PREGNANCY-BIRTH Messages for July, 2003: Re: HSG test & Group B Strep

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Re: HSG test & Group B Strep

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Wed, 2 Jul 2003 14:33:48 -0500 (CDT)

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In reply to: Karen: "HSG test & Group B Strep"

At Wed, 2 Jul 2003, Karen wrote: >
>I recently had a HSG test. My doctor's office gave me a vaginal culture
>prior to my HSG to test for infections. I received a call from them
>AFTER my HSG indicating that I was positive for Group B Strep and needed
>to be treated with antibiotics before my HSG. Naturally, I was upset at
>their mix-up, since I had already had the test. I am on antibiotics
>now, but I am quite concerned that the HSG may have caused the GBS
>bacteria to travel to my uterus and tubes. I am going to start TTC
>again soon. I had a miscarriage in May, and I'm waiting the 3 cycles as
>instructed...although, I've read that the whole 3 cycle thing is very
>doctor-dependent. So, perhaps we'll start again sooner. However, now I
>have this GBS concern. If I have GBS in my uterus when I get pregnant,
>then it is fairly likely that I'd be infecting my baby, right? Please
>help clear this up. My doctor has told me that there was no increased
>risk with the HSG because I have the Group B, but I feel like he may be
>covering up for their poor administration and mix-ups at this point. (He
>also failed to show up at the Radiologist for my HSG, which he was
>supposed to administer). Needless to say, I'm switching doctors...but
>am left feeling confused and worried about the whole GSB in my uterus
>thing. Please help. Thanks.

GBBS is a normal inhabitant of the vagina, being present in 20-30% of all normal healthy women who have no infection. The only problem it can cause is with a newborn baby who is delivered through it. And that only happens in about 1 of every 500-1000 babies in that situation. However when it does happen it is a catastrophy. Also women who have GBBS in their vagina today, may not have it there next week. It comes and goes on its own.

--
R.Daniel Braun, MD  FACOG   FOG
**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
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