How to Prepare for Your HSG Test: Complete Checklist

Proper preparation for your HSG test can make a significant difference in both your comfort during the procedure and the quality of your results. While a hysterosalpingography is a relatively quick outpatient procedure, knowing exactly what to do in the days and hours before your appointment helps reduce anxiety and ensures the best possible imaging outcomes.

Understanding the HSG Test Timeline

An HSG test (hysterosalpingography) is a fluoroscopy-guided imaging procedure that evaluates the uterus and fallopian tubes. The procedure itself takes 15 to 30 minutes, but preparation begins well before the day of your appointment. Following each step in the correct order helps ensure the procedure goes smoothly and produces clear, reliable images.

When to Schedule Your HSG Test

Timing is critical for an HSG test. The procedure must be scheduled during a specific window of your menstrual cycle to ensure accuracy and safety.

The Ideal Window: Cycle Days 7 to 12

Your HSG should be scheduled between day 7 and day 12 of your menstrual cycle (counting the first day of your period as day 1). This timing is important for two reasons: your menstrual bleeding has stopped, allowing for clear imaging, and ovulation has not yet occurred, ensuring there is no chance of disrupting a potential early pregnancy.

If your cycles are irregular, discuss the optimal timing with your gynecologist. In some cases, a pregnancy test may be required on the day of the procedure regardless of where you are in your cycle.

One Week Before Your HSG Test

Confirm your appointment date falls within cycle days 7-12
Complete any pre-procedure blood tests ordered by your doctor (such as infection screening)
Inform your doctor about any allergies, especially to iodine or contrast dyes
Discuss any medications you are currently taking, including blood thinners or fertility medications
Ask your doctor if antibiotics will be prescribed as a preventive measure
Avoid unprotected intercourse from the start of your period until after the HSG test

Some doctors prescribe a short course of antibiotics (such as doxycycline) starting one to two days before the procedure to reduce the risk of infection. If prescribed, take the full course as directed.

The Day Before Your HSG Test

Eat normally — fasting is not required for an HSG test
Stay well hydrated by drinking plenty of water
Prepare comfortable, loose-fitting clothing for the next day (you will change into a gown but want to be comfortable afterward)
Pack a sanitary pad in your bag for light spotting after the procedure
Set out your insurance card, ID, referral letter, and any relevant medical records
Arrange transportation home if you prefer not to drive after the procedure
Get a good night's sleep to help you feel calm and relaxed

The Morning of Your HSG Test

Ibuprofen Timing: 30 to 60 Minutes Before

One of the most important preparation steps is taking an over-the-counter pain reliever before the procedure. Most doctors recommend taking 400 to 600mg of ibuprofen (such as Advil or Brufen) approximately 30 to 60 minutes before your appointment time. This helps minimize cramping during and after the procedure.

If you cannot take ibuprofen due to allergies or medical conditions, ask your doctor about alternative pain relief options. Do not take aspirin, as it may increase the risk of bleeding.

What to Eat and Drink

You can eat a light meal before your HSG test. However, avoid eating a very heavy meal immediately before the procedure, as some women experience mild nausea during the test. A light breakfast or snack about one to two hours before is ideal. Continue drinking water normally.

What to Wear

Wear comfortable, loose-fitting clothing that is easy to change out of. You will be given a hospital gown for the procedure. Avoid wearing jewelry, especially around the pelvic area, as metal can interfere with fluoroscopy imaging. Leave valuables at home when possible.

What to Bring to Your HSG Appointment

Emirates ID or passport
Insurance card and pre-authorization documentation
Referral letter from your gynecologist
Any previous imaging results or medical records related to your fertility evaluation
A sanitary pad (not a tampon) for potential light spotting afterward
A bottle of water and a light snack for after the procedure
A support person, if you would like someone to accompany you

What NOT to Do Before Your HSG Test

Do NOT have unprotected intercourse between the start of your period and the HSG test day
Do NOT use vaginal douches, creams, or suppositories in the 24 hours before the test
Do NOT use tampons on the day of the procedure
Do NOT take aspirin (it may increase bleeding risk; use ibuprofen instead)
Do NOT skip your prescribed antibiotics if your doctor has ordered them
Do NOT schedule the test if you suspect you may be pregnant
Do NOT schedule the test during active menstrual bleeding

HSG Preparation Checklist at a Glance

Use this quick-reference table to keep track of every preparation step before your HSG appointment.

Timeframe	Action	Details
1 week before	Confirm appointment timing	Schedule between cycle days 7 and 12
1 week before	Complete pre-procedure tests	Blood work or infection screening if ordered
1 week before	Report allergies	Notify doctor of iodine or contrast dye allergies
1 week before	Avoid unprotected intercourse	From start of period until test day
1 day before	Prepare clothing	Loose, comfortable outfit with no pelvic-area jewelry
1 day before	Pack your bag	ID, insurance card, referral, sanitary pad, water bottle
1 day before	Arrange transport	Have someone available to drive you home if needed
30-60 min before	Take ibuprofen	400-600 mg (avoid aspirin)
1-2 hours before	Eat a light meal	Avoid heavy meals; stay hydrated
Day of test	No vaginal products	No douches, creams, suppositories, or tampons

HSG test preparation checklist by timeframe

What Happens During the HSG Procedure

Knowing what to expect during the procedure can help reduce anxiety. After you change into a gown, you will lie on an examination table under the fluoroscopy machine. The radiologist will gently insert a thin catheter through the cervix and slowly inject contrast dye. You may feel mild to moderate cramping as the dye fills the uterus and travels through the fallopian tubes.

The radiologist will capture several X-ray images in real time to evaluate the uterine shape and whether the tubes are open. The entire imaging portion typically takes 5 to 15 minutes. Once complete, the catheter is removed and you can rest for a few minutes before getting dressed.

For a detailed step-by-step walkthrough, read our guide on the HSG test procedure.

Planning Your Post-HSG Recovery

Most women can resume normal activities later the same day, but it is wise to plan a lighter schedule. Some women experience mild cramping, light spotting, or slight dizziness for a few hours after the procedure. Having a plan in place helps you recover comfortably.

Take the rest of the day off work if possible, or at least schedule a lighter afternoon
Have pain relief medication available at home (ibuprofen is usually sufficient)
Use a sanitary pad for any light spotting — this is normal and usually resolves within 1-2 days
Avoid using tampons, having intercourse, or taking baths for 24-48 hours after the procedure
Contact your doctor if you experience heavy bleeding, fever, or severe pain that does not improve with medication

For comprehensive information about what to expect after the procedure, see our article on HSG test side effects and recovery.

Special Preparation Considerations

If You Have a History of Pelvic Infections

Women with a history of pelvic inflammatory disease (PID) or sexually transmitted infections should inform their doctor before the HSG. Prophylactic antibiotics are typically prescribed in these cases to minimize infection risk. Your doctor may also order additional blood work before clearing you for the procedure.

If You Have Allergies to Contrast Dye or Iodine

HSG contrast dye contains iodine. If you have a known allergy to iodine or have had a reaction to contrast dye in the past, inform your doctor immediately. Pre-medication with antihistamines or corticosteroids may be necessary, or an alternative imaging method may be recommended.

If You Are Taking Fertility Medications

If you are currently on fertility medications such as clomiphene (Clomid) or letrozole, discuss the timing with your fertility specialist. In most cases, the HSG is scheduled in a natural cycle or early in a treatment cycle to avoid interfering with medication protocols.

HSG Test Preparation at DCDC

At Doctors Clinic Diagnostic Center in Dubai Healthcare City, our team guides patients through every step of HSG preparation. From your initial booking call to the day of the procedure, we provide clear instructions tailored to your medical history and cycle timing.

Our experienced consultant radiologists perform HSG procedures using modern fluoroscopy equipment, and our coordinators help with insurance pre-authorization and appointment scheduling to make the process as smooth as possible.

Preparing for Your HSG Test?

At Doctors Clinic Diagnostic Center, we make HSG test preparation simple with clear guidance, experienced specialists, and a supportive care team. Contact us to schedule your appointment.

Schedule HSG Test

Frequently Asked Questions

Yes, you can eat before an HSG test. A light meal one to two hours before the procedure is recommended. Fasting is not required, but avoid eating a very heavy meal immediately before your appointment.

Take 400 to 600mg of ibuprofen approximately 30 to 60 minutes before your HSG appointment. This helps reduce cramping during and after the procedure.

Not always. Your doctor may prescribe antibiotics if you have a history of pelvic infections or if they follow a preventive protocol. Follow your doctor's specific instructions.

Most women can return to work later the same day or the next morning. However, taking the rest of the day off is recommended in case you experience cramping or fatigue.

Schedule your HSG between cycle days 7 and 12 (counting the first day of your period as day 1). This ensures your period has ended and ovulation has not yet occurred.

You should avoid unprotected intercourse from the start of your period until after the HSG test. This precaution eliminates the possibility of an early pregnancy during the procedure.

Final Thoughts

Preparing for an HSG test does not need to be stressful. By following a clear checklist — scheduling at the right cycle day, taking ibuprofen beforehand, knowing what to bring and what to avoid — you can approach your appointment with confidence and minimize discomfort.

At Doctors Clinic Diagnostic Center, we understand that fertility testing can feel overwhelming. Our team is committed to providing clear preparation instructions, compassionate care during the procedure, and prompt results to help you take the next step in your fertility journey. For pricing and insurance information, see our HSG test cost in Dubai guide.

Sources & References

This article was reviewed by our medical team and references the following sources:

Medical content on this site is reviewed by DHA-licensed physicians. See our editorial policy for more information.

Written by

Dr. Osama Elzamzami

View Profile

Consultant Radiologist

MD, Radiology

Dr. Osama Elzamzami is a Consultant Radiologist specializing in diagnostic imaging including MRI, CT, ultrasound, and fluoroscopy procedures such as HSG at DCDC Dubai Healthcare City.