HSG test? blockages in fallopian tubes?

posted 6 years ago in TTC
Post # 3
Member
1081 posts
Bumble bee
  • Wedding: June 2012

@lilsweetie:  Yep! They basically shoot a dye up in your uterus under pressure, then take an x-ray of your uterus to see if the dye has made it out of your fallopian tubes. This would probably be recommended for someone who has a history of pelvic inflammatory disease or who has had a bad uterine infection in the past. Sometimes, the dye is under enough pressure that it opens up the tubes and cures the problem, other times, if a blocked fallopian tube is seen, they can basically go in and Roto-Rooter out your tubes, which a works well for some people. I don’t know if blocked fallopian tubes are a major cause of infertility, though, so most physicians aren’t jumping at the gun to do this procedure on everyone who experiences infertility. Plus, by exposing your ovaries to radiation, there’s always a chance that your eggs (or some of them) can get messed up DNA, which can result in a child with genetic abnormalities (another reason why doctors avoid this). Have you ever been diagnosed with a bacterial infection in your vag? Or have you ever had a fever with an infection down there & extreme pain in your pelvis? This would maybe be an indication for HSG. It never hurts to talk to your doctor about it, but if you don’t have a history that would suggest any type of condition that would have led to tubal blockage, I would not be surprised if your doctor would like to avoid doing that test to protect you/your future kids from radiation. 

Sources: medical student and future OBGYN I hope! 🙂 

Post # 4
Member
44 posts
Newbee
  • Wedding: January 2010

@lilsweetie:  I’ve had one. An HSG is usually part of routine testing for infertility. It helps your doctor diagnose blockages or uterine abnormalities. A catheter is threaded through your cervix into your uterus and dye is injected in whie an x-ray image is taken. It was really painful for me (worse than period cramps) but I’ve had other girls tell me that theirs wasn’t bad at all. That being said, it was over really quickly, so in the scheme of things it wasn’t that bad. 

Have you had any other tests done? Good luck. 🙂

Post # 5
Member
501 posts
Busy bee
  • Wedding: February 2011

@cowgirlace:  Hey! Good to see some medical students representing 🙂

Much of what you say is correct (in terms of risk factors for increasing the likelihood of a tubal factor) but I do want to clarify a few things.

HSG is actually part of the standard w/u for infertility because tubal problems account for about 20-25% of infertility.

from what I’ve heard/read/been taught, the risk of radiation is thought to be present yet generally not clinically significant.

http://www.ncbi.nlm.nih.gov/pubmed/12835963

tubal blockages can and do certainly occur in women without any *known* h/o PID; sometimes the infection can be undetected by the woman. Alternatively, endometriosis can lead to adhesions and tubal issues.

an alternative to HSG is SHG which uses a similar mechanism, but uses saline instead of contrast medium (dye).

another thing, the test is a breeze for many women but can be extremely painful for others.

so, i certainly wouldn’t jump to have the HSG after, say, 3 months of TTC unless you’re near the end of your reproductive years and time is of the essence, or unless there is a strong suspicion for tubal issues.

 but after 1 year of TTC (or often even less), most REs that I know of will almost always perform HSG, the thought being that it is irresponsible not to rule out such a common issue particularly if further fertility treatments are going to be performed, which in the presence of blocked fallopian tubes would have zero chance of being effective.

now taking off my doctor hat and putting on my patient hat. . .i had one done, and it hurt. . .but I got through it. like I said above, I wouldn’t do it just for kicks, but if time is ticking and your doctor is recommending it, then I personally would feel more comfortable having it done and  being able to rule out/identify tubal issues.

 

 

 

Post # 6
Member
5109 posts
Bee Keeper

@lilsweetie:  we will do an HSG after a few more months of TTC, with and without Meds. based on my history, my RE doesn’t think it necessary yet (no history of PID or STD, no clinical signs of endo). Like hellorebecca said, I wouldn’t do it unless time was of the essence or you had everything else check out normal. For me, everything didn’t check out normal, so he was confident that my problems could be fixed with medications. But if not, he wants it to be done to make sure there’s nothing else there before sending me on for IUI.

Post # 7
Member
1431 posts
Bumble bee

I had something similar done, they call it something different when they do it during a laporscopic surgery but I had mine checked for blockages at that time. I didn’t have any but read tons of girls who did have bloackages that were cleared got BFP quickly after.

Post # 8
Member
21 posts
Newbee
  • Wedding: August 2012

hellorebecca is spot on, as on obgyn, we recommend them to anyone who has infertility (> 1year TTC or >6mo if you are >35 yrs). It is not thought to damage your ovaries and does not lead to more miscarriages or abnormal babies. And yes, sometimes having an HSG is enough to get something out of the tubes which may have caused you not to conceive

Post # 9
Member
4520 posts
Honey bee
  • Wedding: September 2010

I had one, also as part of my routine testing before infertility treatment. I certainly would not opt to have one of these tests unless I was seeking help for infertility. I don’t know what doctor would prescribe one, either. Only do it if you need to.

Post # 9
Member
1 posts
Wannabee
  • Wedding: December 2014

I had an HSG done on 22/1/2017 and i was able to go to work that same day because i only had little cramp but today 24/1/2017 i can barely sit or stand. I am having severe and unbearable pain. I already booked an appointment with my doctor and I pray its not an infection or something serious.

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