What Causes Vaginal Bleeding After HSG Procedure?

Posted on Wed, 9 Sep 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 9 Sep 2015 Answered on

Wed, 30 Sep 2015 Last reviewed on

Question : I had an hsg done on day 8 and everything was clear (thank god!) I had no bleedin in the days following the hsg. then I got a positive ovulation test on day 9 (super early for me). Then on day 15 I started bleeding. It was lighter than my period but still pretty red....lasted for about 3.5 days and turned dark brown at the end. My cycles are always between 27-31 days so a 15 day cycle is unheard of in my life. Could this be implantation even though it was reddish, a bit heavier than spotting, and lasted a few days? I am soooo confused and need your help!

Answered by Dr. Mahesh Koregol (2 hours later)

Brief Answer:
Endometrial shedding leads to bleeding

Detailed Answer:
Hi,

I understand your concerns about bleeding on 15th day.

Bleeding is likely to be due to HSG procedure. HSG procedure causes some endometrial injury and scratching. This endometrial shedding leads to early bleeding on day 15 and hence not period.

You will get another period in next 15 to 20 days which will be your regular period. this is not implantation bleeding.

Let me know if you need anymore help.

Regards,
Dr. Mahesh Koregol.
IVF & infertility Specialist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (9 hours later)

My doctor didnt tell me it could cause this type of injury. Is it something i should worry about? Also, why would it not show itself until a week after the procedure?

Answered by Dr. Mahesh Koregol (1 hour later)

Brief Answer:
Not to worry about

Detailed Answer:
Hi,

This is common to see such bleeding and is nothing to worry about as it will reduce be itself. This is not a problem.

Small remaining endometrial toddles sometime come out like this.

Just relax ad there is nothing to worry about.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (18 minutes later)

What is an edometrial toddle?

Answered by Dr. Mahesh Koregol (3 hours later)

Brief Answer:
Remaining endometrial pieces come out

Detailed Answer:
hi,

toddle was typing error.

I meant to say endometrial pieces ( remnants) come out like this. This is normal and nothing to worry.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar