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Re: INFERTILITY: IUI

From: Ben Gocial, MD (anonymous@obgyn.net)
Wed, 4 Feb 2009 18:43:47 -0600 (CST)


Message posted on Ben Gocial, MD behalf by: Hope Waltman, Fibroids and Women’s Health Forum Moderator

It's often said and almost always true: there's no such thing as a dumb question. Your experience with pain and discomfort during your procedure sounds miserable and I'm sorry to hear you had to go through it. I would not however assume that the discomforts were related to endometriosis. Most likely they were not.

IUI most of the time should be experienced in a manner very similar to a PAP test. Occasionally, there is a mild to moderate cramping pain during the passage of the catheter. Rarely there is more pain. At least theoretically, this discomfort might interfere with success but most likely it will not. You might ask your physician if it's OK to take medication before the insemination. If you need the IUI, please don't let these discomforts stop you from having it done.

--
Ben Gocial, MD, Northern Fertility
Philadelphia, PA

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 and/or interventions. ** Private emails cannot be entertained due to time constraints; consequently, they will receive no response.

At Mon, 2 Feb 2009, Kim wrote: > >Ok, this probably is a dumb question, but I'm trying to figure things >out. I recenlty (last Thursday) had an HSG in preparation for IUI. >Thankfully, my one remaining tube isn't blocked. I had my left tube & >ovary removed last summer to do endometriosis, adhesions, and an >endometrioma. During the HSG, it was quite painful. For some reason, >it was painful when the NP was trying to insert the speculum, it was >painful when she was looking for the cervix, she said she had to use a >tenaculum and that was painful, it was painful when she was inserting >the catheter into the cervix, it was painful when the dye was being >inserted, and it was painful when she removed everything. I have had >cramps with bleeding since then. My question is this: if this procedure >was this painful (I'm assuming it is because of the endometriosis and >even regular exams cause cramps), how will IUI be successful? Will is be >this painful when it is attempted? Will the cramping not allow >implantation? Like I said, I know these are probably silly questions, >but I'm trying to figure out what my chances are of success. Thanks.




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