Post # 1
I’ve posted in the past about having 3 early miscarriages after having my son. The losses as well as some other issues originally made me not want to stop TTC/stop trying for any more children, however as my son gets older and the months go by I find myself revisiting the situation and longing for another.
I feel emotionally broken about the last three losses which all happened in a 10 month period. The last one was 2 months ago. A fertility Dr recommended by my OBGYN recommends the following tests to check if there was a reason for the losses:
-Day 3 sonogram and blood work (hormones, clotting disorders, autoimmune diseases, genetic issues)
– Saline Sonogram/Ultrasoubd
-HSG (X-ray of tubes and uterus)
-More sonograms throughout cycle to monitor ovulation and follicle development
-More bloodwork post ovulation
-Husbands blood work and semen analysis
My question is: I am scared to have the HSG: I don’t like the idea of contrast being injected into my uterus and tubes and I don’t like the idea of my ovaries being exposed to X-ray unnecessarily. I’m 28 years old with a 2 year old (healthy pregnancy). Since my son I’ve gotten pregnant on the first try each time but lose it within 5-6 weeks. How will an HSG help? I’d think this would be a test for women who CAN’T get pregnant? If I’m getting pregnant wouldn’t that mean my tubes are ok? I’ll agree to the the water sonogram to assess any scar tissue after my c section but the other test seems useless to me.
Any advice? Thank you in advance.
Post # 2
My understanding is that the saline sonogram does the same thing as the hsg? But I don’t know for sure. If so you might not need both.
Regarding the tubes, it’s possible that one is blocked and causing problems. I had an hsg and was told I had a blocked tube and a hydrosalpinx (tube blocked at far end and filled with fluid) which could cause miscarriage due to fluid dripping back into the uterus. I had a repeat hsg (because the results were conflicting in different parts of the report and they wanted surgery, I wasn’t willing to do that without being sure) and they determined that I was fine (apparently sometimes the tubes can spasm and look blocked). Something like that could maybe form as scar tissue after pregnancy/a c section maybe?
Post # 4
Hi, im so sorry for your losses… a good friend was in a similar situation conceiving her 2nd and they went through the same testing as you outlined, and she conceived within the first cycle of fertility testing/monitoringher cycle with ultrasounds. They didnt find anything wrong, just really bad luck. She is tiny, and her first child was big, and her first delivery was traumatic. That is why they were concerned about something blocking the tubes. Ive had a saline sonogram to diagnose a fibroid – could you see if that is an option before contrast dye/xray? I think radiation exposure is very low but I get your concern.
Post # 5
As i go through loss #5 this weekend, I can tell you what testing we’ve done recently. Saline ultrasound (no hsg, RE didn’t think both were necessary), AMH, FSH, antibodies for clotting factors and NK cells, environments including CO2, arsenic, heavy metals, karyotyping, vitamin levels, mthfr, and dna fragmentation for DH’s sperm. We were going to try a monitored cycle this cycle with hormone testing, femera, hcg trigger shot, hcg booster shot at 7dpo, progesterone, baby aspirin, and prednisone (😳). I’ve also had to add massive doses of B vitamins for some severe deficiencies. Unfortunately I got pregnant before we started the new protecol and lost that one this weekend as a chemical pregnancy at only 4.5 weeks.
Post # 6
- Wedding: July 2019 - Vineyard in Italy
mandapanda1022 : I totally second what you said. I do believe you need a prenatal genetic counseling session, the karyotyping should be ordered in that context and also your history/family history should be evaluated in that context to assess for need for potential additional testing. That is pretty much what I do for a living btw. If you need help with that feel free to PM me.
Post # 7
- Wedding: July 2019 - Vineyard in Italy
And yes, if the tubes were blocked you wouldn’t have losses after getting pregnant. You most likely would not conceive at all.