What are the signs of infection after HSG?

One week after hysterosalpingography, 44% developed acute PID, defined as having at least 2 of the following signs or symptoms: lower abdominal pain, rebound tenderness, cervical/adnexal tenderness, foul smelling vaginal discharge, adnexal mass(es), and fever of at least 38 degrees Celsius.

Is a Hysterosonogram painful?

Will the Hysterosonogram hurt? Although the vaginal ultrasound is not typically a painful exam, the injection of sterile water into the uterine cavity may cause some cramping, similar to menstrual cramps. These symptoms should subside upon completion of the procedure or shortly after.

How do you treat an infection after HSG?

If HSG demonstrates dilated fallopian tubes, oral doxycycline (100 mg twice daily for 5 days) should be given to reduce the risk of post-HSG PID [2]. In patients with a history of PID, doxycycline can be administered before the procedure and continued if dilated fallopian tubes are found during HSG [2].

What are the symptoms of a hysterosalpingogram?

An HSG usually causes mild or moderate uterine cramping for about 5-10 minutes. However, some women may experience cramps for several hours. These symptoms can be greatly reduced by taking medications used for menstrual cramps before the procedure or when they occur.

Is it normal to have cramps after a HSG test?

Some doctors may tell you to refrain from sexual intercourse for a few days after the test. While mild cramps are normal, if your discomfort seems to be increasing after the test or you develop a fever, contact your doctor. There is a rare risk of infection following an HSG. Increasing pain may hint to a brewing infection.

Are there any side effects to having a HSG?

HSG is considered a very safe procedure. However, there is a set of recognized complications, some serious, which occur less than 1% of the time. Infection – The most common serious problem with HSG is pelvic infection. This usually occurs when a woman has had previous tubal disease (such as a past infection of chlamydia).

What should I do after a hysterosalpingography test?

After the test, tell your provider right away if you have any signs or symptoms of infection. These include foul-smelling vaginal discharge, pain, or fever. You may need to take antibiotics if this occurs.