Snarky and T-TTC

Fight with DH over HSG

So, I would love your thoughts on this. I typically post on GP, but there have been a lot of newbies lately that may not have had to think about a HSG.

I got in a BIG fight on new years with DH over me wanting to get an HSG. (I blame the booze :)

Basically, he has low sperm count (2 million), but the swimmers he does have are good. We saw an RE a few weeks ago and she recommended IVF. It was a bit of a shock to us. Before we move forward, DH has an appointment with a?urologist?to see if there is any more he can do before we jump to IVF. ?

I have had BW and it has all been fine. My charts, OPKs, CBEFM, all indicate that I am ovulating. I had a SIS a few weeks ago and that was clear.

I want to ask for an HSG. I know I don't need it if we do the IVF, but I am not sure when that would happen and we want to continue to try on our own until then.

My rational is that I want to be sure all is cool with me so we don't just focus on him. DH is against it. I am not totally sure why. I think he feels that we know what the problem is and I should not do more tests.

I have no reason to think anything is wrong, but I want to know that everything with me is fine. We have gone this far...what is one more test?

I would hate for the one super spermie that makes it to my egg is blocked out.?

Thoughts? Reasons not to do one? ?

Re: Fight with DH over HSG

  • I definitely think you should get one. Its a fairly simple procedure and one more thing to rule out or to show a potential problem.
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  • if you are not going to IVF right away and will still be trying on your own for a while, I would do the HSG.   

    Remember in infertility - I don't remember the percentages I read somewhere, but x% are female IF, x% are MFI, x% are BOTH, and x% are unexplained.   You would hate to continue trying to find you fall into the "both" category later.  That would be a waste

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    TTC#1 Chart
    TTC#2 Chart
    IUI #1 - #4 (repronex trigger) = BFN
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    med/treatment free BFP 06/28/10. EDD 03/05/11 *** GIRL #2 (02/23/11)
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  • I think a good reason to do one would be the HSG could ensure nothing is wrong with your tubes.  Yes, you bypass the tubes with IVF, however a blocked tube lowers the success rate of the procedure because it could be causing other issues above and beyond simply being blocked.  My RE said that it can lower the "normal" or "average" success rate of a procedure or treatment by up to 33%. 
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  • I think you should get one as well.  I had an HSG after we discovered that our primary issue seemed to be with DH.  I wanted one just to rule out any other possible issues. 

    Edited to add:  My RE also would have had me do an HSG before the IVF we had not already done one. 

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    TTC #2, Operative hysteroscopy March 2011; IVF #1 long lupron protocol April 2011-cancelled due to poor response; IVF #2 flare protocol May 2011=hospitalization due to abdominal hemorrhage during ER and no fert due to MFI issues. Moving onto international adoption from Moldova January 2013!
  • Actually we were doing IVF because of MFI and my doctor insisted on an HSG. So even if you do IVF you may need an HSG.  My doctor said something about how if your tubes are blocked some sort of fluid may pool making a hostile environment for embies.  If they had found a blocked tube they would have removed it before doing the IVF.  I'm sure that different doctors have different opinions on this though (and I have no idea what my current doc thinks).

    In any case, you should do the HSG.

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  • You should definitely have it done. If your tubes are blocked and they are hydrosalpinx (contain fluid) this fluid can leak back into your uterus and possibly kill any embryo or possibly prevent implantation from happening. It's a simple test and it will give you peace of mind.
    imageimage

    After 22 cycles and tube removal our IVF miracle has arrived! Detailed IF and IVF info in bio.


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  • imagesmilelari:

    Actually we were doing IVF because of MFI and my doctor insisted on an HSG. So even if you do IVF you may need an HSG.  My doctor said something about how if your tubes are blocked some sort of fluid may pool making a hostile environment for embies.  If they had found a blocked tube they would have removed it before doing the IVF.  I'm sure that different doctors have different opinions on this though (and I have no idea what my current doc thinks).

    In any case, you should do the HSG.

    Lari's right.  The blocked tube could cause hydrosalpinx which is basically a build up of toxic fluid in the uterus that makes implantation difficult and/or impossible.  My RE refuses to proceed with IVF until I have a lap to have my blocked tube removed or fixed.  Get the HSG just to rule something like this out.  You would hate to find out later after the first IVF that you didn't have everything possible working in your favor, you know?

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  • imageJennifer*L*923:
    imagesmilelari:

    Actually we were doing IVF because of MFI and my doctor insisted on an HSG. So even if you do IVF you may need an HSG.  My doctor said something about how if your tubes are blocked some sort of fluid may pool making a hostile environment for embies.  If they had found a blocked tube they would have removed it before doing the IVF.  I'm sure that different doctors have different opinions on this though (and I have no idea what my current doc thinks).

    In any case, you should do the HSG.

    Lari's right.  The blocked tube could cause hydrosalpinx which is basically a build up of toxic fluid in the uterus that makes implantation difficult and/or impossible.  My RE refuses to proceed with IVF until I have a lap to have my blocked tube removed or fixed.  Get the HSG just to rule something like this out.  You would hate to find out later after the first IVF that you didn't have everything possible working in your favor, you know?

    This is what happened to me. Mine are being removed Thursday. Yay me!

    imageimage

    After 22 cycles and tube removal our IVF miracle has arrived! Detailed IF and IVF info in bio.


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  • Thanks. I am glad I am on the right track. It was not a pretty fight, but I knew I was right.

    My RE said I did not need one, so I will need to fight her on that one. To be honest, my RE really went straight into talking about IVF and spent about .2 seconds on what we could do for DH. I know we don't have a lot of options for raising his count, but I would like to explore them first before making such a big decision. We got a calendar put in our face at the end of the first meeting to schedule the procedure. We were not ready yet.?

    To confound the problem, there is a chance we are making a big out of state move in the next few months, so I did not want to start IVF until that is figured out. That could mean at least 3 more months of trying on our own.

    HSG it is! ?

    ?

  • sorry you rang in the new year with a fight over an IF topic of all things.    That sucks

     Sad

    image
    TTC#1 Chart
    TTC#2 Chart
    IUI #1 - #4 (repronex trigger) = BFN
    IUI#5 on 10/28/2008 ** BFP 11/10/08 ** EDD 07/21/09 *** It's a GIRL (07/14/09) AlternaTickers - Cool, free Web tickers
    med/treatment free BFP 06/28/10. EDD 03/05/11 *** GIRL #2 (02/23/11)
    beta#1 @ 17dpo = 1296 .... beta#2 @ 19dpo = 3034
    AlternaTickers - Cool, free Web tickers
    image
    it's the Bug and Baby Belle!
  • I agree with others about getting the HSG.

    I hope taking all this good info back to your DH will soften him on the subject and he'll see that it'll optimize your IVF chances.

     Good luck.

  • imagestaycee:

    sorry you rang in the new year with a fight over an IF topic of all things.??? That sucks

    ?Sad

    Eh...what are you going to do! Holidays sucked this year. AF two days early on Christmas morning and fight with DH about IF issues on New Years.

    Things are just a bit stressful at the moment with baby stuff and possible move stuff.

    I don't think it would have been a fight if DH had not said no about getting an HSG. I did not think he would have had an opinion in the first place! ?

  • well, although I agree that all this stuff needs to be talked over and both parties all for it -  in the end, it's still your body to do with as you like.
    image
    TTC#1 Chart
    TTC#2 Chart
    IUI #1 - #4 (repronex trigger) = BFN
    IUI#5 on 10/28/2008 ** BFP 11/10/08 ** EDD 07/21/09 *** It's a GIRL (07/14/09) AlternaTickers - Cool, free Web tickers
    med/treatment free BFP 06/28/10. EDD 03/05/11 *** GIRL #2 (02/23/11)
    beta#1 @ 17dpo = 1296 .... beta#2 @ 19dpo = 3034
    AlternaTickers - Cool, free Web tickers
    image
    it's the Bug and Baby Belle!
  • I'm late to this so I don't have anything further to add other than we are also severe MFI and my RE still required the HSG as well.  Same info as above, pretty much.  Good luck to you!
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    Severe MFI - on to IVF w/ ICSI

    IVF#1-2: BFN
    IVF#3: BFP! - 1/24: ET - 5d - 2 blasts - 2/02: Beta #1: 16.2 ...... 2/04: Beta #2: 35 ...... 2/09: Beta #3: 401.5 - I'm pregnant! - 2/13: u/s #1 - baby boy, due 10/12, born 10/16! ...... 8 lbs 0 oz, 22 inches! Baby Birthday Ticker Ticker

  • I think you are being wise. It's better to rule out all possibility of problems before going to an extreme.

    My RE wouldn't even consider starting an IUI or IVF cycle without completing all testing. This included CD 3 and 7 DPO b/w, HSG, hysteroscopy, and  endometrial biopsy.

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  • 1. Find a new RE

    2. It's your body, you can do the HSG whether or not DH wants to or not.

  • Yes, def get one if you are still planning on trying on your own.
  • Talked to DH and he lightened up. That and I argued him to death on the subject before. "My body" was one of my best?arguments.?

    ?If we don't end up moving, I may look for a new RE. So far, I have not really liked the treatment plan AND I have been waiting for them to call me on test results for days now. 3 message...no results.

    Thanks for the support! ?

  • I asked my RE's office about an HSG...they are looking into and will give me a call back with an appointment.?
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