U.S. doctors online nowAsk doctors free
India
A 27-year-old female asked:

between hsg and laparoscopy, which one is better for a tube test?

3 doctor answers7 doctors weighed in
Dr. Bruce Pierce
Obstetrics and Gynecology 29 years experience
Typically: The hsg is done first.
Dr. Joseph Accurso
Radiology 29 years experience
HSG will image: The inside of the fallopian tube and determine if the tube is open between the uterus and the abdominal cavity. Laparoscopy can see abnormalities on the surface of the ovary or within the abdominal cavity (such as endometriosis) that will not be detected by hsg. Which one first depends on the problem. If fertility concerns, hsg first.
Dr. Michael Opsahl
Fertility Medicine 43 years experience
Both accurate: Hsg usually first because less expensive and not invasive like surgery. Laparoscopy is no longer a common "test" for infertility because we have good imaging with ultrasound and x-ray without risk and expense of surgery. Then ivf is so successful that we move to using it faster as it provides better outcome and sooner. Best wishes.

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
24/7 visits
$15 per month

Similar questions

Southborough, MA
A 30-year-old female asked:

Does HSG provide information on tube patency that laparoscopy does not tell?If laparoscopy says tube is open, is there need to check HSG for potential subtle blockage? HSG has Any side effect?

1 doctor answer3 doctors weighed in
Dr. Brian Nguyen
Obstetrics and Gynecology 11 years experience
Laparoscopy Maybe: The only way to see if your tubes are open is to do some sort of dye test. You can either do a dye test with HSG or with a laparoscopy (LSC). With HSG a dye is squirted through your tubes and if they're open then you see dye flow on X-Ray. With LSC a special procedure called a chromopertubation is performed to see if dye goes through. You can only be sure if this specific procedure was done.
Southborough, MA
A 30-year-old female asked:

Does HSG image abnormality inside of tube, i.e. narrowing, subtle blockage that cannot be imaged by laparoscopy dye injection? Is there need for HSG if laparoscopy says tube is open (ectopic history)

1 doctor answer1 doctor weighed in
Dr. Wayne Ingram
Specializes in Obstetrics and Gynecology
Open not shut case: If the Fallopian tube was patent(open) at Laparoscopy then the HSG concern is a "shut" case. Actual indigo carmine dye extruding from the tube itself with eyeball visualization is ALWAYS better then X-ray HSG dye study with indirect observations.

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
24/7 visits
$15 per month
Last updated Jan 27, 2014

Disclaimer:

Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.