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

From: ainsron@msn.com
Wed Jan 24 08:20:26 2001


I would probably opt for diagnostic laparoscopy with tubal dye study and hysteroscopy, careful dilation under anesthesia.

>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.
>
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Ronald E. Ainsworth, MD




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