Post # 1
So let me start off by saying i dislike my reproductive endocrinologist (RE). Their staff doesn’t listen to me, treats me like a widget in the widget factory and I’m looking for a new doctor. I can go on and on with this rant, but I’ll save everyone from it.
My story is I’ve been through 4 failed letrozole cycles with timed intercourse. One cycle I did get a very faint positive, but that did not last. My RE is saying she will not allow me to try IUI until I get an HSG test done. My plan was to try a couple IUI cycles and then be done with this fertility stuff. IVF is not for me. My next step is adoption.
I don’t understand the benefit of getting an HSG test done – sure I may be wasting some $$$, but that is my choice.
Has anyone had something similiar where they didn’t want an HSG, but their dr forced them? Is this common for a dr to refuse service?
Post # 2
You should definitely not work with a dr you aren’t comfortable with. Just stop treatments until you find another RE you feel better about!
As for your question, my RE prefers saline sonograms to HSGs. I actually did both (did the HSG with my obgyn before going to the RE), but would have done whichever my RE recommended. My thoughts were that these tests aim to answer the questions “why am I not getting pregnant?” and “what do we need to do to get me pregnant?” Is there a reason you don’t want the HSG?
FWIW, we got pregnant with iui after failed Clomid and TI cycles.
Post # 3
Agreed, find a new doctor if you don’t like this one. However, despite the discomfort I think the hsg could be helpful. Rumour has it that it can clear out minor blockages and fertility may be increased after.
I had two done (first they thought there was a blockage and wanted me to do surgery, but due to some uncertainty around the result I wasn’t willing to get cut open without a more confident result) and it wasn’t comfortable, but it was good to know things were working.
Post # 4
I’m just not excited about getting a test that can be painful when I don’t know if it really gets me anything. If my tubes are blocked, i’m not doing IVF, so what is the advantage of doing it other than not wasting some money.
Post # 5
I’ve taken this test 3 Times (different periods in my TTC, years apart) and it did remove minor blockage the first time I became pregnant but then learned it was a blighted ovum pregnancy. Second 2 times all clear… I think it’s good to do it just to be sure , however if you’re not comfortable with your doctor then for sure move on with all your records. If you do take it, just know it’s very uncomfortable and it takes up to anywhere from 7-15 mins … I also had saline (water) can’t remember push up which also cleaned me out and usually helps with TTC you can always ask for that first before the HSG it’s quicker and less painful. Take extra strength pain killer like an hour before.
Post # 6
ltagg : My RE requires an Hsg for IUI. I tbink the hsg is required to make sure you are a canadate for iui. Basically you would want to know if your tubes are blocked before doing and iui so that you arent wasting your time and money. Although Iuis are less stressful then ivf it is still emotional. If for some reason it doesnt work you will be questioning why so if you know your tubes are not blocked then at least you can rule that out. I felt the same way I did not want to do hsg bc I heard how painful it was but my RE would not budge. Long story short I did the hsg and it really wasn’t that bad. No more painful than period cramps. If you are not comfortable with your fetility clinic I would maybe look elsewhere? Fertility treatments as so emotionalally draining and it is so important to have a doctor and staff that you trust and feel comfortable with. I would honestly recommend getting the hsg test done just to make sure your tubes aren’t blocked. You def don’t wanna waste time and money if that is the issue and it can be fixed. But if you really feel strongly about not doing it talk to your RE. My clinic it wasn’t an option to not do it but maybe yours is different. Good luck in whatever you decide!! I hope it all works out for you!!!
Post # 7
An IUI is useless and a waste of money if you have a blockage. the HSG helps to see if there are any blocked tubes and sometimes helps to clear them out. i’m surprised they didnt recommend one before putting you on any medication. good luck!
Post # 8
- Wedding: August 2015 - Tuscany Falls Banquet Hall
My RE told me that in order to start the IUI process, I had to complete some different steps. One of those steps was to complete either a HSG or a saline sonogram. I opted for the saline sonogram instead of the HSG. Whether you stay with your RE or leave, from my experience and the many countless boards I have been on across the web in my research, it seems that having a HSG is pretty standard. If you are worried about the pain, can you try asking them about a saline sonogram?
Post # 9
i did both a HSG and SHG, both standard testing for the RE work up.
neither were painful for me, it was less than period cramping.
Post # 10
I am required to have one before I even start on Femara. I believe it is just a safety precaution. I believe it’s standard procedure
Post # 11
Yes, definitely. If this is something your doctor is recommending, I’m not sure why you wouldn’t want to give yourself the best oportunity. My understanding is that you are generally very fertile after the HSG (though did not work for me) so that’s an added benefit. If you don’t like or trust your doctor, I’d find a new one. But I would also expect that any credible doctor requires this test before doing an IUI.
Post # 12
I just had my HSG done yesterday. It was a little painful (like bad period cramps), but only for less than a minute. It really wasn’t a big deal and I am thankful to know that structurally everything is ok. I had to have it done before even starting medication.
Post # 13
ltagg : I was required to have an HSG prior to fertility treatments. Any doctor that would perform treamtments without doing diagnostics first is a hack. When we bumped up to IVF I needed the saline sonogram too. Why do you not want the HSG? If it’s for fear of pain I’ve got some news for you…pregnancy and childbirth hurt a hell of a lot more!
Post # 14
If you have blocked tubes, IUI isn’t going to work. The HSG will clear any minor blockages and if it shows something major, then you can get surgery to unblock at least one of your tubes. You won’t be able to get pregnant, naturally, with IUI, or whatever, otherwise. It was like 10 seconds of very painful cramping for me. I got pregnant right after so I’d like to believe the whole increased fertility thing is somewhat true.
Post # 15
ltagg : I’ve been to 2 obgyn sand 3 fertility clinics and all of them asked if I’ve had the HSG test done. It’s almost a requirement at this point. It really doesn’t hurt, more like cramps and you can take something before hand to help minimize the cramps. It’s about a 3-5 minute procedure and I know most insurance will cover most of it. I know ours did.