Showing posts with label HSG. Show all posts
Showing posts with label HSG. Show all posts

Sunday, April 22, 2012

HSG Panic and Procedure

So finally on to part 2...
Scouring the internet for other women's experienced with their HSG's provided much daunting information.  Most accounts were full of angst, pain, sever cramping enough to make the person hurl (while still on the doc's table), bleeding, etc.  Nothing much to grasp on to in hopes of a, if not pleasant, at least not an all that bothersome experience.   Of course, reading all these horror stories got me majorly wound up to say the least.  I was so wound up by the time the day of my appointment came, I was glad to have some Xanax on hand.  It helped calm my nerves slightly, and I began to relax knowing no matter how bad it was, in the end I was having a necessary procedure that's end goal was finally getting the all clear to start my IUIs.

So the day of HSG, I woke up, went to work, downed a Xanax, and waited.  At noon I left the office to go to the radiology clinic.  I had my mother with me, as she is sort of being my surrogate husband through all of this.  I think it important to have someone there with a second set of ears, since there is a lot of information to absorb and a ton of questions that one needs to remember to ask.  Following the advice of my doc and other women, I also took a painkiller...as a matter of fact, by the time I made it onto the doc's table almost 2 hours later, I had had two of these.  Overkill you say?  Maybe, but I wasn't taking any chances.  So, onto the procedure...

As usual with any type of gynecological appointment, it was the same thing...disrobe from the waist down, hop up on the table, spread eagle and slide to the end.  After so many years of doing this same maneuver, I still have yet to become comfortable with the whole thing.  But we do what we have to do!  So there I am, in the usual feet-in-stirrups position splayed to the world, with four other people in the room...the gynecologist performing the procedure, my secondary doctor, the nurse, and for mental support, my mom (don't be grossed out, she was behind me in a chair, not getting the doc's view).  And as usual, the speculum comes out...why is it always cold?  Once I am propped open and ready, which always takes some adjusting since I have a "tilted' uterus, the gyno performing the procedure informs me they are going to inject some lidocaine into my cervix...say what?  Not one of the forums I read bothered to mention this!  Needles are bad enough, but needles in my cervix, so not cool!!!  So naturally I tense up for a moment, doc says to relax and on
 the count of three give a big cough...1...2...3...COUGH!  Odd that the doc complimented me on my coughing skills, but I'm glad because I have a feeling the cough is necessary to take your mind away from the  needle prick.  Needles to say, hahahahaha, I didn't feel a thing!  No pressure, no stab, nothing!  That was a relief!

After the injection, the doc then inserts a catheter up through the cervix and slowly injects dye into the uterus.  The dye then pushes through the fallopian tubes to see if there are any blockages, leaks, or anything else of concern.  Here is where I get lucky!  Most of the horror stories I read were from women with tubal blockages.  The pressure from the dye pushing into the blocked tube, supposedly, can cause immense pain.  Well I really don't know if it was because of the pain pills or because I had no internal issues, but the procedure was nothing like I expected.  It was slightly uncomfortable, there was a little pressure as they rolled me from side to side to get the dye into each tube, but then it was all over in probably less than 5 minutes.  Afterward they had me get up slowly, as from the look of the gauze on the table it causes some pretty good bleeding, and get dressed...no locking the door to the bathroom though, in case you have emergency...which I assume is getting light-headed and passing out!

In the end, after all that build-up and panic, the procedure, at least for me, wasn't too awful.  I have had much worse things done to me, so this was nothing!  I will say that I was a bit light-headed the rest of the day, but that might have been from the pills.  And for the next few days I did have some cramping and light bleeding, but nothing that screamed of the horrors other women described.  Which is great, cause some of them made it sound a little worse than birthing a child!  I guess I learned that most people who go into these forums discuss the worst case scenarios.  I will try not to take them too seriously from now on.  That's not to say I still won't over-research everything, that's just who I am.  But in the future I will take these things with a grain of salt...and of course that pain pill if I feel it's necessary!  No point in taking a chance on that one, hahahaha!

Final result, my tubes look perfect, I have a follow up appointment with my doc on Thursday, April 26th, and I'm basically all clear for take-off!  Next step is finally deciding 100% on a donor and tracking my ovulation...but we'll save those things for another day :-)

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Thursday, April 19, 2012

Preparing for Hysterosalpinogram

I promised in my first post to go back and explain the "procedure" I had yesterday.  The long-winded term is Hysterosalpinogram...but it is better known as an HSG (probably because no one can pronounce the damned thing). A week ago I had absolutely no clue what an HSG was, nor had I ever heard the term.  MSG I've heard of that, who hasn't?  But when the doc told me on my initial visit that I needed to schedule an HSG with the receptionist, I was almost completely clueless as to what that meant.  Don't get me wrong, he explained enough for me to understand that it was a procedure where they inject dye into the uterus to check that the uterus is in good working order and fallopian tubes are clear of any blockages or what-not.  This is to insure there is nothing in the way to obstruct either the sperm or egg from traveling the pathways necessary to "hook-up" on the dance floor, if know what I mean.  That's all good and fine, nothing like knowing ahead of time if there is anything that could possibly cause problems, especially considering the cost of going through IUI.  Anything to make the percentages higher that your IUI will result in a pregnancy!  But I have to admit when the doc said I could experience some "cramping" and to take some sort of pain killer ahead of time, I seriously began to wonder what he meant by the term "cramping."

Many, it seems, lifetimes ago I had a LEEP procedure to remove abnormal cervical cells (they turned out to be non-cancerous so yay for that!).  My gyno at the time had used almost identical words regarding experiencing some "cramping" with the procedure.  To this day I have yet to fully forgive her for not being a little more specific by what she meant.  For any of you who have had someone take a slice out of your insides without any anesthesia while up on a table with your legs spread and your most precious parts vulnerable to the world...well let's just say there is a reason why men don't give birth!  Women are known to have a much higher pain threshold than men, and it's a good thing cause the human race would have died out in one generation.  So remembering back on that vague wording from so many years ago, and remembering the pain associated with that vague wording, and adding that together with the instructions that a pain killer ahead of time would be smart, I began to worry and question what exactly was an HSG and what exactly should I really be expecting!      

With all that being said, like any good patient I began to scour the internet for a better explanation and to see what other women's experiences were like.  I know the internet is not always the best source of information, especially when examining medical issues, but I just couldn't help myself.  I'm a well-trained researcher (to a fault thanks to a remarkable education), so mistakenly I put my training to the test!  A good, basic outline of the procedure was easy enough to find.  Plenty of simple, cut and dry (no pun intended), no-nonsense medical knowledge available on the web.  But as always, I went searching for real-world, first-hand knowledge.  Needless to say, sometimes it may just be smarter keeping oneself in the dark!

Stay tuned for the rest of the story tomorrow!
Want more info on an HSG?  http://www.webmd.com/infertility-and-reproduction/guide/hysterosalpingogram-21590

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