Infertility

SHG or HSG?

I know both of these tests are uncomfortable in their own way, but if you were to choose one to have done first which would it be?

My RE wants me to have both done, but my local monitoring Doctor only does one at a time per month. So I will be doing one in May and one in June. I'm thinking get the worse of the two done first and over with.

Re: SHG or HSG?

  • cls78cls78 member
    They were not bad for me, but you hear more people have pain with the HSG.

    I only had mild cramps with both test.
    TTC since May/June 2012 
    Sept 2013 testing:
    SA #1 Low motility (17%) 
    SA #2 Lower sperm count, but much higher motility
    CD 3 Bloodwork and ultrasound - Normal HSG - Clear tubes 
    Oct/Nov 2013 Cycle 1 with RE 50 mg Clomid + Ovidrel + IUI BFN  
    Nov/Dec 2013 Cycle 2 with RE 50 mg Clomid + Ovidrel + IUI BFN 
    Jan/Feb 2014 Cycle 3 with RE 50 mg Clomid + Ovidrel + IUI BFN 
    2/20/14 Follow up consult RE recommends IVF with ICSI 
    3/10/14 New patient consult with RMA NJ 
    3/11/14 AMH and other Bloodwork to prep for IVF with ICSI at RMA NJ
    3/28/14 Saline Sonogram - All good
    March/April 2014 IVF #1 Antagonist Protocol
    BCP/Bravelle/Menopur/Ganirelix
    4/16/14 ER 26 Retrieved!!!
    4/17/14 Fert Report 22 Mature 21 Fertilized w/ ICSI
    4/22/14 Report #2 15 BLASTS
    5/24/14 FET!!!  (Transferring 2 snowflakes)
    6/2/14 Beta #1 575!!! :)
    6/4/14 Beta #2 2060!!! :)
    6/11/14 1st Ultrasound...Saw 2 Gestational Sacs!!  Beta #3 34,312!!! 
    6/18/14 2nd Ultrasound...Heartbeats!! Baby A 112bpm Baby B 117bmp <3 Beta #4 172,080!!!
    6/25/14 3rd Ultrasound...Heartbeats!! Baby A 150bpm Baby B 158bpm <3 Beta #5 232,134!!! 
    7/3/14 4th Ultrasound...Heartbeats!! Baby A 173bpm Baby B 162bpm <3 Beta #6 269,228!!!
    Graduated from RMA!!  First appt with OB 7/8/14

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  • For me, the SHG was worse than the HSG.




    dx:  Unexplained IF
     TTC since May 2011, 1 year trying, and then 3 TI, 2 IUI = BFN
    IVF #1 (May 2013):  Antagonist Protocol: 
    24R, 18M, 15F w/ICSI; 5dt of 2 early blasts, no frosties = BFN
    IVF #2 (August 2013):  Lupron Stop Protocol: 
    28R, 23M, 15F w/ICSI; 5dt of 1 partially hatched blast, 7 frosties = BFP
    EDD 5/23/14, blighted ovum (6w6d), D&C (8w6d)
    FET #1 (April 2014):  transferred 2 5d blasts = BFP
    C.J. born 01/09/15


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  • ****siggy warning****

    HSG gave me cramps afterwards. SHG was uncomfortable during the catheter insertion, but no cramping. Both have a bit of fluid leakage after.

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  • HSG was painful, SHG was not.

    TTC since July 2009. Dx MFI & LPD. 
    IUI#1&2&3 (2011 & 2012) BFN
    IUI#4 1/23/13 on 75iu x9 Follistim = BFP then chem preg m/c (Feb 2013)
    IUI#5 BFN (April 2013)
    IVF w/ICSI Oct. 2, 2012 - 13R, 11M, 7F, 1 frozen blast 4BB grade - - - FET Nov 15, 2013
    BFP! Beta 1:104 @ 10dp6dt, Beta 2:178 @ 12dp6dt,  beta 3:366 @ 14dp6dt
    Saw heartbeat twice before missed M/C at 8w3d on 12/27/13, missing my little angel boy
    JUNE 2014 IVF#2;  5R, 2M, 1F Three day transfer 6/7.  Beta 6/18 - BFN
    Child Free Now?
    S/PAIFW , S/PALW

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  • For me, the HSG was awful. My SHG was much easier and my RE did the SHG during my mock transfer.

    Ella Rose

    1/17/15 born via IVF w/ ICSI

    Spontaneous Twins!

    Due January 2016

    Follow our Journey


  • katib77 said:
    HSG was painful, SHG was not.
    This for sure.

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    TTC #1 since August 2011

    My Blog

    September 2012: Start IF testing

    DH (32): SA is ok, slightly low morph, normal SCSA  Me (32): Slightly low progesterone, hostile CM, carrier for CF, Moderately high NKC, High TNFa, heterozyogous mutated Factor XIII, and +APA

    October 2012-May 2014: 4 failed IUIs, 3 failed IVFs, and 1 failed FETw/donor embryos

    November 2014: IVF w/ICSI #4 Agonist/Antagonist with EPP and Prednisone, Baby Aspirin, Lovenox, and IVIG for immune issues.  Converted to freeze all due to lining issues.  2 blasts frozen on day 6!

    January 2015: FET #2 Cancelled due to lining issues

    April 2015: FET #2.1


    PAIF/SAIF Welcome!

  • I had two SHG, and neither would I classify as even uncomfortable.  I have not had a HSG, so I can't really comment on that one.  I think I would get over the one you are most dreading.
    Pj
    *~*Signature Warning*~*
    Me: 35 Healthy
     DH: 44 vasectomy with failed reversal. 
    IVF #1: Follistim/Ganirelix: 10 retrieved, 4 perfect embies. 2 transferred, 2 frosties = BFN
     IVF #2: Follistim/Ganirelix: 11 retrieved, 1 perfect embie transferred = BFP Willow 4/14/11 
    FET #1: 2 frosties, neither survived the thaw
     IVF #3 Bravelle/Menopur/Ganirelix 4 retrieved, 1 perfect embie transferred = BFN 
    IVF #4 Microdose Lupron/Bravelle/Menopur: 8 retrieved, 6 fertilized, 2 transferred, 2 Frozen: Beta 1: 63, #2: 51, #3:148 #4: 537 #5 2204.  US #1: very small gestational sac.  US#2: Empty sac 

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  • For me HSG was horrible and the SHG (during mock transfer) was only very uncomfortable. But I seem to have a very sensitive cervix compared to a lot of the women on the board.

    ***************************Loss Mentioned***************************


    Me 37 y/o, DH 45 y/o; DH vasectomy reversal (his 2nd marriage) 11/8/12; TTC since 12/8/12. IVF due to MFI. DOR diagnosis April 2015.

     

    IVF #1 BCPs/Antagonist w/ICSI Jan 2014 = BFN

    IVF #2 MDL w/PICSI March 2014 = BFN

    IVF #3 EPP/Antagonist w/PICSI May/June 2014 = BFP!; MMC 6w4d

    IVF #4 No suppression/Antagonist Nov 2014/Converted to IUI #1 = BFN
    IVF #4.1 Feb 2015 = cancelled
    IVF #4.2 April 2015 - Lupron Stop Protocol with ICSI = PGD testing of embryo indicated it was abnormal
    IVF #5 June 2015 EPP with Antagonist 

     

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    Everyone welcome!

  • I had 2 x HSG - hated both times.  Lots of pain!  Don't want to scare you.  It's different for everybody.  I think they let you take Valium before the procedure. 

    I haven't had SHG done unless it's the same as SIS.  I just had SIS done last week and it is very uncomfortable but not nearly as painful.
    TTC since 2007; Unexplained; 8PG: 4CP, 2EP, 2MC w/HB at 8-9 weeks
    Getting ready for DIVF #1 - Transfer 12/16! 
  • For me, the HSG was painful, the SHG was just uncomfortable. Make sure you take some ibuprofen.
    image

    BFP #1 1/1/11 EDD 9/10/11 dx:no hb DNC on 2/2/11
    BFP #2 12/28/11 natural m/c on 2/6/12   BFP#3 2/16/13 dx:ectopic on 2/27 (given methotrexate) HSG 6/13-all clear BFP#4 11/18/13 natural m/c on 11/23  IVF #1 (Natural IVF Cycle) May 2014- Cycle failed (embryo did not make it to blast) BFP#5-7/26/14 GROW BABY GROW    IT'S A BOY DUE 4/5/15!

  • For me, the HSG was very painful and the SHG was pretty uncomfortable but not nearly as bad as the HSG. The most painful part was the balloon catheter and the fluid stretching my uterus. Thankfully, both are pretty quick.



    ********Siggy/Ticker Warning***********



    Me (35) no known issues DH (37) MFI. TTC 21 months (24 cycles)
    Dx MFI with low to normal count, low motility, morphology 3%
    HSG normal, ultrasound and labs on me all normal. 

    1 cycle of Clomid 50mg and TI, unmonitored by OBGYN= BFN
    1 cycle of Clomid 50mg and IUI, unmonitored by OBGYN= BFN
    Started seeing an RE!!
    2 more cycles of clomid 50mg (great response), with IUI and Pregnyl trigger (4.8-8 mil good ones after wash) = all BFN
    1 cycle of clomid 50mg (3-7) followed by Follistim 75iu (7-11) + IUI = BFN
    December 2013 DH saw urologist and is taking Anastrozole, CoQ10, and L-Carnitine
    IUI #5 natural cycle (needed a med break) = BFN
    IUI #6 Follistim 75iu (CD3-10) + Pregnyl (CD11) + IUI (final count after wash 300K) = BFN
    IUI #7 Follistim 75iu (CD3-9) + Pregnyl (CD11) + IUI on 2/20 (post wash count 12.5 million)= BFN
    IUI cancelled (DH OOT) Clomid 50mg (CD3-7) 1 follicle +(not well timed) TI = BFN
    IUI #8 and last one!! Clomid 100mg (CD3-7) +OPK before US + IUI 4/17 (post wash 8.5 mil)= BFN

    Pre-IVF testing complete! SHG great and measurements taken! Labs for infectious diseases completed, FSH (5.4), TSH (1.6), Prolactin (11), AMH (2.6), Estradiol (40).

    Started BCP 5/29 and Lupron 6/11 prep for IVF #1! Started follistim 225u/day on 6/28. Monitoring on 7/2 >15 follicles measuring 11-14, E2 758. Monitoring on 7/5 all ready to go!! Great follicle sizes and lining is at 9. Tigger 7/5, ER 7/7 16R 9M 3F. Stimmed too fast in just 7 days. 7/10 3dt of 2 8-cell grade 2 & 4. 7/14 P4 >60.
    Holy crap BFP!!!
    Beta #1 (14dpo) 7/21 112 Beta #2 (16dpo) 7/23 286 a Beta #3 (18dpo) 7/25 761 Beta #4 (21dpo) 2631!!! Hold on tight little embies!!
      First Ultrasound 8/7- 1 perfect little bean with a beating heart 117bpm!! EDD 3/30.
    Second ultrasound 9/2 Little bean measuring a few days ahead with a heart rate of 161!



    PAIF/SAIF/All Welcome!

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  • I'll give you an answer but for a different reason. I'd do the SHG because the HSG missed an issue with me. When we first started trying a zillion years ago, they only did HSG's. I was dx with a bicornate uterus. However, when we switched doctors for the third time, new procedures had started and I had my first SHG. My experience is that they are the same test, but the SHG is more advanced. It was found that I actually had a septum and it was treatable.

    They are both uncomfortable, so don't pick solely based on this! Best of luck to you!!

    BabyFruit Ticker

     ttc #2 since 2004 Me (35): Stage 3 Endo, DH (34): High DNA Frag

    IVF/ICSI #2: April 2014: BFP!!!!!!

    ET of 2 great quality embryos. + BFP on 9dp5dt. Beta #1 (10dp5dt): 257, Beta #2 (14dp5dt): 1561,

    Beta #3 (21dp5d5): 8,172. Wow. It seems this is actually working. Shocked beyond belief.

    1st u/s @6w5d: Baby A hb 124, Baby B hb 127 (Both measuring perfectly!)

    Lost baby A. Praying that baby B stays healthy. Baby B hb 175 at 11 weeks

    It's a GIRL!!!

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  • I say it really doesnt matter. I have had 2 HSGs and 1 SHG. The SHG before the first HSG, and the SHG was not really uncomfortable at all for me. The HSG OTOH, hurt like the Dickens. Both are super quick, so by the time to feel that you are hurting or uncomfortable, it's over.
  • SKLHSKLH member
    I've had 1 HSG and 2 SHG and the SHG is always worse for me. However, in your position, I'd want to get the HSG done to rule out hat being a cause of your IF. It's a huge decision maker in the process. I'm SO glad my RE had me do a HSG RIGHT away b/c I never had to waste time on month of clomid, etc. My tubes were completley blocked and damanged. I think it's good for you to be able to rule that out right away! Just my $.02 :)
    Me (28) DH (32)  Endometriosis                                                                                   IVF  #1 (1/2013) - 17 Retrieved, 16 Mature, 14 Fertilized- 2 transferred- BFN
    FET #1 (7/2013) - 2 embryos - BFN
    FET #2 (9/2013) - 2 emrbyos - BFN
    New RE. Fresh Start
    IVF  #2 (2/2014) - 25 Retrieved, 19 Mature, 16 Fertilized, 9 blasts.
                                 CGH Testing: 6 Normal
    FET #3 (4/2014) -1 embryo -  BFP! Beta#1: 35 Beta #2: 16 :(
    FET #4 (5/2014) -1 embryo -  BFP! Beta#1: 321!!! Beta #2: 727.9!
    6/5/2014 Heartbeat! 144bpm It's a girl!
    Due January!
     
     

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