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Doctor insights on: Hysterosalpingogram Preparation

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What preparation is required for the flexible sigmoidoscopy?

What preparation is required for the flexible sigmoidoscopy?

Flex sig: Usually two enemas. Again, this is a procedure for the history books. Almost always an indication for a sigmoidoscopy is an indication for a colonoscopy. ...Read more

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Dr. Seth Derman
220 doctors shared insights

Hysterosalpingogram (Definition)

It means a test to determine the countour of the uterine cavity and whether to tubes are open. It's part of an infertility work up, and also used to check for uterine polyps or fibroids. It's usually performed in a radiologists office wihout anesthesia. If the physician injects the dye slowly ...Read more


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Why is an HSG required after essure?

Why is an HSG required after essure?

To see if blocked: Essure provides sterilization by using small flexible microinserts which help the tubes to naturally occlude. Three months alter an hsg is ordered to confirm that the tubes are blocked. This has allowed essure to have the lowest failure rate. Some are investigating the use of sonograms done in the office to take the place of the hsg confirmation test, but not yet approved by fda. ...Read more

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What preparation is required for ercp?

What preparation is required for ercp?

ERCP: My god, yes. There is ine GI in the area that does them with few indications. Complications are bleeding, pancreatitis, infection, perforation and death. ...Read more

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How is a catheter inserted during the HSG procedure?

How is a catheter inserted during the HSG procedure?

Gently: You have a vaginal speculum exam, exactly like for a pap, then the examiner can see the external os (opening of the cervix) to guide the catheter gently into place. ...Read more

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Is colyte (polyethylene glycol) prep really needed before a laparoscopy?

Is colyte (polyethylene glycol) prep really needed before a laparoscopy?

Depends on...: Depends what the laparoscopic procedure is, also depends on your individual surgical risk profile and the comfort level of your surgeon. For example: for a tubal ligation it's probably not needed, for a retro peritoneal node dissection it is. I almost never use any bowel prep for the fertility and endometriosis surgeries i do. ...Read more

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Does HSG image abnormality inside of tube, i.e. narrowing, subtle blockage that cannot be imaged by laparoscopy dye injection? Is there need for HSG if laparoscopy says tube is open (ectopic history)

Does HSG image abnormality inside of tube, i.e. narrowing, subtle blockage that cannot be imaged by laparoscopy dye injection? Is there need for HSG if laparoscopy says tube is open (ectopic history)

Open not shut case: If the Fallopian tube was patent(open) at Laparoscopy then the HSG concern is a "shut" case. Actual indigo carmine dye extruding from the tube itself with eyeball visualization is ALWAYS better then X-ray HSG dye study with indirect observations. ...Read more

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Wife ttc. Done HSG has dilated left tube. Hydrosalpinx. Need laparascopy prior to ivf. Need surgeon in south florida with cash discount. No insurance?

Wife ttc. Done HSG  has dilated left tube. Hydrosalpinx. Need laparascopy prior to ivf. Need surgeon in south florida with cash discount. No insurance?

I agree: We are in north florida but work out of a surgery center in our office where we have control over costs and can offer very competitive cost structure for cash pay patients. www.jcrm.org. We would be happy to help. Our patients now come from all over the southeast and south florida for surgery so we are used to working with people from out of town. ...Read more

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Is hysteroscopy a must before IUI or ivf?

Is hysteroscopy a must before IUI or ivf?

Discuss with your MD: In my practice it is not a must before either; but uterine cavity evaluation hsg, sis, hysteroscopy is a must before ivf. ...Read more

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Is a barium enema an uncomfortable procedure?

Is a barium enema an uncomfortable procedure?

Barium enema: It is painful, and usually useless except for verymspecific circumstances. If you primary ordered it, see a, gastroenterologist. They miss 50% of polyps, and 15% of cancers. ...Read more

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Is laparoscopy suggested before ivf?

Is laparoscopy suggested before ivf?

Rarely helps: One of the major changes in infertility care has been the change from surgery to IVF treatment. We almost never think that surgery benefits IVF except if you have hydrosalpinx (dilated blocked tubes). ...Read more

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Hsg report fallopian tubes are opacified means?

Clarification: You will need to get clarification on the findings. Opacification just means that the tubes were whited out. That is what one expects on an HSG. What you need to know is if they are patent (open). Contact the ordering physician and ask them to clarify the findings. ...Read more

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Will HSG procedure increase your fertility?

Maybe: The main reason to perform a hysterosalpingogram (hsg) is to identify possible sources of infertility. Contrast dye is placed inside the uterine cavity and should fill the fallopian tubes and leak into the pelvis. This test can identify a blocked tube or find developmental problems with the uterus. Occasionally, the dye can open a blocked tube, in which case it could enhance fertility. ...Read more

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Prior to hysterolaproscopy which powder used for cleaning the gastric system?

Prior to hysterolaproscopy which powder used for cleaning the gastric system?

Hysteroscopy: Hysteroscopy looks at the inside of the uterus. I'm not aware of needing to clean out your digestion (you do clean out your colon to get ready for a colonoscopy). If the procedure needs general anesthesia for some reason, then you will be asked to not eat or drink for some time before the operation. ...Read more

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Hsg side effect of HSG fallopian tube test ?

Hsg 
side effect of HSG fallopian tube test ?

Cramping: If the tubes are open and you usually don't have pain with your periods you will have minimal discomfort. If you have history of pid you can get a flare of the infection. Cramping pain is the major side effect. ...Read more

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My IUI done 2 days ago..Progesterone insert for Vaginal or rectal?

My IUI done 2 days ago..Progesterone insert for Vaginal or rectal?

Usually vaginal: altho you "could" do it either way. Best if you can ask your doctor what he/she wants! ...Read more

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Pcos woman on clomid (clomiphene) ,then hcg injection is taken to trigger ovulation,what is required thickness of uterus before triggering ovulation?

Pcos woman on clomid (clomiphene) ,then hcg injection is taken to trigger ovulation,what is required thickness of uterus before triggering ovulation?

Varies: The usual thickness of the endometrium at the time of ovulation is about 8mm to 10 mm. So the expected thickness for a stimulated cycle should be in the same range. ...Read more

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Anyone had the 'uterine fibroid embolization' procedure done before getting pregnant?

Anyone had the 'uterine fibroid embolization' procedure done before getting pregnant?

Yes: There are many women who have had successful pregnancies after uae. The data is relatively weak, but seems to indicate that fertility after embolization is similar to fertility after multiple myomectomy. A patient needs to discuss the details of her individual situation with her doctors before deciding on a therapy. ...Read more

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Is HSG fallopian tube test painful?

Is HSG fallopian tube test painful?

Not really: The hsg causes cramps. The discomfort one has can depend on such factors as her pain tolerance as well as who does the procedure and his/her expertise. For example, i perform all hsg's on my own patients and have done so for over 20 years. My techniques give less discomfort, for example, compared to a doctor who only does them on occasion or has only done them for a few years. ...Read more

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What is a hysterosalpingogram like?

Hystero : A hysterisalpingogram is a test to determine if fallopian tubes are patent and to look at shape of endometrial cavity and to make sure no polyps are in the endometrium. A speculum and catheter are inserted into the vagina and cervix and dye is injected and x-rays are taken as the procedure is done. The exam sometimes can be a little uncomfortable but in experienced hands should be fine. ...Read more

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Hysterosalpingogram, how much do they cost?

Hysterosalpingogram, how much do they cost?

HSG: Cost depends on your location and clinic. Do some calling and cost comparing, usually free standing radiology clinics are chipper than hospitals. ...Read more

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Hysterosalpingogram soon. What can I expect?

Possible discomfort.: The hysterosalping is a test to evaluate the status of your fallopian tubes for patency, as well as evaluates the contour and shape of your uterine cavity. A speculum is placed in to the vagina and then a small metal instrument is passed through the cervical opening. This can cause some mild to moderate cramping. A small amount of dye is placed in to the uterus which can also cause discomfort. ...Read more

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What amount does a hysterosalpingogram (hsg) test cost?

Varies: costs of medical procedures are highly variable. call the facility and ask and be sure to ask if the amount includes the fee for the radiologist to interpret the test results ...Read more

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What is the definition or description of: hysterosalpingogram?

What is the definition or description of: hysterosalpingogram?

Hysterosalpingogram: It means a test to determine the countour of the uterine cavity and whether to tubes are open. It's part of an infertility work up, and also used to check for uterine polyps or fibroids. It's usually performed in a radiologists office wihout anesthesia. If the physician injects the dye slowly it usually isn't painful. ...Read more

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What happens during an hysterosalpingogram? How much will it hurt?

Simple: I perform them every week. I place a speculum in the vagina, clean the cervix, and inject some dye through the cervix. I would estimate 90% of my patients feel nothing and the remainder have minimal cramping. It is extremely rare for a patient to have pain. It makes a difference whether a radiologist or a fertility specialist performs the test. ...Read more

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How uncomfortable is hysterosalpingogram?

How uncomfortable is hysterosalpingogram?

Shouldn't be bad: An hsg typically has the same set up as a pap smear. A small catheter is inserted into the cervix held in place with a little balloon that gets inflated to hold it in place. This may cause cramping, it shouldn't be severe. Once the contrast is injected, it shouldn't hurt if it's a low volume low pressure hsg for essure test. If it's for infertility, it may cause slight pain. Take nsaids prior. ...Read more

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I had a hysterosalpingogram. Could this have shown my endometriosis?

I had a hysterosalpingogram. Could this have shown my endometriosis?

No: The hysterosalpingogram mainly shows if the tubes are open or closed, if there is any scarring in the endometrial cavity or any other defect in the cavity that may affect implantation. Laparoscopy is the gold standard for the diagnosis of endometriosis. ...Read more

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Why is hysterosalpingogram scheduled after day 78910?

Why is hysterosalpingogram scheduled after day 78910?

Possibly pregnant: Most hysterosalpingograms (hsg) are done for infertility. The patient should be instructed to schedule the hsg before the 10th day of the menstrual cycle . To avoid the bleeding which may cause difficulty in performing and interpretation, the hsg is optimally done on day 5 through 10. The hsg could disrupt a fetus if an early pregnancy develops during the later more fertile dates of the cycle. ...Read more

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Do I have to have a referral to get a hysterosalpingogram?

Do I have to have a referral to get a hysterosalpingogram?

Yes: A physician would have to include an indication for the procedure so that your insurance company will pay the bill. A referral would be needed in most instances. ...Read more

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I was wondering is a hysterosalpingogram a type of surgery?

No,: it is basically a speculum pelvic exam, with insertion of a small catheter through the cervix, and injection of contrast through the catheter into the endometrial cavity. ...Read more

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What can you expect when getting a sonohysterogram and hysterosalpingogram?

See link below: Sonohysterography uses ultrasound to image your uterus. Hysterosalpingogram uses xray and iodine contrast to look inside. See link below http://www.radiologyinfo.org/en/info.cfm?pg=hysterosono http://www.radiologyinfo.org/en/info.cfm?pg=hysterosalp ...Read more

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Really bad back pain days after hysterosalpingogram? Is this normal

Really bad back pain days after hysterosalpingogram? Is this normal

Unusual: Likely nothing emergently wrong but please check with your (live) doctor to see if he/she wants to evaluate. ...Read more

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I went for a hysterosalpingogram but unfortunately they were not able to do as they could not get through my cervix what will be the next step?

Hsg: You should see your doctor to evaluate if the cervix is stenotic (almost closed) or is the uterus tilted at a sharp angle preventing entry of the catheter. Depending on the finding certain things may help. For example, a full bladder may help with a sharp angle, or medications can be used in cases of cervical stenosis. Good luck. ...Read more

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