Hysterosalpinogram

[marisalynn]

My Gyn wants me to have a hysterosalpinogram. I was just wondering if others have had this done, your experience with the procedure and what your results were. Also, what was the next course of action with infertility after this was done? Thanks in advance.

Marisa RN, 23 w/CF

 

[marisalynn]

My Gyn wants me to have a hysterosalpinogram. I was just wondering if others have had this done, your experience with the procedure and what your results were. Also, what was the next course of action with infertility after this was done? Thanks in advance.

Marisa RN, 23 w/CF

 

[marisalynn]

My Gyn wants me to have a hysterosalpinogram. I was just wondering if others have had this done, your experience with the procedure and what your results were. Also, what was the next course of action with infertility after this was done? Thanks in advance.
<br />
<br />Marisa RN, 23 w/CF

 

[triples15]

Hi Marisa,

I had an HSG a couple years ago when we first began seeing the RE. My first try at the HSG was unsuccessful due to my cervix being so closed. It was done in an outpatient procedure room and the doc attempted to "pry" my cervix open with some caliper looking things. It was quite painful and she had to give up with this attempt. Initially they rescheduled me to come back and have it done under IV sedation but then decided due to me having CF they did not want to sedate me. Ultimately they decided to use local numbing injections and Cytotec, a drug that was inserted vaginally to soften my cervix which i had to insert the night before the procedure.

The second try went pretty smoothly. The Cytotec worked well to soften my cervix and they were able to get it open. After they were able to get through, the procedure was super simple. They injected the dye and showed us on the monitor as the dye moved through the reproductive system. It was pretty interesting. My HSG showed that everything was "open" and working properly. However, the shape of my uterus prompted them to do a second vaginal ultrasound where they confirmed that I had uterine "septum".

The RE advised that I have the septum removed before beginning IUI. If the implanted egg attached to the septum we would have a 90% chance of miscarriage. This was done surgically a couple months after the HSG.

I think had I not had the septum, the next step would have been straight to IUI since I had no other problems. It was/is presumed the only reason for my infertility is thick cervical mucus. Also the doc was shocked at how closed my cervix was and said that could be a factor.

I think my problem with the HSG is an exception and not what you should expect. Like I said, once they were able to get my cervix open the procedure was actually quite simple. I did have quite a bit of cramping and pain but I think that was due to the injections and prying!

Sorry, I feel like I rambled. My story is a LONG one. Believe it or not, that is the really shortened version! LOL. Let me know if you have any other questions!

Good luck and take care!

Edited to add: Prior to the HSG we had completed all the other testing required by our RE. Our RE required us both to be screened for HIV and Hepatitis (and a couple others I can't remember), I had cycle day 3 labs drawn for hormone levels, and my husband was carrier tested for CF.

 

[triples15]

Hi Marisa,

I had an HSG a couple years ago when we first began seeing the RE. My first try at the HSG was unsuccessful due to my cervix being so closed. It was done in an outpatient procedure room and the doc attempted to "pry" my cervix open with some caliper looking things. It was quite painful and she had to give up with this attempt. Initially they rescheduled me to come back and have it done under IV sedation but then decided due to me having CF they did not want to sedate me. Ultimately they decided to use local numbing injections and Cytotec, a drug that was inserted vaginally to soften my cervix which i had to insert the night before the procedure.

The second try went pretty smoothly. The Cytotec worked well to soften my cervix and they were able to get it open. After they were able to get through, the procedure was super simple. They injected the dye and showed us on the monitor as the dye moved through the reproductive system. It was pretty interesting. My HSG showed that everything was "open" and working properly. However, the shape of my uterus prompted them to do a second vaginal ultrasound where they confirmed that I had uterine "septum".

The RE advised that I have the septum removed before beginning IUI. If the implanted egg attached to the septum we would have a 90% chance of miscarriage. This was done surgically a couple months after the HSG.

I think had I not had the septum, the next step would have been straight to IUI since I had no other problems. It was/is presumed the only reason for my infertility is thick cervical mucus. Also the doc was shocked at how closed my cervix was and said that could be a factor.

I think my problem with the HSG is an exception and not what you should expect. Like I said, once they were able to get my cervix open the procedure was actually quite simple. I did have quite a bit of cramping and pain but I think that was due to the injections and prying!

Sorry, I feel like I rambled. My story is a LONG one. Believe it or not, that is the really shortened version! LOL. Let me know if you have any other questions!

Good luck and take care!

Edited to add: Prior to the HSG we had completed all the other testing required by our RE. Our RE required us both to be screened for HIV and Hepatitis (and a couple others I can't remember), I had cycle day 3 labs drawn for hormone levels, and my husband was carrier tested for CF.

 

[triples15]

Hi Marisa,
<br />
<br />I had an HSG a couple years ago when we first began seeing the RE. My first try at the HSG was unsuccessful due to my cervix being so closed. It was done in an outpatient procedure room and the doc attempted to "pry" my cervix open with some caliper looking things. It was quite painful and she had to give up with this attempt. Initially they rescheduled me to come back and have it done under IV sedation but then decided due to me having CF they did not want to sedate me. Ultimately they decided to use local numbing injections and Cytotec, a drug that was inserted vaginally to soften my cervix which i had to insert the night before the procedure.
<br />
<br />The second try went pretty smoothly. The Cytotec worked well to soften my cervix and they were able to get it open. After they were able to get through, the procedure was super simple. They injected the dye and showed us on the monitor as the dye moved through the reproductive system. It was pretty interesting. My HSG showed that everything was "open" and working properly. However, the shape of my uterus prompted them to do a second vaginal ultrasound where they confirmed that I had uterine "septum".
<br />
<br />The RE advised that I have the septum removed before beginning IUI. If the implanted egg attached to the septum we would have a 90% chance of miscarriage. This was done surgically a couple months after the HSG.
<br />
<br />I think had I not had the septum, the next step would have been straight to IUI since I had no other problems. It was/is presumed the only reason for my infertility is thick cervical mucus. Also the doc was shocked at how closed my cervix was and said that could be a factor.
<br />
<br />I think my problem with the HSG is an exception and not what you should expect. Like I said, once they were able to get my cervix open the procedure was actually quite simple. I did have quite a bit of cramping and pain but I think that was due to the injections and prying!
<br />
<br />Sorry, I feel like I rambled. My story is a LONG one. Believe it or not, that is the really shortened version! LOL. Let me know if you have any other questions!
<br />
<br />Good luck and take care!
<br />
<br />Edited to add: Prior to the HSG we had completed all the other testing required by our RE. Our RE required us both to be screened for HIV and Hepatitis (and a couple others I can't remember), I had cycle day 3 labs drawn for hormone levels, and my husband was carrier tested for CF.

 

[Melly527]

Hi Marissa,

I also had the HSG done. The procedure itself was a little uncomfortable because the dye kept spilling out due to my tilted uterus, so they had to use a balloon, but it was totally bearable. The HGS actually showed that one of my fallopian tubes was blocked, but they were eventually able to clear the blockage.

I was then scheduled to do my first IUI a few months later and surprisingly conceived naturally before I even got that far! They think it was because they cleared the blockage.

Feel free to message me if you have any more questions. Good luck!!

Mel
30 w/CF, currently pregnant

 

[Melly527]

Hi Marissa,

I also had the HSG done. The procedure itself was a little uncomfortable because the dye kept spilling out due to my tilted uterus, so they had to use a balloon, but it was totally bearable. The HGS actually showed that one of my fallopian tubes was blocked, but they were eventually able to clear the blockage.

I was then scheduled to do my first IUI a few months later and surprisingly conceived naturally before I even got that far! They think it was because they cleared the blockage.

Feel free to message me if you have any more questions. Good luck!!

Mel
30 w/CF, currently pregnant

 

[Melly527]

Hi Marissa,
<br />
<br />I also had the HSG done. The procedure itself was a little uncomfortable because the dye kept spilling out due to my tilted uterus, so they had to use a balloon, but it was totally bearable. The HGS actually showed that one of my fallopian tubes was blocked, but they were eventually able to clear the blockage.
<br />
<br />I was then scheduled to do my first IUI a few months later and surprisingly conceived naturally before I even got that far! They think it was because they cleared the blockage.
<br />
<br />Feel free to message me if you have any more questions. Good luck!!
<br />
<br />Mel
<br />30 w/CF, currently pregnant

 

[LiveOutLoud]

I had an HSG a few months ago. The test showed no blockages and the procedure resembled cramps during my cycle. The pain was only for a few minutes and the nurse was very kind in warning me.

FYI: My insurance said that they would pay in full for the procedure BUT I now have a $1,800 bill they are refusing to pay. The hospital coded the diagnosis as infertility and after 2 months of calling and writing letters, I'm still stuck with the bill as of now. So, try to get something in writing PRIOR to the HSG to save yourself the drama I'm dealing with at the moment. ;-)

 

[LiveOutLoud]

I had an HSG a few months ago. The test showed no blockages and the procedure resembled cramps during my cycle. The pain was only for a few minutes and the nurse was very kind in warning me.

FYI: My insurance said that they would pay in full for the procedure BUT I now have a $1,800 bill they are refusing to pay. The hospital coded the diagnosis as infertility and after 2 months of calling and writing letters, I'm still stuck with the bill as of now. So, try to get something in writing PRIOR to the HSG to save yourself the drama I'm dealing with at the moment. ;-)

 

[LiveOutLoud]

I had an HSG a few months ago. The test showed no blockages and the procedure resembled cramps during my cycle. The pain was only for a few minutes and the nurse was very kind in warning me.
<br />
<br /> FYI: My insurance said that they would pay in full for the procedure BUT I now have a $1,800 bill they are refusing to pay. The hospital coded the diagnosis as infertility and after 2 months of calling and writing letters, I'm still stuck with the bill as of now. So, try to get something in writing PRIOR to the HSG to save yourself the drama I'm dealing with at the moment. ;-)

 

[marisalynn]

Well, I had the HSG done today, and it turned out that everything is normal, which is great. It was somewhat painful and very uncomfortable, but only for a couple minutes. I see my GYN in 2 months and she said she might start me on Clomid if I'm not pregnant by then. Thanks everyone!

Marisa RN, 23 w/CF

 

[marisalynn]

Well, I had the HSG done today, and it turned out that everything is normal, which is great. It was somewhat painful and very uncomfortable, but only for a couple minutes. I see my GYN in 2 months and she said she might start me on Clomid if I'm not pregnant by then. Thanks everyone!

Marisa RN, 23 w/CF

 

[marisalynn]

Well, I had the HSG done today, and it turned out that everything is normal, which is great. It was somewhat painful and very uncomfortable, but only for a couple minutes. I see my GYN in 2 months and she said she might start me on Clomid if I'm not pregnant by then. Thanks everyone!
<br />
<br />Marisa RN, 23 w/CF

 

[ashleydog]

PLEASE don't go on clomid under the direction of a regular gyn. Unmonitored use of clomid is the source of many of the many multiple pregnacies. Lots of gyn's jump to clomid as a first response to any infertilty, even the cause of the infertility is not due to you not ovulating. If you take it and are monitered by a reproductive endrocrinologist they can make sure you are at a lower risk for multiples. yes, people including those with CF have had multiples and there are some sucess stories. But multiple births can put both the babies and mothers at risk ( even healthy moms)
ok, off my soapbox now <img src="i/expressions/face-icon-small-smile.gif" border="0">
I wish you all the luck, I did 12 rounds of IUI to have my two amazing children and I would do it again in a heartbeat

 

[ashleydog]

PLEASE don't go on clomid under the direction of a regular gyn. Unmonitored use of clomid is the source of many of the many multiple pregnacies. Lots of gyn's jump to clomid as a first response to any infertilty, even the cause of the infertility is not due to you not ovulating. If you take it and are monitered by a reproductive endrocrinologist they can make sure you are at a lower risk for multiples. yes, people including those with CF have had multiples and there are some sucess stories. But multiple births can put both the babies and mothers at risk ( even healthy moms)
ok, off my soapbox now <img src="i/expressions/face-icon-small-smile.gif" border="0">
I wish you all the luck, I did 12 rounds of IUI to have my two amazing children and I would do it again in a heartbeat

 

[ashleydog]

PLEASE don't go on clomid under the direction of a regular gyn. Unmonitored use of clomid is the source of many of the many multiple pregnacies. Lots of gyn's jump to clomid as a first response to any infertilty, even the cause of the infertility is not due to you not ovulating. If you take it and are monitered by a reproductive endrocrinologist they can make sure you are at a lower risk for multiples. yes, people including those with CF have had multiples and there are some sucess stories. But multiple births can put both the babies and mothers at risk ( even healthy moms)
<br />ok, off my soapbox now <img src="i/expressions/face-icon-small-smile.gif" border="0">
<br />I wish you all the luck, I did 12 rounds of IUI to have my two amazing children and I would do it again in a heartbeat

 

[triples15]

Thanks for the update Marisa. I'm glad it went well for you (other than the pain and discomfort<img src="i/expressions/face-icon-small-smile.gif" border="0">)

Liveoutloud, what a nightmare! My insurance covered the HSG and the pelvic ultrasounds but I had been warned that the minute insurance companies see things coded as "infertility" they decline. I hope you are able to work that out! Ugh, insurance issues.

Mel, congrats! That is awesome that you were able to get pregnant after the HSG. My clinic told me that happens quite often. I want to say they even said around 40% of women are able to get prego on their own after an HSG clears something.

 

[triples15]

Thanks for the update Marisa. I'm glad it went well for you (other than the pain and discomfort<img src="i/expressions/face-icon-small-smile.gif" border="0">)

Liveoutloud, what a nightmare! My insurance covered the HSG and the pelvic ultrasounds but I had been warned that the minute insurance companies see things coded as "infertility" they decline. I hope you are able to work that out! Ugh, insurance issues.

Mel, congrats! That is awesome that you were able to get pregnant after the HSG. My clinic told me that happens quite often. I want to say they even said around 40% of women are able to get prego on their own after an HSG clears something.