Is the HSG Test Painful? Why it's Done & What to Expect

In this video, Dr Aarti Rapol, Fertility Specialist at Cloudnine Hospital, SB Road, Pune, explains the purpose and process of the Hysterosalpingography (HSG) test — a key diagnostic tool in fertility assessment. The HSG test helps determine whether the fallopian tubes are open or blocked and gives a clear picture of the shape and condition of the uterine cavity. Although many women feel anxious about this test due to online discussions around pain, Dr. Rapol reassures viewers that the discomfort is generally mild — comparable to menstrual cramps — and the procedure does not require anaesthesia. The HSG images reveal any structural issues in the uterus, such as a septum or congenital anomalies, and show whether one or both fallopian tubes are open. She emphasises that the test plays a crucial role in identifying one of the major causes of infertility — blocked fallopian tubes — which can prevent natural conception or even IUI success. If you're planning to conceive or are undergoing a fertility evaluation, an HSG test can provide vital insights into your reproductive health.