Community› The Bump Message Boards› Trouble TTC
Trouble TTC
New Discussion

Maybe a dumb Question - HSG vs Saline Sonogram?

hardlyhannahhardlyhannah member
in Trouble TTC
I understand what the HSG is, and I googled saline sonogram, but what is the major difference?

Also, has anyone heard of an HSG being done with saline instead of dye? That is what my OBGYN said they do in office - and now I am wondering if they are calling it an HSG when really it is a saline sonogram? (goodness, I hope not, that would be really disheartening)

August '18 March Siggy Challenge - You had ONE JOB

Pregnancy Ticker


Report Reply to Post

Re: Maybe a dumb Question - HSG vs Saline Sonogram?

  • DSculley1824DSculley1824 member
    I had both done. I had my HSG done in the hospital as outpatient. One of the PA's from my ob/gyn's office performed it with the help of a radiological technician. When it was time to use the dye the PA inserted it through the catheter and an actual Radiologist came in to do the x-rays. He told me right then and there the results. My RE did the SIS in his office. It was done using an internal ultrasound where a saline solution was put in. They're both different tests! Hope that helps.

    ***SIGGY WARNING***

    Me (26) & DH (26)
    Dog Momma to 2 amazing furbabies
    Started dating: May 6, 2005 & Married: August 4, 2012
    Diagnosis: PCOS

    September 2013 - January 2014: Not trying but not preventing
    February 2014:     Officially TTC (BBT, OPKs, etc)
    February-August 2014: Irregular Cycles, U/S showed Fibroids/Cysts, Provera required to get AF, BFNs
    September & October 2014: Testing Months with Reproductive Endocrinologist!
    DH's SA: Normal (116.4 million sperm, 97% motility, 36% morphology) - WHO criteria
    DH's Repeat SA: Poss. Low Morph. (138 million sperm, 73% motility, 8% morphology) - Kruger criteria
    HSG and SIS: Normal (tubes clear)
    Medicated Cycle:     5mg Letrozole + Trigger Injection + TI = BFP!!

    ESTIMATED DUE DATE: AUGUST 13, 2015

    Beta #1: 12/8 - 1,040 Beta #2: 12/10 - 2,902 Beta #3: 12/16 - 19,321
    Ultrasound #1: 12/12 (5 weeks 1 day) - Gestational sac and yolk sac present
    Ultrasound #2: 12/18 (6 weeks 0 days) - Measuring good, heart rate 99
    Ultrasound #3: 12/26 (7 weeks 1 day) - Measuring good, heart rate 150




    Report Reply
  • Loading the player...
  • Ann612Ann612 member
    @iPutKetchupOnKetchup is smrt - this is one of those times I feel like I'm get wiser just being on this board
    Report Reply
  • hardlyhannahhardlyhannah member
    Thank you all! I will call for clarification. She was definitely talking about checking my tubes, but also definitely said she uses saline instead of dye.

    August '18 March Siggy Challenge - You had ONE JOB

    Pregnancy Ticker


    Report Reply
  • stace2524stace2524 member
    There is a newer procedure called a FemVue that can be used in place of an HSG. Instead of using dye and needing X-Ray, the FemVue uses saline and air to see if your Fallopian tubes are open. It's done in office and they use ultrasound to see if the air bubbles travel throughout your tubes. It is different than a saline sonogram in that it is specifically looking at your Fallopian Tubes, whereas the saline sonogram is more focused on the uterus.
    ***pregnancy and loss mentioned***

    Me: 31 DH: 31
    Dx: unexplained IF
    TTC since March 2013 
    IUI#1 with OB: BFN (April 2014 - clomid 50mg)
    IUI#2 with OB: BFN (June 2014 - clomid 50mg)
    IUI#3 with OB: BFN (July 2014 - clomid 50mg)
    IUI#4 with RE: BFN (August 2014 - clomid 50mg, ovidrel 250mcg, Crinone 8%)
    IVF #1 with pICSI in November
    ER 11/13 - 14R, 13M, 11F
    ET 11/19 - 2 grade AA hatched blasts transferred
    Beta #1: 58 - BFP!!, Beta #2: 140, Beta #3: 347, Beta #4: 931
    First u/s 12/19 - baby measuring 6w4d with HR of 116
    Second u/s 12/29 - baby measuring only 7 weeks, no heart beat detected
    01/02/15 - misoprostol administered vaginally

    image
    Report Reply
  • stace2524stace2524 member
    There is a newer procedure called a FemVue that can be used in place of an HSG. Instead of using dye and needing X-Ray, the FemVue uses saline and air to see if your Fallopian tubes are open. It's done in office and they use ultrasound to see if the air bubbles travel throughout your tubes. It is different than a saline sonogram in that it is specifically looking at your Fallopian Tubes, whereas the saline sonogram is more focused on the uterus.
    ***pregnancy and loss mentioned***

    Me: 31 DH: 31
    Dx: unexplained IF
    TTC since March 2013 
    IUI#1 with OB: BFN (April 2014 - clomid 50mg)
    IUI#2 with OB: BFN (June 2014 - clomid 50mg)
    IUI#3 with OB: BFN (July 2014 - clomid 50mg)
    IUI#4 with RE: BFN (August 2014 - clomid 50mg, ovidrel 250mcg, Crinone 8%)
    IVF #1 with pICSI in November
    ER 11/13 - 14R, 13M, 11F
    ET 11/19 - 2 grade AA hatched blasts transferred
    Beta #1: 58 - BFP!!, Beta #2: 140, Beta #3: 347, Beta #4: 931
    First u/s 12/19 - baby measuring 6w4d with HR of 116
    Second u/s 12/29 - baby measuring only 7 weeks, no heart beat detected
    01/02/15 - misoprostol administered vaginally

    image
    Report Reply
  • kushie77kushie77 member
    There's two different types of contrast they can use for an HSG.  One is saline based, the other oil.  I'm thinking that is what she is referring to.  

    HSG checks for tube patency.  Saline sono is more for checking the "lay of the land" in your ute so to speak.  

    Good luck, I hope everything comes back all clear.  

    ****SIGGY WARNING****


     Hashimoto's with irregular cycles  DH- 37 Severe oligoasthenoteratozoospermia

    TTC since May 2012

    HSG- all clear

    March 2014 - RE appt. 
    April 2014- Saline sono all's good, terrible SA results - 8 sperm found all abnormal
    May 2014- Fert Urology- Bilateral varicoceles, recommend Donor Sperm
    12/2014-  Surprise natural BFP  EDD 7/31/15 Plan:  Starting foster to adoption, natural cycles




    Report Reply
  • RadiantlyRadiantly member
    Just a note to say that my HSG was outpatient and involving x Rays. The Saline sonogram was done by my RE in his office. I barely felt the SS - couldn't believe it was over. Whereas I really had to breathe thru the HSG. I did have a blocked tube so maybe that's why it was so uncomfortable. They tried to open it by pushing more dye but it didn't work. Good luck
    TTC#1 since Aug 2013, I'm 37, DH 41.  
    Maya Arvigo Abdominal massage (daily self care), plus TTC meditations.
    I'm very sensitive to diet (gluten, avoid processed foods) and environment. Have a history of inflammation and tendinitis before going off gluten in 2009.  
    July 2014 - RE Visit #1: Eggs look good, Endometrioma on R ovary, HSG showed blocked R tube close to ovary. DH SA normal 
    DX: Endometriosis probably the IF cause and gunking up tubes.  Since egg reserve is high, RE says I can wait a couple months and then get laproscopic surgery to remove endo & clear tube.  If that doesn't help then move to IVF. 
    Dec 2014 - Saw new RE - does not recommend surgery on tube as it isn't likely to help.  Doubts I have endometriosis.  My endometrioma shrunk to neglible size (yay!) 
    Seriously considering IVF in March/April
    12/17/14 - Natural BFP! 
    Report Reply
  • typo31typo31 member
    Like PP mentioned, ask if they do the air bubble test. 

    I had to clarify this with my RE when he only mentioned the saline sonogram - he then went on to explain that right after the saline sonogram he does the FemVue (he called it an "aspiration sonogram") to check the tubes. He said it's newer technology that women find to be less painful than the HSG,...I still found it to be pretty uncomfortable but only for a quick moment!


    Report Reply
  • hardlyhannahhardlyhannah member
    thanks again all! I left a message for the nurse so hopefully they call back tomorrow!

    August '18 March Siggy Challenge - You had ONE JOB

    Pregnancy Ticker


    Report Reply
This discussion has been closed.
Choose Another Board
Search Boards
"
"