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Hysterosalpingography (HSG) is a procedure that uses a special form of X-ray to look at the fallopian tubes and uterus. It is a noninvasive medical test that is often used to find out why you are having difficulty conceiving. The doctor will check if the fallopian tubes are fully or partially blocked and if the inside of the uterus is normal.
Doctors also recommend HSG to examine repeated miscarriages that may be caused by congenital or acquired uterine problems, such as adhesions, endometrial (uterine) polyps, uterine fibroids, congenital problems (uterine anomalies), tumors. In addition, HSG can check the effects of tubal surgery, including:
Blockage of the fallopian tubes caused by scarring or infection
Reopening of the fallopian tubes after sterilization or a blockage caused by a disease
Closing of the fallopian tubes after sterilization procedures.
During HSG, you will have to lie on your back with your knees bent on a table under an X-ray imager called a fluoroscope. Then, a device called a speculum will be inserted into your vagina. This device holds the walls of the vagina apart, keeping it open and allowing your doctor to view the cervix. The cervix is then cleaned. In most cases, no sedation is used during the procedure, but your doctor may inject local anesthesia to the end of the cervix to numb the area. You may feel a slight pinch as this is done.
Next, a contrast medium will be placed in the uterus and fallopian tubes. A contrast medium is a fluid containing a dye that can show up the structures of your body on an X-ray screen. The dye can outline the inner size and shape of your uterus and fallopian tubes. Your doctor can also see how the dye moves through your body structures.
To place the contrast, the cervix is grasped with a special device to hold it steady. Then, an instrument called a cannula is inserted into the cervix. Through the cannula, your doctor gently fills your uterus with the contrast. After that, your doctor will remove the speculum, and as the contrast medium fills your uterus and tubes, images are made with the fluoroscope X-ray. You may be asked to move around so that your doctor can get side views. It is normal to feel cramping during this part.
Finally, once the images are taken, your doctor will remove the cannula.
HSG is an outpatient procedure, so you should be able to leave the hospital on the same day. In most cases, you can get the test results on the same day and discuss the results with your doctor right away, so you do not have to stay in Delhi any longer than you wish to. However, if the results are not immediately ready, plan to stay in the country for several days. Your doctor should give you the details.
You can resume your normal activities, including work, immediately after HSG. However, you should refrain from sexual intercourse for 2 to 3 days.
It is also important to note that you might have some vaginal spotting, cramps, stomach discomfort, and dizziness for a few days following the procedure. You can use pads for the vaginal discharge, but make sure to avoid using a tampon. Your doctor may give you antibiotics to prevent an infection and pain medicine to help you with any cramps and discomfort. If your doctor does not prescribe you pain medicine, you can take over-the-counter pain relievers.
HSG is a very safe procedure with high success rates. However, there are some complications that the procedure carries and they only occur with 1% of patients. These complications include infection, radiation exposure, fainting, allergic reaction to the contrast material, and spotting. Injury to your uterus or pelvic injury is possible as well.
The procedure is generally considered as effective and accurate most of the time. However, a small study revealed a 35% incident of false negatives. This means that the results showed a normal uterine shape, but other tests showed abnormalities. Also, 15% of women who undergo this procedure have a false-positive, meaning the results showed abnormalities when it is actually normal.
The following procedures can give your doctor similar information as HSG:
Hysteroscopy can provide a detailed view of the inside of your uterus, but it cannot give information about your fallopian tubes.
Laparoscopy can show if the fallopian tubes are open.
Sonohysterography can show the insides of your uterus. However, as with hysteroscopy, it cannot show whether your fallopian tubes are blocked.
Before HSG, you may have trouble conceiving or had two or more miscarriages, or you just underwent some tubal sterilization procedures. After the procedure, your doctor should be able to find any abnormalities that are causing the problem. The results will be able to help you and your doctor creates a treatment plan. If you have HSG because you have some tubal sterilization procedures before, the results will be able to tell if your fallopian tubes have been completely blocked.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Delhi is officially known as the National Capital Territory of Delhi (NCT). It is home to the capital of India, New Delhi. With a population of over 18 million, it is the second most populous city in the country. The city is brimming with vibrant modern life but also still steeped in history. People come to the city for its cultural richness and gastronomic scene.
Recently, Delhi has emerged as a medical tourists’ favorite destination. It’s the perfect place for those who seek low cost high-quality, world-class healthcare. India continues to expand its medical tourism sector with Delhi as one of the top hubs for medical facilities. Among the leading hospitals in Delhi are Max Super Specialty Hospital, Apollo Hospital Indraprastha, and BLK Super Specialty Hospital. Breast Augmentation and heart surgery procedures are two of the most popular procedures in the city. Patients come to Delhi for the following reason:
Delhi is overflowing with enchanting history and colorful modern life. The city is made of layers of history, temples, monuments, markets, and UNESCO World Heritage Sites. Many tourists come to witness its charm and discover its hidden treasures. Go to Old Delhi and visit the Red Fort where a load of people fell in love with its beautiful structure influenced by Islamic, Persian, Hindu, and Timurid traditions. Learn Islamic history in one of the largest mosque in India, Jama Masjid. Shop in Chandni Chowk Market, the largest shopping hub in Delhi. Pay your respect in Raj Ghat, a memorial dedicated to Mahatma Gandhi.
There is also New Delhi, India’s capital, where you can stroll around India Gate, a war memorial that was inspired by the Arc de Triomphe. Humayun’s Tomb, the tomb of the Mughal Emperor Humayun, is also worth a visit for anyone who loves history. Don’t forget to go to the Gandhi Museum (Gandhi Smirti) to learn more about the leader of Indian independence’s life. Tourists can also visit an enthralling historical site known as Purana Qila. In your spare time, you can shop in Janpath Market and Sarojini Market.
South Delhi has many sites to enjoy such as the unique Lotus Temple, the soaring tower of victory Qutab Minar, and the thriving nightlife of Hauz Khas Village. This district also has a famous shopping paradise including Dilli Haat, Shahpur Jat, GK 1 N-block market, and Dastkar Nature Bazaar.
Delhi has a high variation of temperature between summer and winter. Summer in Delhi can get really hot with an average temperature of around 32°C. The season starts in April to June and the temperature can reach as high as 46°C. It is advisable to avoid this season if you’re planning to do a lot of outdoor activities. The monsoon starts in late June to mid-September. The temperature usually falls to an average of 29°C, but it’s rainy and humid.
The temperature plummets during winter, ranging between 6°C to 7°C. This season starts in November and lasts until March. October to March is the best time to visit Delhi because the weather is neither too hot or too cold.
Indira Gandhi International Airport, located 16 km from New Delhi city center, is the busiest airport in India. This airport serves domestic and international flights that connect the city with almost every country across the globe. Terminal 1 is used by budget airlines such as IndiGo and SpiceJet, while Terminal 3 is mainly used for international operations and several domestic flights.
The city center can be reached by bus, airport taxi, and metro. The bus is the most affordable option although it can be very crowded. Taxi is a good way to travel but always use licensed taxis such as WTi Cabs, Meru, and Mega Cabs. App-based taxis like Ola and Uber is another choice of travel. The fastest way to travel to Delhi’s city center is by The Delhi Metro. The travel time is less than 25 minutes and should cost around 10 INR to 60 INR.
There are several transportation modes to get around Delhi. The Delhi Metro is the best option to travel around because it offers comfort and fast travel. Taxis are widely available in the city. The easiest way to call a taxi is by the Ola app. It’s usually cheaper to use Ola than a local taxi stands.
For shortstops, opt for auto rickshaws. They’re affordable and easy to find. Make sure to negotiate the fare before getting in because most drivers will refuse using the meter. The drivers are also known to overcharge foreign visitors. Driving around Delhi is not recommended since the traffic can be time-consuming and there is a lot of bad driving. You can always hire a local driver if you want to get around by car.
Citizens of Nepal and Bhutan can enter India without a visa. Citizens of Japan and South Korea can apply for a visa on arrival. Citizens of 150 countries can apply for e-Visa which is valid for 60 days. There are medical and medical attendant e-visas for tourists who come for healthcare. Other nationalities are required to apply and obtain a visa before entering the country.
All visitors must hold a passport valid for at least 180 days after their entry to India and should have at least two blank pages.