HSG Results and Advice??

wifeofafarmer

Finally got my HSG results today. My tubes looked great. It was noted to tell me that my cervix is "abnormally large" in the exterior opening but the internal cervix opening seems to be "quite narrow". Ok? Not sure what to do with that bit of info. I was told before the HSG that depending on the results the next step was the laproscopy or sending me on to a Fertility clinic. Nurse was supposed to call me back with answers but the Dr was called out so I have to wait until Tuesday because they are closed on Fridays & he's at the hospital on Mondays. I'm relieved that my tubes look good but still frustrated because I have no more answers than I did. (Progesterone came back normal, DH's SA came back normal) I was able to get in the note to the Dr that my aunt had stenosis of the cervix in case he wants to try something along those lines.

Here's my questions in case any of you have some advice. Did any of you have a laproscopy once you saw an RE or was it before? It would be handy for us to have it done here instead of 5 hours away but if the RE doesn't need/want one we really don't want to pay OOP. Plus, I've had a bad experience with ansthesia so thats another reason why we are a little hesitant on the laproscopy. Also, since I've been seeing my regular OB/GYN for all the initial testing, what should we expect from an RE? Last question. DH thinks that they should just be able to do a CT scan or MRI to "look in" & see whats going on inside me. I haven't been able to make him understand that it doesn't work that way, so suggestions are helpful. I'm on a roller coaster of emotions today & I hate it. Thanks ladies!

BethKate2

Why do they want to do a lap? Do you have symptoms of endometriosis? Honestly, I wouldn't do it now unless there was a strong suspicion of endo. It's definitely more invasive than the majority of the routine tests a RE will do. I had a lap done because of ectopic, so it as before I saw my RE, but I think a lot of people who go that route do so after working with a RE.

You mentioned having progesterone tested, but what other blood work have you done? A RE will likely test AMH, TSH, FSH, and E2 (and I may be forgetting some....)

wifeofafarmer

I haven't had any symptoms of endometriosis that I know of nor has anything been mentioned to me about it, ever. Because of my thyroid cancer, I have my regular endocrinologist who has been monitoring my TSH and the rest of the thyroid panels. What he made it seem to me in our initial consult that it was just an option but more exploratory than anything. That was a question I had for him today but now I had to wait til Tuesday.

SND1231

First of all sorry you are having to go through all this.. I can't help much with the HSG results as I haven't had one yet...  I am meeting my RE for the first time on Tuesday so I will keep you updated as far as what to expect. I posted a similar questions a week or so ago, feel free to go look at that post the ladies had great advice.  As for the hubby.. You might need to have a talk with him about what the female system really is.. So many guys honestly have no clue.. I have had to explain everything to my hubby and he was shocked at how everything really worked.. As for why MRI and CT scans don't show what all is going on that is a valid question.. I honestly wonder at times myself.. I had CT and MRI scans to check for cancer every three months and they can seriously see my old blood clot in my brain, every surgery I had had, even found osteonecrosis ( death of bone), infection, the list goes on and on for what they have seen in those scans... I wish they could show us all the answers!

BunnyBerry

The RE is the one who did my laparoscopy, that made me feel great because I knew he saw everything firsthand and was also designing our treatment plan. I actually had a stenotic cervix, similar to you the external part was normal so the OB never noticed with Paps and they were able to get the HSG catheter and IUI catheter in like halfway, but not to my uterus. Dilating a stenotic cervix can be a (painful) outpatient procedure, but my RE just did it at the same time as my lap. A dilator was removed 3 days after the surgery to make sure it didn't close back up. He said he ended up having to cut some tissue so it was good that I was under anesthesia.

Sorry you didn't get better answers yet. Since there's not a good clear reason for IF (other than perhaps cervical factor), I would probably want to work with the RE before moving on to surgery.

lisa89760

I am getting my lap after seeing my RE for like 9 months.  I do have symptoms of endo but we still wanted to try and see.  But we are here, so it's the last thing we are doing this year.  

wifeofafarmer

Thank you ladies so much for your feedback. You all helped reaffirm everything I was thinking. DH & I talked a lot after he got in from the fields late last night. I think we're going to wait on the lap & see what the RE says.

@BunnyBerry‌, what was the recovery time/pain level for you?

@SND1231‌ I am going to look at that post but look forward to hearing how your appointment went. Good luck on Tuesday!

BunnyBerry

Good luck!

The worst was recovery from anesthesia - thought I was going to die as they forced me to wake up so they could get me out of the hospital by 9pm (my surgery start time had been delayed several hours).

I definitely needed the hydrocodone/tylenol pills, and felt it if I waited too long, but there were only a couple days when I wish I could take one sooner...and I was able to use very few, stopping after maybe 5 days? Can't quite recall.

I didn't move unnecessarily for days. Took it really easy, wore loose dresses or stretchy skirts for weeks. Even 2 months later areas were still tender. Out of 3 incisions, 2 healed pretty easily but one is still a bit raw 2.5 months later (always rubbed by underwear elastic).