WOMENS-HEALTH Messages for March, 2009: Re: INFERTILITY: Weird HSG results. Please Help!

Re: INFERTILITY: Weird HSG results. Please Help!

From: dr.narayan patel (anonymous@obgyn.net)
Thu, 12 Mar 2009 03:15:20 -0500 (CDT)

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In reply to: sakooooot: "INFERTILITY: Weird HSG results. Please Help!"

At Tue, 3 Mar 2009, sakooooot wrote: >
>I am 29 and have been trying to ttc for over 1.5 yrs now so my gyno
>asked me to get an HSG test done. The fertility specialist who
>performed my procedure is world reknowned but during the procedure he
>could not get the dye to inject into my uterus due to which he was not
>able to check my tubes for patency. He tried two or three different
>types of catherters, the catherter would go all the way up but the dye
>would not spill into my uterus for some reason. Initially, he thought I
>had some blockage like a fibroid etc. so he called me for a
>trans-vaginal ultrasound which showed my uterus to be absolutely normal
>with no fibroids etc. He ruled out scar tissue as I have never had any
>surgery of the uterus or birth or miscarriages etc. I thought he would
>send me for hesteroscopy or something but to my dissapointment he told
>me to just ttc for two or three more months as I have a good chance of
>conceiving on my own! How is that possible when I have been trying to
>conceive for almost two years without luck..what can two more months do
>esp. when the HSG test showed blockage in the uterus? Doc himself is
>perplexed as to why there was blockage on HSG when sonogram showed
>nothing wrong but he's insisting that I just wait. Do you think the HSG
>was not done in a right way and he is now trying to ignore the issue? Or
>did he do something during the procedure that makes him confident that I
>can conceive on my own? I am really confused and your suggestion and
>advice would be greatly appreciated. Thanks.

It seems there is some problem in the procedure technique. If the doctor is able to negociate canula in the uterine cavity above the internal of there should not be problem in pushing the contrast dye into the cavity and taking x-ray picture. Indealy a pain killer injection along with atropin like injection is given 30 minutes before the procedure is carried out. Thay relieves and uterine spasms and prevent vaso vagal attack. Idealy procedure should be done in x-ray department with image intesifier facility with strict aseptic preacation.Rubins canula or colvins canula is good enough for this procedure. Some people try pediatric foleys catheter but i am not happy with that. Metal canula is better. Try once more to undergo the procedure of HSG.It is worth wile to know wheather your tubes are patent or not to enabe you to conceive.

Next message: dr.narayan patel: "Re: INFERTILITY: Another HSG question"
Previous message: Jess: "MENORRHAGIA: Abnormal Period"
In reply to: sakooooot: "INFERTILITY: Weird HSG results. Please Help!"

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