Sunday 14 April 2013

HSG at Gunasheela

As explained in the previous post, a HSG (Hysterosalpingogram) was recommended.  What this involves is putting a probe in the vagina and filling the uterus with a dye.  Once the uterus fills with the dye, it gets forced into the fallopian tubes and should spill out of the end of both tubes.  By taking couple of X-rays, they can now visualize the uterus and the fallopian tubes.

If the tubes are blocked, the fluid will not spill out and the tubes may not be visible at all.  Similarly, if the uterus has a poor shape, that can also be seen in an HSG.  In other words, this is a cheap, first test before a more detailed and invasive inspection (such as laparascopy or hysterscopy) is carried out, if required.

There is this nice page of the advanced infertility center of Chicago that describes the HSG well here.

This was our first place where trouble showed up.  Our HSG showed a uterus with irrregular boundaries and the fallopian tubes were not visible.  The doctors recommended that we do a more detailed inspection which included a laparoscopy and hysteroscopy, which mainly involves using camera based probes to look at the uterus and ovaries and tubes, both from the inside and outside.

Another information we picked up was that for some women, the HSG which involves forcing dye through the "plumbing" could potentially clear minor blockages in the fallopian tubes and help achieve pregnancy.  So if your HSG comes back normal, this may be a good few cycles to try intensively :-)

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