Basically, a HSG involves you lying on a gurney with your legs in stirrups. They place an Xray-like machine over your belly and then they insert a tubes through your cervix into your uterus. They fill your cervix with a dye and with the Xray, track whether the dye travels up your fallopian tubes. The Xray will usually pick up any blockages in your tubes, or any abormalities.
My tubes are completely blocked. The HSG wasn't initially painful, but then the Dr suggested putting more dye in to increase the pressure in my uterus, and therefore see if they could get past any blockages. I was asked to let them know when it got too uncomfortable, but didn't until it was painful. That was my fault though.
For those with clear tubes, there are minimal discomfort, maybe only slightly more uncomfortable than a pap smear.
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