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Ultrasound · Uterus & Fallopian Tubes

HSG Report: Tubal Patency, Indications, and Turnaround in India

Hybrid AI + subspecialty radiologist intelligence. Reports in 20-30 minutes. Critical findings escalated immediately.

What is a HSG?
Hysterosalpingography (HSG) evaluates the uterine cavity and fallopian tube patency, traditionally by fluoroscopy with iodinated contrast injected through the cervix; sono-HSG (HyCoSy) is the ultrasound-based alternative using agitated saline or contrast and avoids ionising radiation.
How long does a HSG report take with 5C?
In India, 5C Network's hybrid intelligence workflow delivers structured HSG reports in an average of 30 minutes, signed off by a ob-gyn / reproductive imaging specialist. Emergency cases are prioritised for 15-minute turnaround.
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When is a HSG ordered?

Ordered as part of infertility workup to evaluate tubal patency (especially after 12 months of unprotected attempts), recurrent miscarriage workup, suspected uterine anomalies (septate, bicornuate uterus), and to assess for intrauterine adhesions (Asherman syndrome). Often timed to days 6-10 of the cycle, after menstruation and before ovulation, to minimise infection risk and avoid disturbing an early pregnancy.

Hybrid Intelligence

How 5C reads a HSG

Every HSG on the 5C network is read by AI and a board-certified radiologist — never one without the other. Here's the 4-step workflow.

1
~30 sec

Bionic AI pre-read

Bionic — 5C's radiology AI trained on 3+ billion medical images — pre-reads the ultrasound and flags findings for the radiologist's attention.

On this scan, Bionic flags:
  • tubal patency (bilateral / unilateral / occluded)
  • uterine cavity contour abnormalities
  • congenital uterine anomalies (septate, arcuate, bicornuate)
  • intrauterine adhesions (Asherman pattern)
  • cornual block vs distal block differentiation
  • hydrosalpinx
  • submucosal fibroids / endometrial polyps
  • cervical canal abnormalities
2
OB-GYN / Reproductive imaging

Radiologist read

An NMC-registered ob-gyn / reproductive imaging specialist from 5C's 400+ radiologist network reviews every image, validates or corrects AI findings, and adds clinical context.

  • NMC-registered, medico-legally valid in India
  • Subspecialty-trained for uterus & fallopian tubes
  • Available 24/7 across India time zones
3
NABH-aligned

QA & peer review

Critical and complex HSG reads get a second-radiologist review. Random sampling across all reads supports continuous QA.

  • Double-reading on critical findings
  • Audit trail for medico-legal use
  • NABH-aligned escalation protocol
4
30 min avg

Structured report

Signed PDF report delivered to your PACS / RIS / email in an average of 30 minutes from the time of acquisition.

  • Structured findings + impression
  • 15-minute SLA for emergencies
  • Critical-finding phone escalation

What's in a 5C HSG report

A standard 5C HSG report is structured to be readable by the referring clinician, the hospital admin reviewing TAT, and any auditor checking NABH compliance.

1

Clinical history

Indication for the HSG (infertility, recurrent loss, suspected anomaly), cycle day, prior surgeries, and relevant obstetric history.

2

Technique

Modality used (fluoroscopic HSG with iodinated contrast, or sono-HSG with agitated saline / ultrasound contrast), volume instilled, catheter type, and any procedural difficulty.

3

Uterine cavity findings

Cavity shape, size, and contour — including filling defects, irregularities, septae, and any evidence of intrauterine adhesions or submucosal fibroids.

4

Tubal patency assessment

Each tube is graded as patent, partially patent, or occluded with the level (cornual / mid / distal) specified. Free peritoneal spill is documented when seen.

5

Impression

Concise summary keyed to the indication — tubal status, cavity status, and any congenital or acquired abnormality.

6

Recommendations

Next-step suggestions where appropriate, including laparoscopy + chromopertubation, hysteroscopy, or pelvic MRI for further evaluation of complex anomalies.

7

Critical findings escalation

Any acutely concerning finding (e.g., contrast intravasation, suspected perforation) is flagged for direct phone-call communication to the referring clinician.

HSG reads, across India

5C Network reports HSG studies for 1,500+ hospitals and diagnostic centres across India — Bangalore, Mumbai, Delhi NCR, Chennai, Hyderabad, Kolkata, Pune, Ahmedabad, Kochi, Coimbatore, Jaipur, Lucknow, and 13 more tier-2 / tier-3 cities. NMC-registered, NABH-aligned, medico-legally valid.

See all coverage locations

Frequently asked questions

How long does an HSG report take?
A 5C Network HSG report is typically delivered in around 30 minutes from the time images reach our platform. Reads are performed by NMC-registered OB-GYN-trained radiologists with AI-assisted finding detection. Emergency or critical findings are escalated immediately by phone.

Is HSG painful?
Most patients experience cramping similar to a strong period during the procedure, lasting a few minutes. Conventional fluoroscopic HSG and sono-HSG (HyCoSy) both involve catheter placement through the cervix and gentle instillation of contrast. Discomfort usually settles quickly; analgesia can be given before the procedure on the referring clinician's advice.

What does HSG show?
HSG shows the shape of the uterine cavity and whether the fallopian tubes are open. It can pick up congenital uterine anomalies (septate, bicornuate, arcuate), intrauterine adhesions (Asherman syndrome), submucosal fibroids, polyps, and the level of tubal blockage (cornual, mid-tubal, or distal) along with hydrosalpinx if present.

When in the menstrual cycle should HSG be done?
HSG is usually performed between days 6 and 10 of the menstrual cycle — after menstruation has ended and before ovulation. This timing reduces infection risk and minimises the chance of disturbing an early, unrecognised pregnancy.

Is sono-HSG as good as conventional HSG?
For tubal patency assessment, sono-HSG (HyCoSy) has comparable accuracy to conventional fluoroscopic HSG and avoids ionising radiation and iodinated contrast. Conventional HSG remains useful where fluoroscopic documentation is preferred or where ultrasound access is limited. 5C reports both, with the technique noted in the report.

Is 5C's HSG report medico-legally valid?
Yes. Every HSG report on the 5C network is signed off by an NMC-registered radiologist and follows a NABH-aligned workflow with an audit trail. The signed report is medico-legally valid for use in Indian hospitals and clinics.

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Integrate 5C HSG reads at your hospital

30-minute average turnaround. AI + radiologist + QA on every read. NMC-registered, NABH-aligned, medico-legally valid in India. Pay-per-scan — no salary or locum commitments.

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