When a woman struggles with infertility, understanding the health of her reproductive system becomes crucial. Among the various diagnostic tests recommended by fertility specialists, Sonosalpingography, also known as the SSG test, plays an important role.
This ultrasound-based procedure helps evaluate the uterine cavity and fallopian tubes, ensuring they are functioning properly for natural conception. Let us learn more about the SSG test procedure, preparation, and recovery time.
What is the SSG Test?
Sonosalpingography test is a non-invasive diagnostic procedure used to assess the patency of the fallopian tubes and evaluate the uterine cavity conditions, such as fibroids, polyps, or adhesions. The SSG test uses ultrasound and sterile saline solution, eliminating exposure to radiation or iodine-based contrast dyes. The procedure is quick, relatively painless, and provides real-time results.
SSG test procedure: Step by step
Understanding the procedure can reduce anxiety and help you feel more comfortable. Here’s what to expect:
Preparation and positioning
You are asked to lie on the examination table in the same position as you lie down for a pelvic exam. A small transducer or probe is inserted into the vagina to visualise the cervix. The area is cleaned thoroughly to prevent infection.
Catheter insertion
A thin, flexible catheter is inserted through the cervix into the uterus. Some women experience mild discomfort or cramping during this step, similar to menstrual pain.
Saline injection
Sterile saline solution is slowly injected through the catheter to expand the uterine cavity. This allows the doctor to observe the flow of fluid through the uterus and fallopian tubes using ultrasound.
Ultrasound imaging
A transvaginal sonography probe is used to monitor the flow of saline. If the fluid passes freely into the pelvic cavity, the tubes are open. Blocked or partially blocked tubes are indicated by restricted fluid flow.
Completion
Once the imaging is complete, the catheter and speculum are removed.
How to prepare for the SSG Test?
Proper preparation ensures the test is accurate and comfortable. Key tips include:
- Schedule the test between Days 6 and 10 of your cycle.
- Your doctor may advise mild antibiotics to prevent infection.
- A pain reliever or antispasmodic may be recommended 30–60 minutes before the test to reduce discomfort.
- A full bladder can interfere with imaging, so empty it before the test.
Interpreting SSG Test Results
After the test, your doctor will review the results with you:
- Normal result: Both fallopian tubes are open, and the uterine cavity is normal.
- Abnormal result: One or both tubes may be blocked, or there could be uterine abnormalities like fibroids, polyps, or adhesions.
These results help your fertility specialist decide the following steps, which may include medications, minor procedures, IUI, or IVF.
Conclusion
The SSG test is a safe, effective, and valuable diagnostic tool for evaluating female fertility. It provides detailed information about tubal patency and uterine health, helping fertility specialists plan the most suitable treatment for conception. If your doctor recommends an SSG test, consider it a positive step toward understanding your reproductive health.

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