Hysteroscopy and tubal cannulation questions after not great test results- any insight is welcome

roxgibbons · December 2015

Hi all,

Apologies in advance for the long post but I could really use some support-

I had a saline ultrasound and HSG done this week and did not get the results I had hoped for.

A little background- I got a BFN after my second medicated IUI earlier this month. During my follie scan before my IUI my nurse saw "something" in my ultrasound and ordered the saline u/s.

Fast forward to Monday- I went in for the U/S and a 12x9 mm polyp was found in the uterine cavity. My Dr didn't seem overly concerned as he said it's not uncommon but since we are TTC he suggested a hysteroscopy to remove the polyp. He also mentioned that this could be the reason we are having a hard time TTC but can't say with 100% certainty. The hysteroscopy is scheduled for Jan.13. Not the result I wanted but there is a plan. Yesterday I had my HSG as I have not been able to get in for one and figured since this month was a testing month, I decided to go for it. The procedure itself was painless and easy but unfortunately they were not able to get a good view of my tubes and the dye was not going in and of course the polyp wasn't helping as it was obstructing the images. Since the dye wasn't going through, the nurse thought maybe my tubes were having a spasm. I got an email from my Dr and spoke with him this morning and he suggested we do a tubal cannulation to see if the tubes are in fact blocked as he thinks more than likely that is the case and if they are blocked attempt to open them up. Unfortunately- they are all booked up in January so it may have to wait till February. I was instructed to call back first week of January when I start my period. At this point we may not be able to resume treatment until late February or March.

I am very overwhelmed with all of this and very frustrated. The polyp was one thing but I was really hoping for an all clear on the HSG. I am so upset and have been crying since yesterday. This was all so unexpected. Everything thus far has been going pretty smooth with our treatments, I think all of this has caught me off guard.

Has anyone experienced any of these procedures or have any knowledge about these? Any insight is appreciated and welcome.

Thank you.

Drove2u · December 2015

@roxgibbons so sorry you are going through all of this. I did have a hysteroscopy done yesterday but just for a check. So I don't have much experience but just wanted to say I'm thinking of you. It'll be good to get those tubes opened and then continue with the process.

KatBH · December 2015

I'm not familiar with the cannulation procedure, but they might be able to get a better look at your tubes during the hysteroscopy. Since you're having a polyp removed I assume they'll already have you under general anesthesia.

I can totally relate to the feeling of being caught off guard. After 7 months of TTC I went to my OB for an annual and she told me she thought I had a fibroid. She immediately recommended me to an RE and I had my hysteroscopy scheduled before I knew it. It definitely threw me off for a bit, but I have an RE that is wonderful and I feel like we're able to discuss next steps that he feels will get us the end result of a pregnancy, without taking more aggressive steps than we're comfortable with. The time that you'll have to wait before trying again is the most frustrating part, but it's good to know that you have a plan.

The hysteroscopy should be a really easy procedure, and there's no real downtime. Best of luck!

ZoeFer · December 2015

@roxgibbons I was wondering how your tests were going. I do not have any experience. I just wanted to say that I am really sorry that you are going through this and you are feeling upset. But I think it is really great that they found out the problems, now you can have a better plan, take action and hopefully they can fix the problems. It is much better than not knowing what the problems are. I hope you best of luck with hysteroscopy and tubal cannulation , I hope everything goes so smooth after this point !

MaineWifey · December 2015

I had one blocked tube with a hydrosapinx, and my Dr. decided to remove it once he got in there rather than try to fix it. It was more of a liability leaving it in due to the risk of ectopic pregnancy. It was done under general anestesia so at the same time he also took care of some really mild endo, took some samples for testing for infections, etc. Basically, he was able to make as clear of a path for conception as possible, and I felt good about having it taken care of. I had the surgery a couple of weeks ago.

The whole surgery took about an hour, maybe a tad longer. I felt pretty normal with in a couple of days, with the exception of needing to take it easier at the gym. We didn't have to wait at all to start trying again after the procedure, which was nice.

It does suck to have to wait even longer, and I feel for you there!

roxgibbons · December 2015

Thanks for all the info and kind words. I was able to get my appt for the tubal cannulation booked for February 9th. Unfortunately this was the earliest appt they had but at least it's on the calendar. The waiting is hard but I have no control, so I am doing my best to just get through the next couple of months. Fingers crossed, it's an easy fix and I will be able to join the TWW boards again in no time.

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