women desiring pregnancy”.   At the time, this was a huge breakthrough for couples who were desperate to conceive their own child.  For many patients, it was a “wonder drug”.

Prior to …

Improved Pregnancy Rates after Hysterosalpingograms

A new study published in the New England Journal of Medicine is showing that pregnancy rates after hysterosalpingogram (HSG) procedures may be higher when an oil-based contrast is used compared to when a water-based contrast is used.  Increased pregnancy rates after HSG procedures have been reported for many years, but it was unclear whether the type of contrast used made …

Hysterosalpingograms – Setting the Record Straight

The fertility test that patients seem to dread the most is a hysterosalpingogram (HSG).  An HSG is an outpatient x-ray procedure that is performed to determine if the fallopian tubes are open and to see if the shape of the uterine cavity is normal.  During the procedure, x-ray images are taken as contrast dye flows through the uterus and fallopian …