How soon after hsg can i conceive
HSG is considered a very safe procedure. If your tubes are blocked, your doctor will likely recommend either a surgical procedure to directly view the tubes laparoscopy or to bypass the tubes and perform in vitro fertilization IVF.
This is a complex decision that should be discussed with your doctor. For more information, please see the ASRM booklet Laparoscopy and hysteroscopy and fact sheet What do I need to know about conceiving after tubal surgery? Laparoscopy can also determine if tubes are open, using a procedure called chromopertubation. An alternative procedure to evaluate tubal patency is a sonohysterosalpingogram SHG. For SHG, a catheter narrow tube is placed in the uterus through the vagina and saline and air are injected.
In women who have open fallopian tubes, tiny air bubbles may be seen going through the fallopian tubes during the ultrasound. However, this procedure is inferior to HSG for assessment of tubal patency. Hysterosalpingogram HSG -pdf. Most patients, though, have not experienced a hysterosalpingogram HSG.
Fear of the unknown can make many patients nervous or apprehensive about this aspect of their diagnostic work-up. However, learning all that SGF does to make the test more manageable is hopefully reassuring. After ovulation, a current in the body pushes the egg into the fallopian tubes where the sperm and egg will meet and fertilization can occur. Once an egg is fertilized, an embryo will develop and continue through the fallopian tubes until it reaches the uterus, where it will implant into the uterine lining.
It can also make sure the cavity is not affected by fibroids, polyps or scar tissue. Prior to starting the HSG, the patient must produce a urine sample.
This is an important step as it allows the practitioner to be sure that the patient is not unknowingly pregnant prior to starting the HSG. Should a patient be pregnant, the contrast used to fill the uterus can harm or displace the growing fetus, resulting in an increased risk of miscarriage. At the start of the procedure, a speculum is inserted into the vagina in order to view the cervix, similar to a Pap smear.
The cervix is cleaned with an antiseptic solution; then, a thin, plastic catheter, generally about the size of the tip of a pen, is placed inside the cervix. Once placed, a small amount of contrast, usually two to three teaspoons, is passed through the catheter into the cervix, filling the uterus and fallopian tubes.
Contrast is used, as opposed to dye, which is a colored substance that cannot be seen on an x-ray, whereas contrast can.
The tubes are considered open when the contrast is able to move completely through the length of the tube, spilling the contrast out on the other side.
Immediately following the HSG test, patients will receive preliminary results from their practitioner. When spotting or discharge occurs, we encourage patients to use sanitary napkins or pads as opposed to tampons.
We also encourage our patients to speak with their physician about taking some over-the-counter pain reliever following the test to reducing any cramps or discomfort. While uncommon, a risk associated with HSG is infection. Patients that have a diagnosed or suspected problem with their fallopian tubes — such as a history of ectopic pregnancies or a hydrosalpinx — will likely be prescribed an antibiotic to be taken in advance.
An HSG will not bring on menses, so if you experience a full menstrual flow, develop a fever, or continue to feel pain for more than a few days, you should speak with your physician. Shady Grove Fertility places high value on patient safety and comfort and goes out of our way to minimize discomfort. Many women feel some cramping for about 2 minutes when the contrast is filling the uterus. Therefore, we strongly encourage taking an over-the-counter pain reliever such as ibuprofen 30 to 60 minutes before the test to reduce feelings of pain or discomfort.
This will help tremendously. Also, speak with your doctor about taking pain medicine 30 to 60 minutes before the procedure especially if you have a history of ectopic pregnancies or a hydrosalpinx. Naturally, if you're trying to get pregnant, you're probably ready to join the mom club or add to your crew of littles and anxious to know when you can try to conceive again. Generally, after completing an HSG, women are encouraged to wait until after vaginal spotting or discharge stops, which is usually one to two days after the HSG.
I Am Trying to Get Pregnant. One recent study analyzed more than a dozen controlled randomized trials and found that an HSG performed using an oil-based contrast medium may increase conception rates between 29 and 55 percent among sub fertile women who have a small chance of conceiving in any given month without any intervention. That means you may be more likely to conceive in the months following your HSG. If you are Trying to conceive and looking for some pro tips, visit this website.
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