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Do I really need a SHG? ETA: Yes, I do. ;-)

DavezWifeDavezWife member
in Success after IF

(saline sonogram of uterus, it appears this test has many aliases)

I had a HSG (tube flush) back in 2007, never had any issues with my tubes.

I'm supposed to get a SHG as IVF prep... but seriously.. I've had 3-5 ultrasounds a MONTH for MANY MONTHS... they would have seen something by now if there was something to see. My lining has been fine thru out med tx. I've even had them scour for fibroids, etc. as part of my grasping at straws process.

I'd like to ask the doc if I can skip this, but if you think it's a necessary test, I won't squack.  (I don't want to spend the money on it, basically. But will if I must, of course)

thanks.

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Re: Do I really need a SHG? ETA: Yes, I do. ;-)

  • LVBlvdLVBlvd
    I never had one.  I did have a mock transfer before IVF #1 and had one a few weeks ago for IVF #2.  It helps them to know the catheter they are going to use and the exact path to the ute.  It isn't painful...just feels like the actual transfer.
    DX: PCOS * Success with IVF

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  • jodyplustwinsx2jodyplustwinsx2
    I tried to get out of this test with all of my cycles but they made me do it anyway. They said it's critical to the process... never mind that I've never had a single uterine issue, my lining is always thick, etc. I don't know what it added to the process at all, other than a bill I had to pay. But, they wouldn't let me out of it.
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  • LCB34LCB34 member

    I didn't have one but it was because they ruled out fibroids in my ute during my surgery and my HSG.

    If you have any fear of uterine abnormalities, I would get it done as it can show more uterus wise than an HSG can (at least that is what my RE told me).

     

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  • ladychicagoladychicago member
    I think it is important before you spend the $$$ and emotional energy on an IVF cycle.    If ultrasounds, etc. were enough to detect uterine abnormalities, then no one would need an SHG!     I would hate to go through an entire IVF cycle only to have it fail (or to lose the pregnancy) because of a uterine issue that could have been detected ahead of time.   Just my 2 cents.
    Brought to you by IVF, ICSI, limited fert, and oocyte cryopreservation.
    Because we're fancy like that.

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  • alison43alison43

    i think it gets them a diff. view of the uterus than the HSG.  since the u/s part is transvag whereas the xray from hsg is straight-on....

     

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  • Mrs.OLMrs.OL

    I had an HSG done when I started going to the RE.  It was one of the basic tests that they did prior to any treatments.  I moved on to my first IVF without needing to have an SHG done. 

    When we went back to TTC #2 they required that I have the SHG done prior to any treatments because they wanted to see what they were dealing with after child birth.  Apparently, u/s don't show the full picture. 

    ~Olivia~
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  • JGirl2005JGirl2005 member

    yes, you need one.  I trust my RE 100% and he wants to make sure everything is OK in the uterus before spending 15,000 thousands on a procedure.  smart in my opinion...and he has SUPPPPPER rates.  Im not trying to be rude, but my honest side is coming out.  You need the hsg or shg.

    They cant  see crap on u/s.  seriously.

    I had a hysterscopy in april 2007 by my unexperienced obgyn.  I had an HSG in may 2007 or maybe early june.  By the way, he does this and laps mainly on all patients. (RE)  Based on that he said I need a lap because i had shadows on my uterus.  I kinda argued with him (now I know better) and said I didnt think I had endo because I didnt have painful periods.  He said some people dont feel it.  When they did the lap in june 2007...it turns out that i had polyps and mild endo.  I had no clue and my obygn had just gone in there in 2007 and my RE just said 'well im not sure why he didnt see this but it doesnt help implantation.'

    So even with a hysteroscopy, they missed some issues i had in my uterus. 

    Guess what, i had one after my miscarriage (2nd tr).  they wanted to make sure everything was PUUUURFECDT before doing a FET.   So i had two...

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  • JGirl2005JGirl2005 member

    oh, like jody, i dont have lining issues whatsoever.

    you have no idea what your uterus is like and if there could be 'environment issues' as your main issue.

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  • howleyshellhowleyshell member

    imageladychicago:
    I think it is important before you spend the $$$ and emotional energy on an IVF cycle.    If ultrasounds, etc. were enough to detect uterine abnormalities, then no one would need an SHG!     I would hate to go through an entire IVF cycle only to have it fail (or to lose the pregnancy) because of a uterine issue that could have been detected ahead of time.   Just my 2 cents.

    My thoughts exactly.

    IVF is a roller coaster like no other.

    Best to do everything possible to ensure it's success.

    Not the time to be penny wise and pound foolish. 

    Our IF journey: 1 m/c, 1 IVF with only 3 eggs retrieved yielding Dylan and a lost twin, 1 shocker unmedicated BFP resulting in Jace, 3 more unmedicated pregnancies ending in more losses.
    Total score: 6 pregnancies, 5 losses, 2 amazing blessings that I'm thankful for every single day.
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  • DavezWifeDavezWife member

    ok, ok, ok.

    booking SHG..... ;-)

    And just to keep ya'll up to date, I have a consult scheduled with a big wig doc here in town with another RE clinic (MN gals.. Dr. C) on the 16th and another pending my trip to Chicago in 2 weeks, with a famous "know everything" RE there.

    And my records are on their way to Costa Rica for some panel of docs to discuss.

    I'm gonna fight like a girl ;-)

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  • LCB34LCB34 member
    imagehowleyshell:

    imageladychicago:
    I think it is important before you spend the $$$ and emotional energy on an IVF cycle.    If ultrasounds, etc. were enough to detect uterine abnormalities, then no one would need an SHG!     I would hate to go through an entire IVF cycle only to have it fail (or to lose the pregnancy) because of a uterine issue that could have been detected ahead of time.   Just my 2 cents.

    My thoughts exactly.

    IVF is a roller coaster like no other.

    Best to do everything possible to ensure it's success.

    Not the time to be penny wise and pound foolish. 

    I completely agree with this (despite not having the test - but like I mentioned I had surgery to see what was up).

    My theory was if I was going to put myself through IVF I was going to go big or go home. 

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  • epphdepphd member
    I was in the same boat before starting IVF.  The saline sono found 2 7mm polyps that could have acted like IUDs.  Ultrasound just doesn't have the same resolution when the uterus is not inflated.  Imagine the ute like a jelly sandwich - unless the 2 slices are forced apart, how could you tell what's inside? I say it's at least insurance that nothing else is going on.
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  • DavezWifeDavezWife member

    does anyone know approx cost, or if it's coded under "diagnostic" or "IF"?

    just curious. I'm goin, I'm goin.

     

    and thanks Eppie. Now I wanna PB&J. ;-)

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  • LCB34LCB34 member
    imageDavezWife:

    does anyone know approx cost, or if it's coded under "diagnostic" or "IF"?

    just curious. I'm goin, I'm goin.

     

    and thanks Eppie. Now I wanna PB&J. ;-)

    I would think they could code it as diagnostic.  Especially given your hisotry.  It seems it would be to investigate if you have anything "hostile" in your uterus.

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  • LucyPevensieLucyPevensie member
    It should absolutely be coded diagnostic.  Good luck T!!!
    Wheee!
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  • Mrs.OLMrs.OL

    The claim that was submitted for me from the day I had my SHG was $881. 

    ~Olivia~
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  • DavezWifeDavezWife member
    imageMrs.OL:

    The claim that was submitted for me from the day I had my SHG was $881. 

    cheese and rice.

    uggh.

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  • DavezWifeDavezWife member
    imageMrs.OL:

    The claim that was submitted for me from the day I had my SHG was $881. 

    cheese and rice.

    uggh.

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  • Temp159135562506975Temp159135562506975 member

    i had one and was glad i did - everything was OK for me  but a friend who was going to do IVF for #2 had one and they found some problems that were not seen on US --- she would have wasted her time with more IVFs if she didn't do the saline sono and went on to do IVFs with the problems she had.

     

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  • jodyplustwinsx2jodyplustwinsx2

    My SHG was not covered by my insurance this time around, so no matter how it was coded, they clearly didn't buy it. They have, however, surprised me by paying for some of the blood work that I didn't expect them to.

    At any rate, my SHG and trial transfer were both about $650. That's the self-pay rate, not whatever godforsaken rate they submit to the insurance company. Also, just as an FYI, when I went in for my ER, it turned out that we owed another $600 to the anesthesiologist... because he is not affiliated with my RE, his fee wasn't covered in the big fee we paid to the RE. That was not happy news.

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  • PsychedForBabyPsychedForBaby
    imageDavezWife:

    And just to keep ya'll up to date, I have a consult scheduled with a big wig doc here in town with another RE clinic (MN gals.. Dr. C) on the 16th

    I never had a SHG with two different REs, including the famous Dr Camp_bell.  ;)  You're gonna like him.  

    Would you not do IVF with Casey from the other clinic?  Did she talk to you about going that route?  Just curious.    

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  • ChristakimChristakim member
    imageDavezWife:

    does anyone know approx cost, or if it's coded under "diagnostic" or "IF"?

    just curious. I'm goin, I'm goin.

     

    and thanks Eppie. Now I wanna PB&J. ;-)

     

    It's diagnositc:P

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  • DavezWifeDavezWife member

    Mel - no IVF in the states. too much money and we're OOP. I can't mentally handle a $20K BFN. Going on vacation to a wonderful country and happen to see a doc a few times... THAT I can handle. ;-)

    I've been told many good things about Dr. C, so I'm excited. I think I'll have to keep hush about heading to CR, but that's my business, not his. He'll be paid for his opinion, that  I"m sure ;-)

     

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