We decided to go for the HSG test after 4 courses of Clomid as recommmended by the gynae.
HSG is short for Hysterosalpingogram and is "an x-ray of the uterus and fallopian tubes performed after the injection of a contrast material". According to the brochure, it is used to examine women who have trouble becoming pregnant. The procedure is usually performed during the "lull" period after menses and before ovulation.
My HSG test was scheduled on 22 June morning (which was Day 10 of my cycle) and I was taken off Clomid for the month which according to my gynae, is bacause it is not safe to conceive in the same month as the procedure. I was told to take 2 panadols in the morning of the procedure just in case it was "a little painful".
While the brochure provided explained the procedure, unfortunately, it didn't explain the amount of pain and discomfort :(
The overall experience the radiologist was not what I expected.
First of all, when I got to the x-ray department and told them I'm on Day 10 of my cycle, the nurse said she had to check with the radiologist if I could still go ahead with the procedure as they normally do the test no later than Day 8 of a cycle. Ok, I understand that my gynaecologist & radiologist are not from the same clinic and unlikely to have a long drawn discussion about my case but I was not going to lose one whole month just because of a technicality!!! I assured the nurse that we have not tried for the month so it was very unlikely that I was pregnant. She went back to the radiologist with this information and I was given the go ahead!
I was put in a hospital gown and brought to an x-ray room. Then, I was made to lie down on a operating bed(??) and then... the nurses started having a discussion as to whether my blood pressure should be taken before & after the procedure or throughout the procedure. The senior nurse was very indignant and insisted "No, I'm very sure it is throughout the procedure. You weren't at the briefing this morning!".
After everything has been set up, the radiologist came in and was immediately impatient with the nurses and scolded them for attempting to measure my blood pressure throughout! He was very short with them and kept verbally abusing them whilst I was lying there.
For the first 10 minutes, he tried to insert the catheter up my cervix but had some difficulty as he realised that my cervix was too small. He then asked for a smaller catheter whilst biting the nurses' heads off.
Although he was seriously nasty to the nurses, he explained the above to me in a very nice doctor-ly manner. But all I can think of is "get the freaking speculum off me!!!".
So the nurse came back in 5 minutes with the smaller catheter and thank God it was successfully inserted this time!
And then the toture begins... he slowly inserted the water-soluble contrast material into my cervix and here, I cannot explain the immense discomfort except that it's not just painful but truly one of the worst things I ever felt. I can literally feel the liquid bloating me up inside and all the while I was so tired from lifting my legs up (there were no leg holders so I held up my legs for the whole time). I think I was close to fainting at this point.
The only good thing about a HSG is that the results are immediate. In fact, as I was lying there about to pass out, the good radiologist said "look at the screen... you can see the entire left ovary but the right ovary is missing". So I explained that it's not missing, it was removed when I had a growth on it when I was about 12. He made me turn to the left and right a few times to take the images but this part was relatively fast.
And then it was over! I was told to put on my clothes and take a rest in the waiting area and come back an hour later for the x-ray so I could bring it to my gynae. Immediately after the HSG, I had some slight spotting and then for the rest of the day, it was just some clear discharge which was probably the dye coming out.
The HSG procedure costs around US$210 which included the fees of the radiologist and the cost of the catheter.
My gynae took a look at the x-ray and declared that all was well and there are no blockages in my left ovary! YAY!
After lunch, I went home to take a nap but there was still some pain on the right side of my stomach so I tool 2 panadol, cried a little (not from the pain but from self-pity which was pain induced) and fell asleep. During dinner, there was still some mild discomfort so I went to bed early. Thankfully, I was back to normal the next day and the bleeding stopped :)
AFTER the procedure, I read a little about HSG and some websites claim that it boosts fertility for a few months as the "debris" collected over the years are "flushed out" by the contrast material. Some people claimed that they got pregnant within the same month or the following month after the procedure. I don't think there are any scientifically proven claims and if it proves the same for me, I'll post a blog about it!
I'm grateful that the HSG result is positive and that we can proceed to the next step - IUI.
Call to Me, and I will answer you, and show you great and mighty things, which you do not know.
Jeremiah 33:3