Re: Failed HSG due to cervical stenosis - any ideas?

From: Steven W Crawford (scrawfmd@zoomnet.net)
Tue Jan 23 22:40:57 2001


Paul,

I would not use Cytotec for this indication.

I would try U/S guidance in another attempt, using a very small Hanks dilatory or uterine sound. Let me know what you finally do to complete the procedure.

Steve Portsmouth, OH

Paul Prior MD wrote:

> I attempted an HSG recently and although the external os appeared
> patent, I was unable to advance a uterine sound, nor any small
> cervical dilators and thus the procedure was aborted. No hx of
> cervical surgery and this is secondary infertility.
>
> Other than having the patient return mid cycle (this was ~day 7) any
> suggestions? I have planned cytotec as have read regarding use of
> this for D&C. I thought about use of ultrasound to be more aggressive
> if needed at next attempt (have done this before for d&c), but doubt
> patient would tolerate.
>
> --
> Paul Prior MD Cash rebates from online purchases -up to 30% back.
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