2nd HSG or Laparoscopy??

[Anonymous]

Hi Everyone,

We have been ttc for over a year now. I went to my GYN who advised we do blood work (for me and my husband which both turned out fine) and then an HSG. When i went to the radilogist she was unable to get the tube and therefor the dye into my cervix and she told me to go back to my GYN. I did and he told me he could A) dilate my cervix (which he explained is quite painful) and then the next day I go back to the radiologist to try for the HSG or B) do a Laproscopyc surgery. He explained the pros and cons of both, and while the surgery would be a more definitive test I am quite nervous about doing any kind of surgery. I am 33 and otherwise healthy. I was wondering if others have been in a similar situation and which of these options did they choose and would recommend?!?

thanks!

[Anonymous]

get a 2nd opinion... have another attempt at the HSG...

i've had two hsg's and read a lot about them -- i've never heard of not being able to get it into the cervix -- not saying this is wrong... jsut saying i have never run across it.

i had a laporoscopy(sp?)... probably really unnecesasry for where we were in the process -- i think i was 31/32. pretty invasive and again, not really nec. turns out the doc who rec has a not great history -- long story short but i stopped going to him on the advice of my ob/gyn.

agian -- don't know your full situation -- only my own -- IMHO - get a 2nd opinion/attempt on that HSG before you go down the surgical route!

[Anonymous]

Have an RE do the HSG. I wonder if the radiologist you went to wasn't experienced with that procedure. Having a lap doesn't make sense unless you really need it.

[Anonymous]

My personal recommendation is to not waste time having your GYN do any fertility related testing done. REs are focused on getting you pregnant and have much more experience at it, while OB/GYNs are focused on keeping you pregnant and delivering your baby. Even if your GYN identifies a problem (i.e. blocked tube) with the HSG, then they are not in a position to provide a full range of treatment options (e.g. IUI or IVF). Since you state you have been ttc for one year, you have every reason to be seeing an RE and I am surprised your GYN did not refer you to one already.

There was a thread on this board recently about HSGs and someone chimed in about a difficult HSG where there was a problem with the catheter. The RE she was seeing at the time could not get the HSG done. She went to another practice and a seasoned RE there got the HSG done. There is no reason to have surgery when an experienced RE can do the much simpler, cheaper, and much less invasive procedure and possibly also you more treatment options if you have a problem.

I personally did not seek out an REs assistance soon enough and regret now that I did. Turned out that I had more problems than I could have ever anticipated (fibroids, high FSH, blocked tube) and wish I had gotten to the experts sooner.

[Anonymous]

Thanks a lot for your great feedback everyone!! I agree that I should go see a RE and get a second opinion.