Trouble TTC

After HSG?

So I had my HSG three weeks ago. I called my doctor a week after that to ask "now what?" but he hasn't gotten back to me yet. I'm going to call again, but I want to be armed with more information on next steps. So, what was the typical next step for everyone after you had your HSG (and assuming it came back normal)? TIA!
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Re: After HSG?

  • Has YH had his SA?  After all that was done, we started clomid...but everyone's different.  Hope you get a plan soon!
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    TTC since July 2011
    BFP #1: 2/15/12-Ectopic/Mtx at 6 wks

    BFP #2: 10/12/12-m/c at 5 wks. 
    BFP #3: 8/27/13
    Me: MTHFR, Low AMH (1.1), High NK cells and Antiphospholipid Antibodies.
    DH:MFI-Low morph (1%), DNA fragmentation: Excellent!
    5 rounds of clomid, 3 IUIs, and multiple non-medicated cycles- BFFN                                                      
    IVF with ICSI in August 2013 brought us our babies.  ER-9R, 7M, 4F w/ICSI  ET of 2-Grade 2 blasts. 
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  • imagemonimu13:
    Has YH had his SA?  After all that was done, we started clomid...but everyone's different.  Hope you get a plan soon!

    Same here. After b/w, HSG, and SA all came back normal, we did a Clomid + TI cycle, and then moved to Clomid + IUIs.  

    But your plan of action will depend on your test results. For example, if your HSG came back abnormal, they may want to do other testing or a lap. Or if the SA came back low, you might have to get your H further diagnosis/treatment first.

    GL! 

    *** Trigger Warnings ***

    TTC #1 since March 2011
    Dx = Unexplained IF
    1 medicated TI cycle & 4 clomid IUIs = all BFNs
    June 2013 IVF #1 = 6 frosties + BFP!
    DS1 born 2/14

    TTC #2 since December 2014
    May 2015 unassisted BFP ended in m/c at 7wks
    April 2016 FET #1 = BFN
    June 2016 FET #2 = c/p
    August 2016 FET #3 = BFP!
    DS2 born 4/17
  • katib77katib77 member
    We did our HSG before the S/A, but as soon as S/A came back low we moved straight to RE and had a sit down on "the plan" and did cd3 blood work and baseline U/S because the meeting happen to take place on cd3.  The plan was then to move forward with clomid & IUI but we waited six months to see a uro and take vitamins, and be able to afford treatment so our "now what" turned into "Oh, we should probably wait."  As PP said, everyone's plan is different based on testing results.  

    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
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  • What was your hsg experience? Mine is this afternoon and I'm a mess about it. I need to stop googling....
  • imageletsgobowlingx:
    imageNYGiants2010:
    What was your hsg experience? Mine is this afternoon and I'm a mess about it. I need to stop googling....


    I did the same thing! It was actually much better than I had thought! There was a lot of pressure/discomfort to the point where I thought I was going to scream but by the time that thought went through my head it was already over! It seriously goes by so quick, you'll be fine just take some pain killers before hand. GL :) 

    Thanks for the replies, everyone! And yes, I'm quite annoyed RE didn't get back to me. DH did have his SA done (and for some reason that isn't showing up in my siggy even though it should be since it's showing up when I go to My Avator & Sig...grrr). He had slightly low count (14 million; RE said he looked for at least 15M), low motility at 14%, and morph was abnormal. He's been taking FertilAid and Motility Boost for the last 3ish weeks (yeah, I know, still pretty early for results).

     As for my own HSG in reply to those just above, eh, mine was kind of worse than I expected. I will say there was a med student that was doing the inserting, so maybe that had something to do with it (maybe not quite as skilled yet). It was quite uncomfortable and a little painful (worse than my worse cramps ever) for a few minutes, but once the speculum was removed, I was immediately A LOT more comfortable. Maybe from a 6 down to a 2 or 1--basically I could tell something was there but it wasn't really painful). One of my tubes was very open, but they couldn't really see my other one very well to definitively tell me it was open (the dye was kind of obscuring the view; they even had me roll my hips a few different ways to see if that would help). All indications were that it was though.

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  • RunCC37RunCC37 member
    imagehwkeyebrideinstl:

    ::snip:: 

    Thanks for the replies, everyone! And yes, I'm quite annoyed RE didn't get back to me. DH did have his SA done (and for some reason that isn't showing up in my siggy even though it should be since it's showing up when I go to My Avator & Sig...grrr). He had slightly low count (14 million; RE said he looked for at least 15M), low motility at 14%, and morph was abnormal. He's been taking FertilAid and Motility Boost for the last 3ish weeks (yeah, I know, still pretty early for results).

    ::snip::

    To address the bolded up above, you have to press the save button 10-15 times in a row really fast for changes on your siggy to actually save. It sounds ridiculous (because it is), but that's the way to get it to work.

    After our initial testing was completed (b/w, u/s, SA, HSG and MRI), we sat down with our RE for a mini-consult to discuss the results. Then we came up with a plan (for us, clomid, trigger & IUI). 

    **SIGGY WARNING**

    Me: 32 DH: 35  TTC#1 since March 2012
    Dx: Poor Embryo Quality, Arcuate Uterus, Poor Uterine Blood Flow, Mild Endo, 
           Protein S Deficiency, Sjorgen's Syndrome 

    IUI #1-5: BFN
    Laparoscopy & Hysteroscopy: minimal endo, partial septoplasty
    IVF #1: 10R/6M/6F ~ Day 3 ET = BFN
    IVF #2: 14R/9M/5F ~ transfer canceled ~ all embryos arrested at 1-2 cell stage
    IVF #3: 9R/5M/5F ~ 1 frosty!
    IVF #4 (FET #1): BFN

    IVF #5 (DE IVF #1 with Dr. KK protocol): Currently PREGNANT!!!!!!
    Synthroid + Prednisone + Metformin + Baby Aspirin + Supplements Galore = 15+ pills a day
    Lupron + Lovenox + Delestrogen + IVIG + B/W = 2-5 pokes a day
    19R, 17M, 17F - transferred two Grade A blasts 11/16, four frosties!!!
    Beta #1 11/24 (13dpo/8dp5dt) = 367 ~ Beta #2 11/26 (15dpo/10dp5dt) = 709
    Beta #3 11/29 (18dpo/13dp5dt) = 1,997 ~ Beta #4 12/1 (20dpo/15dp5dt) = 3,403

    imageimageimage

    My Blog: Running and Dreaming for Two ~ All are Welcome!
  • Right after the HSG the RE talked to me about how it went. He thought there may be a polyp so I had a Saline Sono a few days later.  Luckily everything came back fine.  DH had a SA around when I had my HSG.  I then waited for AF and started Clomid IUI the next cycle.  I would definitely call again for next steps. 
    ***SIGGY WARNING***

    DX: Unexplained
    6 Failed IUIs (Clomid and Gonal F).  
    IVF #1 began August 2013- BC, 4 days of Estrace, stimmed with Gonal F and Menopur, Ganirelix, 9R 5M 5F, Medrol and Doxycycline, 5 day transfer of 2 early blastocysts- good quality, Progesterone, Estrace, and baby aspirin, BETA on 9/20 BFN,   IVF #2 began September 2013, stimming with Gonal F (higher dose) and Menopur, Ganirelix, 18R 14M 9F with ICSI, 5 day transfer of 2 BBs one was starting to hatch, 2 frosties: 1  BB and 1 AC, BETA on 10/21, BFN BETA was a 5- chemical 
    Getting some more testing and trying to figure out what the issue is before FET in December, started acupuncture on 11/10, RLP and some other BW nothing major to report except slightly high Prolactin. Prolactin was slightly high when I started with my RE and I already had an MRI which was Neg.  Endo biopsy=negative.  WTF is wrong with us???
    12/18/13 FET of 1 BB and 1 AC.  Hoping for a miracle.  Beta 12/26 Low BETA-8 2nd BETA 5- chemical
    After 3 failed transfers IDK where to go from here.  Still no real answers as to why this isn't working.  Getting a second opinion in February and looking into immune testing.  
    2/14- NEW RE- Immune testing showed a partial dq alpha match with DH- On prednisone and did intralipids prior to transfer.  3/14 Lupron, gonal f, menopur, HGH.  ER 15 mature all 15 fertilized!  5dt of an early blast grade 1 and an expanded blast grade 2.  BETA on 4/21.  1 grade 2 embryo frozen
    BETA #1 59 BETA #2 148 BETA #3 283 BETA #4 2,783! US at 6w2d shows 1 bean measuring right on track! HR 121.  US at 8w3d measuring on track HR 177. Released form my RE.  EDD 12/28


    All Welcome
  • EIK2013EIK2013 member
    Right after my HSG my RE talked about how everything went and my DH had already had two SA so we went right into our treatment plan. Good luck to you!
    Me: 27, DH: 29*** TTC since November 2011 *** Dx with PCOS in September 2012 
    ***September 2012: IUI #1 = BFN*** 
     ***October 2012: IUI #2 = cancelled due to not responding to meds ***
     ***February 2013: IUI #3 - BFN ***
     *** April 2013: Gonal-f, HCG Trigger and TI = BFN*** 
     ***May/June 2013: TAKING A BREAK.***
    ***July 2013: Gonal-f, Trigger and TI = BFN***
    ***August 2013: Gonal-f, Trigger and TI = Cancelled due to over-stimulating***
    ***September/October 2013: Fermara, Gonal-f, Trigger and TI = BFP!!!!!!!!!!!!!!! Beta #1: 65, Beta #2: 210!!!!!!***




    BabyFruit Ticker
  • We went through our testing in February.  The FSH, estradiol, TSH, HSG and SA all came back normal.  I was asked what I wanted to do next, I said we would TTC for three more cycles since some couples do conceive after an HSG and my doctor was still a little hesitant about putting me on Clomid.  We just had our Clomid appointment this past Monday and I think because I waited a few more months, the doctor was more willing to discuss Clomid.  If I don't get a BFP this cycle, then I can call for a prescription to be phoned in. 
    Married 7/7/2007 TTC 10/11 BFP 7/7/12 EDD 3/16/13 Ruptured Ectopic 7/20/12
  • no advice, but I hope your HSG comes back normal!
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    Age: Me 26, DH 27, Married Oct. 10, 2009 ,TTC since March 2012
    Problem: Irregular menstruation, unexplained
    Nov&Dec-Provera because of no period after 35+ days
    First RE appt 1/10/2013
    Tests: TSH (normal), Prolactin (normal), SA (abnormal)
    Hysteroscopy (normal) and PCOS labs (negative/normal) 1/15/2013
    2/1/13- HPT BFP but Beta Hcg was negative
    Plan: Femara + Trigger + IUI in April if no real BFP before then Bloggy Blog!
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