5.3.7 Hysterosalpingogram (HSG) in Surrogacy: When and Why It May Be Required

1. What Is HSG?

HSG (Hysterosalpingogram) is a specialized X-ray procedure used to examine the uterus and fallopian tubes. This test helps doctors assess the shape and structure of the uterus and detect any blockages or abnormalities in the reproductive system. It is particularly useful for women undergoing fertility treatments, including those preparing for surrogacy through GSHC Surrogacy.

How the Procedure Works:

✔ A contrast dye is injected into the uterus.

✔ An X-ray (fluoroscopy) tracks the dye as it moves through the uterus and fallopian tubes.

✔ The images help doctors identify any issues that may impact pregnancy or fertility health.

💡 HSG is a standard fertility test that provides crucial information about uterine health and is an important diagnostic tool when needed.

🔗 Reference: American College of Obstetricians and Gynecologists (ACOG) on Hysterosalpingography

2. Why Is HSG Sometimes Required for Surrogate Medical Screening?

Not all surrogate mothers are required to have an HSG during their initial medical screening. However, when further evaluation is necessary, HSG can help fertility doctors ensure the uterus is healthy and capable of carrying a pregnancy safely. This test is commonly used in surrogacy programs to:

✔ Detect Uterine Abnormalities – Identifies fibroids, polyps, scarring, or congenital issues that could interfere with embryo implantation.

✔ Assess Uterine Cavity Shape – Ensures the uterus is properly formed and capable of sustaining a pregnancy.

✔ Identify Blocked Fallopian Tubes – While fallopian tubes are not used in IVF surrogacy, blockages may indicate underlying issues like infections or adhesions.

✔ Confirm a Healthy Environment for Embryo Transfer – A normal HSG result ensures the uterus is receptive to implantation, increasing the chances of a successful pregnancy for intended parents.

💡 Most surrogates do not require an HSG at the initial screening, but if recommended, it provides valuable insights into reproductive health.

🔗 Reference: Mayo Clinic - Hysterosalpingography

3. What Happens If an HSG Shows an Abnormality?

If HSG results indicate an abnormality, additional tests or treatments may be necessary before a surrogate mother can proceed with her surrogacy journey. Some common findings include:

• Minor abnormalities (e.g., small polyps or scar tissue) may require a simple procedure like a hysteroscopy for correction.
• Major abnormalities (e.g., a severely scarred uterus or an abnormal shape) may disqualify a surrogate from proceeding, ensuring the best possible outcomes for both the intended parents and the baby.

💡 Doctors carefully evaluate HSG results to determine the best course of action for a safe and successful surrogacy journey.

🔗 Reference: Society for Assisted Reproductive Technology (SART) - Uterine Health in Fertility

Final Thoughts

✔ HSG is not required for every surrogate mother. It is only recommended when additional uterine evaluation is necessary.

✔ There is no need to worry. This test provides essential information about reproductive health, benefiting both surrogate mothers and women trying to conceive naturally.

✔ Even if you are not a surrogate, an HSG is a beneficial test that can help maintain fertility health and ensure a smooth pregnancy.

💙 At GSHC Surrogacy, we ensure that all surrogate mothers follow the medical guidance of their doctors, supporting them throughout their surrogacy journey to a safe and healthy pregnancy.