Secondary IF

HSG vs. hysterscopy?

I have been referred to an RE by Ob/gyn and the RE recommended cd 3/10 bw and HSG, after I left the consultation, the nurse also said RE wants me to hysteroscopy which RE didn't actually say to me.

I know what the procedures entail on my end but what do they/could they tell the RE?  Maybe RE just forgot to tell me in the meeting? Or the nurse got it wrong.

I have a f/u apt this week and can't do anything until my beta hcg is 0. Which I am hoping with this spotting that AF is coming and we can move on to the testing.

I am not suggesting I don't need both but I would love an explanation of the benefits of doing both and what they help tell RE.

I had a c/s with a major wound infection that required more surgery and prior to that a lap for the removal of a tube from a torsion, so I am guess there may be adhesionpalooza going on in there, so maybe that is why?

 



 6/09 right tube loss (fallopian torsion) 12/09 BFP #1 (DD born 9/10)
8/12 dx Lupus (ANA+/APA-), 12/12 BFP #2  natural m/c 6w 2d 
TTC#2  since 9/12  50mg Clomid/Ovidrel IUI #1 Beta 10/4=BFN
                             50mg Clomid/Ovidrel IUI #2 Beta 11/1= BFN
                                  100 mg Clomid/Ovidrel IUI #3 Beta 12/26=BFFN
100 mg Clomid/Ovidrel IUI #4 Beta 2/14= BFFN
Took a LONG Break
Lots of Luck and Love BFPB for life KOFMKG

Re: HSG vs. hysterscopy?

  • I've never had either procedure, but my RE suggested maybe doing a hysteroscopy to remove a septum in my uterus.  I'm not sure what your RE would want to do one for, unless it is to remove something like that?  From what I understand (and I may be wrong), HSGs are used to see if your tubes are clear without obstructions.

    Maybe you could check with him when you go in for your follow up appointment.

    Good luck!

    Me: 42. DH: 46.

    1st Pregnancy: MC, 11/19/00.

    2nd Pregnancy: DS born 04/10/06.

    3rd Pregnancy: CP, 03/11.

    4th Pregnancy: MMC, D&C 11/30/11, Genetic testing revealed Trisomy 4.

    5th Pregnancy: Ectopic, 2 doses of Methotrexate unsuccessful, surgery 4/10/12, right tube removed.

    Tried Letrozole January 2013-July 2013 (including 2 IUIs), all BFN.  After 2 1/2 years of trying for child #2, decided to "give up" after July cycle, based on AMA.

    August 16, 2013:  BFP our first month of "not trying!"  Still in shock.  Beta #1 (14dpo): 183.  Beta #2 (17dpo):  611.  Ultrasound 8/30/13: baby measured 6 weeks, 1 day, heart rate of 118 bpm! 
    Ultrasound 9/13/13:  8 weeks, heart rate of 176!
    Baby is due 4/26/14

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  • I just recently had both of those procedures done, but not at the same time. The obgyn did the HSG first, but it was inconclusive so the RE and OBGYN did a laparoscopy and hysteroscopy. I would assume your doct would try the HSG first since its a much less invasive and less involved procedure. I believe an HSG can show quite a bit as far as blockages or some abnormalities in the uterus. A hysteroscopy can actually let them see what is in your uterus, like how much scar tissue may be in there or fibroids or really anything. But, i don't think know if it can show you blocked tubes because when they did mine they still did a dye test. Maybe they want to do both because of your history? I would definitely clarify that at your next appointment.
  • Thank you, I will ask before we do anything.

    Hysteroscopy seems like overkill in my case. I only have one tube so the HSG would be good to make sure its ok!


     6/09 right tube loss (fallopian torsion) 12/09 BFP #1 (DD born 9/10)
    8/12 dx Lupus (ANA+/APA-), 12/12 BFP #2  natural m/c 6w 2d 
    TTC#2  since 9/12  50mg Clomid/Ovidrel IUI #1 Beta 10/4=BFN
                                 50mg Clomid/Ovidrel IUI #2 Beta 11/1= BFN
                                      100 mg Clomid/Ovidrel IUI #3 Beta 12/26=BFFN
    100 mg Clomid/Ovidrel IUI #4 Beta 2/14= BFFN
    Took a LONG Break
    Lots of Luck and Love BFPB for life KOFMKG
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