A radiopaque dye is inserted up through the dilated cervix into the uterus. X-ray films are taken as the dye flows up and out of the tubes. The procedure usually lasts 20-30 minutes. This test is uncomfortable. Because the cervix is dilated, there is cramping and an intense feeling of fullness as the dye flows into the uterine cavity.
Some women experience shoulder pain after the hysterosalpinogram as well.
It is a good idea to have someone come with you as you may not feel like driving home. That is not to say you will be in pain, but usually women feel tired and weak after the stress of having such a test. It has been replaced by the hysterosalpinogram. In the Rubin Test, a thin catheter or tube is inserted through the cervix and carbon dioxide gas is pumped into the uterus. It then flows out the tubes, rises and irritates the diaphragm muscles which then causes referred pain to shoulder area.