Wednesday, June 15, 2011

Can you say Hysterosalpingogram... neither can I.

Another test that your doctor may have you complete, if everything looks normal from the pelvic and tranvaginal ultrasound, is a hysterosalpingogram or know as an HSG test.

This test takes a better look at the fallopian tubes and the inside of the uterus. Webmd.com gives a good description of how they perform this test.

“During a hysterosalpingogram, a dye (contrast material) is put through a thin tube that is put through the vagina and into the uterus. Because the uterus and the fallopian tubes are hooked together, the dye will flow into the fallopian tubes. Pictures are taken using a steady beam of X-ray (fluoroscopy) as the dye passes through the uterus and fallopian tubes. The pictures can show problems such as an injury or abnormal structure of the uterus or fallopian tubes, or a blockage that would prevent an egg moving through a fallopian tube to the uterus. A blockage also could prevent sperm from moving into a fallopian tube and joining (fertilizing) an egg. A hysterosalpingogram also may find problems on the inside of the uterus that prevent a fertilized egg from attaching (implanting) to the uterine wall. See a picture of a hysterosalpingogram.” (http://www.webmd.com/infertility-and-reproduction/guide/hysterosalpingogram-21590)

From personal experience, I did not care much for this test. First, it’s just uncomfortable and second it is a bit painful. I guess that is why they tell you to take a couple of aspirin before you have the test done. It’s uncomfortable because they balloon up your uterus with the iodine mixture to see the structure of it. Plus they keep pushing the liquid through till it starts to go through the fallopian tubes.

One thing that was really interesting is that I could see the image of my uterus on the screen next to me and the radiologist was good to explain what was going on. Also the since the radiologist was the one preforming the test, I was able to get the results of the test right then. I learned that I had a blocked fallopian tube and on the screen it ballooned up while the other tube the liquid drained right out.

One thing I would suggest is if you are at all allergic to Iodine, let them know this. There is a different solution they can use or they may have you not do the test at all. It is better to not do the test then end up sick.

Tomorrow I will post pictures of what a HSG test looks like.

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