When a couple faces difficulty conceiving, various diagnostic tests are recommended to identify possible fertility issues. One of the most common and important tests for evaluating female fertility is the Hysterosalpingography (HSG) test. The HSG test plays a critical role in assessing the condition of the fallopian tubes and uterus, helping doctors understand if there are any blockages or abnormalities that could hinder pregnancy.
In Nepal, particularly in Kathmandu, fertility services have grown significantly, offering affordable and reliable diagnostic procedures like the HSG test. Understanding the HSG test cost in Kathmandu and what the procedure involves can help patients make informed decisions on their fertility journey.
In this article, we will cover what the HSG test is, why it is performed, its procedure, factors affecting its cost, and what you can expect before, during, and after the test.
What is an HSG Test?
An HSG (Hysterosalpingography) test is a specialized X-ray procedure that examines a woman’s uterus and fallopian tubes. A contrast dye is injected into the uterus, and X-rays are taken to track the flow of the dye through the uterus and fallopian tubes. This helps in detecting:
- Blockages in the fallopian tubes
- Abnormalities or defects in the uterine shape
- Presence of fibroids, polyps, adhesions, or scar tissues
An HSG test is primarily recommended for women who are facing infertility or have had multiple miscarriages, as it helps to identify the cause of fertility issues.
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.
Factors Affecting HSG Test Cost in Kathmandu
The cost of an HSG test can vary depending on several factors:
1. Type of Hospital/Clinic:
- High-end private hospitals generally charge more due to better facilities and modern equipment.
- Smaller clinics may offer more affordable prices.
2. Use of Advanced Imaging Technology:
- Some clinics use advanced digital fluoroscopy or 3D imaging, which can increase the test cost.
3. Doctor’s Experience:
- The reputation and expertise of the fertility specialist or radiologist performing the procedure can also affect the cost.
4. Location Within Kathmandu:
- Central locations or premium areas may have higher service charges compared to outskirts or suburban regions.
5. Inclusion of Additional Services:
- Some packages include consultation fees, pre-procedure blood tests, or aftercare medications, adding to the total price.
Average HSG Test Cost in Kathmandu
The average cost of an HSG test in Kathmandu typically ranges between NPR 7,000 to NPR 15,000, depending on the hospital or diagnostic center chosen.
Several factors influence the final cost, including the reputation of the facility, the experience of the radiologist or specialist conducting the test, and the quality of the equipment used.
In some high-end private hospitals or fertility centers, the cost may be slightly higher due to advanced imaging technologies and personalized patient care. Meanwhile, government hospitals or standard diagnostic labs may offer the test at a relatively lower price, making it more accessible to a wider range of patients.
It is important to note that while a lower price can be tempting, the quality of the procedure, cleanliness, and accuracy of the results should always be prioritized.
Some clinics may also bundle the HSG test with additional consultations or pre-procedure examinations, which can slightly alter the total expense.
Therefore, it is advisable for patients to check with multiple centers, understand what services are included in the package, and choose a reliable place that offers a balance of quality and affordability.
Top Clinics Offering HSG Test in Kathmandu
Several reputable clinics and hospitals in Kathmandu offer the HSG test with experienced fertility specialists and radiologists. Some well-known places include:
- Nepal IVF Centre
- Grande International Hospital
- Kathmandu Fertility Center (KFC)
- Nepal Mediciti Hospital
- Om Hospital & Research Center
- Vatsalya Fertility Centre
Each of these centers provides quality service, but prices and availability may vary, so it is advisable to contact the clinic directly to inquire about appointments, procedures, and pricing.
How to Prepare for an HSG Test?
Preparing for an HSG (Hysterosalpingography) test is crucial to ensure the procedure goes smoothly and to minimize any discomfort. First, it is essential to schedule the test at the right time in your menstrual cycle. Doctors usually recommend having the HSG done between the 7th and 10th day of the cycle, just after menstruation has ended but before ovulation begins. This timing helps reduce the chances of performing the test during an early pregnancy and ensures better visualization of the uterus and fallopian tubes.
Before the procedure, your doctor might prescribe antibiotics to prevent any possible infection. It is important to take these medications exactly as advised. On the day of the test, patients are often advised to eat a light meal. You should also inform your doctor if you have any allergies, especially to iodine or contrast dyes, as these are used during the HSG to visualize the uterine cavity and fallopian tubes.
Many women experience cramping during and after the test, similar to menstrual cramps. To manage this, it is advisable to take an over-the-counter pain reliever, like ibuprofen, about 30–60 minutes before the procedure, but only after consulting with your doctor. Wearing comfortable, loose clothing on the day of the test can also help you feel more at ease. Additionally, it is a good idea to bring a sanitary pad, as you may experience some spotting after the procedure.
Emotionally, preparing for an HSG test is equally important. Knowing what to expect can ease anxiety. Patients should feel free to ask their doctor about the procedure, its purpose, and possible sensations they might experience during the test. Having a support person accompany you to the clinic, if allowed, can also provide comfort. Overall, thorough preparation helps ensure that the HSG test experience is as smooth, comfortable, and stress-free as possible.
Recovery After an HSG Test
Recovery after an HSG test is typically quick. Most women can resume normal activities immediately after the procedure, but mild side effects like:
- Cramping
- Spotting
- Light bleeding
may occur for a day or two. If symptoms like heavy bleeding, severe abdominal pain, or fever occur, it’s important to contact your doctor immediately.
Risks and Side Effects
HSG tests are generally safe but can carry minor risks such as:
- Infection of the uterus or fallopian tubes
- Allergic reaction to the contrast dye
- Uterine injury (rare)
It’s important to choose a reputable clinic with experienced staff to minimize these risks.
Success Rate and Importance of HSG
An HSG not only diagnoses tubal blockages but, interestingly, some women report increased chances of conception shortly after the procedure. It is believed that the dye might help clear minor blockages, improving fertility temporarily.
Thus, an HSG test serves a dual purpose: diagnostic and therapeutic for some patients.
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 Kathmandu 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 Kathmandu, 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 average cost of an HSG test in Kathmandu?
The cost usually ranges from NPR 7,000 to NPR 15,000, depending on the clinic, doctor’s experience, and imaging technology used.
Is the HSG test painful?
Some women experience mild to moderate cramping during the test, similar to menstrual cramps, but it usually subsides quickly.
How long does the HSG procedure take?
The entire procedure typically takes about 15 to 30 minutes.
Can I resume normal activities after the HSG test?
Yes, most women can return to their daily activities immediately after the test, although mild cramping or spotting may occur.
Are there any risks associated with the HSG test?
Risks are minimal but may include infection, allergic reactions to the dye, or uterine injury in rare cases.
When is the best time to schedule the HSG test
The test is usually scheduled after menstruation but before ovulation (Day 7 to Day 10 of the cycle) to ensure you are not pregnant.
Does the HSG test improve fertility?
In some cases, the HSG test can help improve fertility by clearing minor blockages in the fallopian tubes.