What are potential complications and side effects of HSG?
A – During insertion of the instruments and injection of the dye, there will likely be cramping and discomfort, which usually disappears after a few minutes. A small percentage of patients may experience more prolonged discomfort, especially if the tubes are blocked and the liquid dye is unable to flow out of the uterus promptly. A small percentage of patients may develop infection of the uterus, tubes, or pelvis following this procedure. This is more common when the tubes have been damaged previously by infection or other causes. Infection in the tubes can lead to infertility, but the risk of infection after an HSG is low (estimated at 1 percent). Some patients will be placed on antibiotics before the procedure in an effort to prevent infection. If your HSG shows blockage of the tubes and you have not taken antibiotics before the procedure, you may be given an antibiotic prescription for use after the HSG. Allergic reactions are possible after injection of the iodine-based dye. During
