Hysterosalpingogram (HSG)
The first consult is now behind you and the blood work done; the next step is a Hysterosalpingogram. Having a hard time saying the name? Most people call it an HSG. The primary goal of this test is to assess the health of the fallopian tubes.
An HSG is an x-ray procedure used to assess whether the fallopian tubes are patent (open) and if the inside of the uterus is normal. A radiologist, gynecologist or a reproductive endocrinologist (RE) will place a speculum in the vagina, clean the cervix and insert a catheter through the opening of the cervix, releasing an iodine based liquid dye into the uterus to allow for x-ray examination of the reproductive tract.
Contrast imaging is taken following the dye through the reproductive tract from the uterus into the fallopian tubes looking for blockages and abnormalities detected if the fluid movement is disrupted.
This is an outpatient procedure, usually takes less than 5 minutes to perform, and one can return to regular activities once it is done.
When to schedule your appointment:
This test must be done after you stop bleeding but before you ovulate (usually cycle days 5-9). To reduce pain and for clearest results it is ideal to schedule this test as close to the last day of your period as possible.
Bring along with you:
- Come prepared with a pad or panty liner, there will be discharge and this procedure could cause some spotting.
- An HSG usually causes mild to moderate cramping during the procedure and for a short time (5-10 minutes) following. Some may not feel any pain and others may have cramping for several hours after. Confirm with your Doctor prior to the visit what type of pain relief medication you are allowed to take. With your doctor’s permission, in order to reduce the chance of pain, take the pain relievers 45 minutes prior to the procedure.
A few more things to keep in mind:
- An HSG is considered a very safe procedure, but as you know, all procedures have associated risks. These occur less than 1% of the time.
- Though not common, if you have an iodine allergy make sure to inform your doctor before you schedule this procedure.
- To reduce the chance of infection, typically when an abnormality is found with the fallopian tubes, most doctors will prescribe antibiotics. Some may advise to start taking a day or two before your scheduled HSG appointment. If you have a sensitive stomach, eat carbs before taking your medication to help reduce discomfort.
Note to self: This may not have been your ideal plan for expanding your family but, A BLOCKAGE IS NOT GROUNDS FOR PANIC! Some blockages can be cleared by the HSG, others can be cleared through a surgical procedure or with the help of In Vitro Fertilization (IVF), the blockage can be bypassed to achieve successful pregnancy {which will be explained later}.
For additional information you can visit the American College of Obstetrics and Gynecology and the American Society for Reproductive Medicine.
Step 1: How am I feeling right now?
Being able to name our feelings seems like an easy task, but how many times have you ever just stopped and took the time to identify your emotion? Most of us are not aware of how we are feeling and what impact it is having on our daily lives. Identifying and communicating, “I am angry, anxious, frustrated, ect.” reduces the intensity of our experience. Also notice emotions and situations that bring you comfort and a sense of safety. All your feelings are important! Labeling actually changes our brain and allows us to process emotions and make more conscious decisions.
After you identify your emotion, remember to validate those feelings, no matter how illogical you think they are. NOTE TO SELF: All feelings are ok!! Sit with your uncomfortable feeling, without judgment, realizing that they are anticipated as this journey is fraught with a rollercoaster of emotions.
