Hari ni D5 ..sedih btl pasal ni bulan gagal lagi..D2 last friday, pi jumpa Dr Sarva,..baru masuk,Dr senyum2.."..still no luck ah??.."..huhu, iya lah Dr. apa la ba nasib ni.
This time Dr, nda bagi apa2 medication..kena ambik darah then hubby kena suruh buat Sperm analysis..and this coming saturday, kena pi buat HSG di Damai Specialist...Risau juga if mahal but nurse tlg tanya harga, said only costs RM170..thanked God. kalau ribu raban,hai keringlah,sudahlah belum gaji time tu..
Sa ada read few blogs bilang ni procedure ada sedikit sakit..hopefully, tidak...So kepada sesiapa readers yang on the same ship macam sa, i gather this few info on HSG to be shared..
oh and yeah, i think better share the cost for consultation and medication for fertility:
so my last visit fees are as follows:
Consultation: RM30
Laboratory: RM150
Sourced from http://infertility.about.com/od/infertilitytesting/a/hsg.htm
What is an HSG (Hysterosalpingogram)?
A hysterosalpingogram (HSG) is a special kind of x-ray.
Hysterosalpingogram is pronounced /he-ster-o-sal-ping-o-gram/, but
luckily, almost no one calls it by the full name. They just say HSG.
An HSG is an outpatient procedure, which takes no longer than a half
hour. It involves placing an iodine-based dye through the cervix and
taking x-rays to help evaluate the shape of the uterus and whether or
not the fallopian tubes are open or blocked.
When is an HSG Ordered?
An HSG may be ordered as part of an infertility work-up. It's also
commonly ordered if a woman has experienced two or more miscarriages,
since abnormal uterine shape can cause
recurrent pregnancy loss.
Why is the HSG Test Important?
The HSG helps the doctor check out two important factors:
Whether or not the fallopian tubes are blocked or open.
If the fallopian tubes are blocked, a woman will not be able to get
pregnant, because the egg can't meet the sperm. You can read more about
diagnosis, causes, and treatment for blocked fallopian tubes here:
Whether or not the shape of the uterus is normal.
In 10% to 15% of women with recurrent pregnancy loss, an abnormally
shaped uterus is to blame. Some uterine abnormalities can be treated
with surgery. You can read more about the connection between uterine
shape and miscarriage here:
How Do You Prepare for an HSG?
An HSG is usually preformed after your period, but before ovulation.
This way it won't interfere with a pregnancy. This commonly falls out
between day 10 and 12 of your menstrual cycle. Talk to your fertility
clinic about scheduling the HSG, which might be tricky if you have
irregular periods.
The HSG is performed while you are awake and does not involve general
anesthesia, so you won't need to fast the day or night before. Your
doctor may suggest taking a pain killer like ibuprofen an hour before
your HSG is scheduled. This can help with the discomfort of the test.
Also, some doctors prescribe antibiotics, to guard against infection.
How is an HSG Done?
For the test, you'll lie on an examination table, usually one with
stir-ups like the ones found in a gynecologist's office. The doctor will
perform a quick pelvic exam, and place a speculum inside your vagina.
Then, the doctor will place a device called a cannula into your cervix.
Next, the doctor will inject an iodine-based dye through the cannula.
After the dye has been injected, the doctor will lower an x-ray device
over your pelvic and lower abdominal area. For each x-ray picture,
you'll be asked to hold your breath for a moment or two. You may need to
change your position, and lie on your side, for some of the x-rays.
In some women, the test may cause some cramping.
Once the doctor has decided that the pictures are satisfactory, the
x-ray machine will be lifted up, the speculum removed, and you're free
to go home.
What are the Risks of an HSG?
Generally, an HSG is considered to be a safe procedure. Still, there are potential risks.
In less than 1% of cases, infection may occur. This is more common if
there has been previous infection of the fallopian tubes. If you
experience fever or increasing pain after the test, you should call your
doctor.
Other potential risks include fainting during or after the test and
iodine allergy (rare). If you are allergic to iodine or shellfish, tell
your doctor before the test. If you have any itching or swelling after
the test, talk to your doctor.
Is the Radiation from an HSG Safe?
An HSG involves a very low amount of radiation. The low amount does
not seem to causes any unwanted effects, even if you get pregnant later
that cycle.
However, an HSG should not be done during pregnancy.
How Will I Feel After the Test?
You may experience mild cramps and light spotting. Over-the-counter
pain relievers should help with cramps. (See this article on
HSG and pain for more information.)
Generally, you'll be able to resume normal activity after the test.
Some doctors may tell you to refrain from sexual intercourse for a few
days after the test.
What Do the Results Mean?
If the x-ray shows a normal uterine shape, and the injected dye
spills freely out from the ends of the fallopian tube, then the test
results are considered normal. Tubal factor infertility or abnormal
uterine shape is probably not the cause for your infertility.
However, if further testing does not reveal a cause for the
infertility or recurrent pregnancy loss, your doctor may order a
hysteroscopy to double check the findings of the HSG, specifically to
recheck for problems with the uterus. (Hysteroscopy involves placing a
thin, telescope like camera through the cervix, to look at the inside of
the uterus.) One small study found a 35% incident of false negatives
with an HSG. In other words, the HSG showed a normal uterine shape, but a
hysteroscopy showed abnormalities.
Also, an HSG is not able to diagnosis or rule out
endometriosis.
What Happens If Results Are Abnormal?
If the dye shows an abnormally shaped uterus, or if the dye does not
flow freely from the fallopian tubes, there may be a problem. It's
important to know that 15% of women have a "false positive," where the
dye doesn't get past the uterus and into the tubes. The blockage appears
to be right where the fallopian tube and uterus meet. If this happens,
the doctor may repeat the test another time, or order a different test
to confirm.
An HSG can show that the tubes are blocked, but it can't explain why.
Your doctor may order further testing, including exploratory
laparoscopy or a hysteroscopy, to investigate and possibly correct the problem.
