For couples struggling with infertility, medical tests are often the first step toward understanding the root cause of the problem. One of the most commonly recommended diagnostic tests is the HSG (Hysterosalpingography) test. In Nepal, especially in cities like Kathmandu, Pokhara, and Biratnagar, HSG tests have become accessible at reputable fertility clinics and diagnostic centers. Many individuals searching for fertility solutions often wonder about the cost, procedure, preparation, and recovery associated with an HSG test.
In this article, we will discuss the HSG test cost in Nepal, the factors affecting the price, what the procedure involves, and how patients can prepare themselves both mentally and physically for the experience. By the end, you’ll have a complete understanding of what to expect if you are considering undergoing an HSG test in Nepal.
What is an HSG Test?
An HSG, or Hysterosalpingography, is a special X-ray procedure used primarily to check a woman’s uterus and fallopian tubes. The test helps doctors determine if there are blockages or abnormalities that might be causing infertility. During the procedure, a contrast dye is inserted into the uterus through the cervix. As the dye flows through the uterus and fallopian tubes, X-ray images are taken to see if the pathways are open and functioning properly.
HSG tests are often prescribed for women who have been trying to conceive for a year without success. They can reveal issues like uterine abnormalities (such as polyps, fibroids, or scarring) and fallopian tube blockages, which may prevent the sperm and egg from meeting. Thus, it becomes a vital diagnostic tool for fertility specialists.
Why is an HSG Test Needed?
There are several medical reasons why a doctor may suggest an HSG test, such as:
- Infertility Investigation: To check if the fallopian tubes are open and the uterine cavity is normal.
- Recurrent Miscarriages: To examine the uterus for any structural abnormalities that could cause pregnancy loss.
- Post-Surgery Evaluation: After surgeries like tubal ligation reversal or fibroid removal, to ensure the uterus and tubes are normal.
- Assessment after Infections: To detect damage caused by pelvic inflammatory disease (PID) or sexually transmitted infections (STIs).
How is an HSG Test Performed?
An HSG test is usually performed after the menstrual period but before ovulation, typically between Day 7 to Day 10 of the menstrual cycle. Before the procedure, the patient may be advised to take a mild painkiller to minimize discomfort.
During the test, the woman lies on an examination table, and a speculum is gently inserted into the vagina to help the doctor see the cervix clearly. After cleaning the cervix with an antiseptic solution, a thin catheter is carefully inserted through the cervix into the uterus.
A special contrast dye is then injected through the catheter, filling the uterus and fallopian tubes. As the dye moves through these structures, X-ray images (fluoroscopy) are taken to observe whether the dye passes freely through the fallopian tubes and into the abdominal cavity.
If the tubes are open, the dye will flow through without obstruction; if there is a blockage, the dye will be stopped at a certain point. The entire procedure generally takes about 15 to 30 minutes. Some women may feel mild cramping similar to menstrual cramps during or shortly after the test, but this usually resolves quickly.
After the procedure, the patient can typically resume normal activities, although light spotting or slight discomfort might persist for a short time.
Average HSG Test Cost in Nepal
The cost of an HSG test in Nepal typically ranges between NPR 8,000 to NPR 20,000. However, this is an average estimate and the price can vary depending on several factors such as the hospital or clinic’s reputation, the technology used, the expertise of the radiologist, and the city in which the test is performed.
In renowned fertility clinics located in Kathmandu, the cost might be slightly higher because of the advanced imaging technology and better infrastructure. On the other hand, smaller diagnostic centers in other cities might offer the procedure at a lower price. Some hospitals also offer packages that include consultations, ultrasound scans, and HSG tests together, providing better value for money.
Factors Affecting the HSG Test Cost in Nepal
Several factors contribute to the overall cost of the HSG test in Nepal. These include:
1. Hospital or Clinic Type
Premium hospitals and fertility centers with high-end diagnostic facilities may charge more for the HSG test than smaller diagnostic labs.
2. Location
Tests performed in metropolitan cities like Kathmandu or Pokhara may be priced slightly higher than those conducted in smaller towns or rural areas.
3. Doctor’s Fee
Some clinics include a consultation fee with the cost of the HSG test, while others charge it separately.
4. Technology Used
Advanced digital imaging machines provide more precise images but may increase the overall cost.
5. Additional Services
Some hospitals offer counseling, ultrasound follow-up, or medications alongside the test, affecting the final price.
6. Insurance Coverage
In very few cases, if patients have insurance covering fertility diagnostics, part of the HSG cost may be reimbursed, but this is rare in Nepal.
Why Do Doctors Recommend an HSG Test?
An HSG test is a powerful diagnostic tool that provides important information about a woman’s reproductive health. Doctors recommend this test for several reasons, including:
- To detect blockages in the fallopian tubes
- To find abnormalities in the shape or structure of the uterus
- To investigate repeated miscarriages
- To assess post-surgical healing after tubal surgeries
- To determine the cause of infertility
Since natural conception heavily depends on healthy fallopian tubes and a properly structured uterus, identifying and treating any issues early can significantly improve the chances of successful pregnancy.
How is an HSG Test Performed?
The HSG test is usually done in a radiology department or specialized fertility center. First, the patient is asked to lie down on an examination table similar to the one used for a pelvic exam. The doctor then inserts a speculum into the vagina to view the cervix clearly. After cleaning the cervix, a thin tube called a catheter is inserted through the cervix into the uterus.
Once the catheter is in place, a special contrast dye is slowly injected through it. This dye travels through the uterus and fallopian tubes. As the dye moves, the radiologist takes X-ray images to observe the flow. If the dye passes through the tubes and spills into the abdominal cavity, it indicates that the tubes are open. If there is any blockage, the dye will not pass, indicating a possible cause of infertility.
The entire procedure usually takes about 10 to 30 minutes. Some women may experience mild cramping during the dye injection, but the discomfort typically subsides quickly.
How to Prepare for an HSG Test
Proper preparation before the HSG test can make the procedure smoother and less stressful. Here are the key steps for preparation:
- Timing: Schedule the test after menstruation but before ovulation, usually between days 7 and 10 of your cycle.
- Medication: Some doctors prescribe antibiotics to prevent infection. Take them as directed.
- Pain Management: Take an over-the-counter pain reliever, such as ibuprofen, about 30 to 60 minutes before the test to ease potential cramps.
- Diet: Eat a light meal before the procedure to avoid discomfort.
- Clothing: Wear comfortable clothing and bring a sanitary pad for possible post-procedure spotting.
- Mental Preparation: Talk to your doctor about what to expect to reduce anxiety.
Preparing both physically and mentally will help you feel more relaxed and confident during the test.
Recovery After an HSG Test
Recovery after an HSG test is usually quick. Most women can resume normal activities on the same day or the next. Mild cramping, light spotting, or watery discharge is common for a few days after the procedure.
It is advised to avoid intercourse, tampon use, and swimming for at least 24–48 hours post-test to prevent infection. If you experience heavy bleeding, severe abdominal pain, fever, or foul-smelling discharge, contact your doctor immediately, as these could be signs of infection.
Is the HSG Test Painful?
Pain perception varies among women. Some may experience only mild discomfort, while others might feel moderate cramping similar to menstrual cramps during the dye injection. Taking pain medication beforehand and practicing deep breathing can help manage the discomfort.
Doctors are usually very gentle during the procedure and will guide you throughout, ensuring your comfort as much as possible.
Success After HSG Test
Interestingly, some women become pregnant naturally within a few months after an HSG test. It is believed that the passage of the contrast dye may flush out minor blockages in the fallopian tubes, improving fertility temporarily.
While the primary purpose of the test is diagnostic, this unexpected benefit offers hope to many couples.
Choosing the Right Center for HSG Test in Nepal
When selecting a center for your HSG test in Nepal, consider the following factors:
- Experienced Radiologists: Choose a facility with skilled doctors and technicians.
- Advanced Equipment: Look for clinics using the latest imaging technology.
- Hygiene and Safety: Ensure the clinic maintains high standards of cleanliness.
- Patient Reviews: Check online reviews or seek recommendations from trusted sources.
- Transparent Pricing: Confirm the full cost, including consultation and medications, beforehand.
Some renowned hospitals and fertility centers in Nepal that offer HSG tests include Grande International Hospital (Kathmandu), Norvic International Hospital (Kathmandu), Om Hospital (Kathmandu), and others.
When Should You Consult a Doctor After an HSG Test?
While mild symptoms are normal after an HSG, you should immediately consult a doctor if you experience:
- Severe lower abdominal pain
- Heavy vaginal bleeding
- Fever or chills
- Foul-smelling vaginal discharge
Early detection of any complications ensures quick treatment and a smooth recovery.
Why choose the Nepal IVF Centre?
A compassionate service provider like Nepal IVF Centre is an expert in the field of parenthood and supports patients in making their parents’ dreams come true. We, at Nepal IVF Centre, have in place a fully experienced team that works round the clock to custom-create specialised IVF treatment strategies for all patients. We guarantee attentive and sophisticated care to all patients while using specialised technology to maximise success rates.
Our understanding of the IVF emotional journey enables us to actively support you throughout the process. Furthermore, my treatment options include very affordable and quality value statements, making IVF available to more families. Lastly, in our firm belief, the combination of success and comfort, along with a welcoming environment, makes us the best choice for people planning to start or grow a family.
Conclusion
The HSG test in Nepal is an essential diagnostic tool for women facing fertility issues. With costs ranging between NPR 7,000 and NPR 15,000, it is an affordable, minimally invasive, and highly informative procedure that can guide future fertility treatments.
Choosing a reputed clinic with experienced professionals, understanding the full cost breakdown, and preparing properly for the procedure can ensure a smooth experience and help in identifying the right path forward toward conception.
If you are planning an HSG test in Nepal, always consult with a fertility expert, discuss your concerns, and make sure to follow all the pre- and post-procedure instructions for the best outcome.
FAQs (Frequently asked questions)
What is the main purpose of an HSG test?
The HSG test is done to check the uterus and fallopian tubes for blockages or abnormalities that might cause infertility.
How much does an HSG test cost in Kathmandu?
The cost typically ranges between NPR 8,000 and NPR 20,000, depending on the clinic or hospital.
Is an HSG test painful?
Some women experience mild to moderate cramping during the procedure, but the pain is usually brief and manageable.
Can I conceive naturally after an HSG test?
Yes, some women have an increased chance of natural conception after the test due to the clearing of minor blockages.
How long does the HSG procedure take?
The test usually takes about 10 to 30 minutes from start to finish.
What precautions should I take after an HSG test?
Avoid intercourse, swimming, and tampon use for at least 24–48 hours to prevent infection.
Are there any risks associated with the HSG test?
Though rare, risks include infection, allergic reaction to the dye, and uterine injury.