Patient experiences of the hysterosalpingogram procedure at hospitals in Pretoria, South Africa

Background Hysterosalpingogram (HSG) is the most common special radiological procedure that is used to assess the fallopian tubes and the uterus. A paucity exists in the research concerning the subjective experiences of patients undergoing HSG procedures in South Africa, the SADC area, or sub-Saharan Africa as a whole. Although numerous research has investigated HSG in relation to infertility diagnosis and management, none have primarily concentrated on recording patients' opinions and experiences during the HSG process. Therefore, this study explored the experiences of patients referred for the HSG procedure in Pretoria hospitals, South Africa. Methods A qualitative, exploratory descriptive design was conducted with 30 participants undergoing the HSG procedure in the radiology departments of four hospitals in Pretoria, South Africa. A semi-structured, face-to-face recorded interview was conducted with willing participants. Qualitative data collected was transcribed verbatim, and data transcripts were coded and integrated into themes using a thematic analysis approach. Results Five themes were generated which showed that most participants had insufficient knowledge about the HSG procedure. The Internet was identified to be the common source of information. Their reasons for referral were failure to conceive and other gynaecological-related disorders. The appointment scheduling system used in the involved institutions was a challenge for most participants. Participants viewed the HSG procedure as an important, helpful diagnostic procedure. Conclusion Patient experience is very important whether before, during or after the HSG procedure. Therefore, staff training on patient communication and empathy, optimising appointment scheduling, and better patient education about the HSG procedure are necessary.