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Beyond Blood Tests and Hormone Levels
What to Expect From Invasive Infertility Diagnosis and Treatment
By Michele St. Martin
An HSG is performed to allow a doctor to ascertain whether your fallopian tubes are fully open and to determine if there are any uterine growths (such as polyps or fibroids) or structural abnormalities.
What to Expect If You Have the Procedure:
The doctor injects a dye through the cervix and into the uterus and fallopian tubes and traces its movement by X-ray. The doctor performing the procedure can view it on a screen as it occurs; if he or she is not a radiologist, the films are sent to a radiologist to view them and offer an opinion. The HSG is generally performed as a hospital outpatient procedure. Some women go right back to work; others take the rest of the day off.
How You May Feel During and After the Procedure:
Women generally experience some cramping, ranging from mild to severe. Some spotting may occur after the procedure and continue for a day or two. Doctors often recommend that a woman take an over-the-counter pain medication such as Aleve or Advil.
A Bonus of This Procedure:
It is not uncommon for a woman to become pregnant one to three months after having an HSG. This may be because the dye injected into the fallopian tubes clears them of mucous.
What It Is and Why It Is
A hysteroscopy is an outpatient hospital procedure performed when the physician needs to more closely examine the uterus. It can be done for either diagnostic reasons (to determine the cause of unexplained bleeding, to study the uterus or to examine a growth) or for operative reasons (such as treating endometriosis or removing a growth). A hysteroscopy may be performed on its own or in concert with other procedures (such as a laparotomy or endometrial biopsy). It is usually performed under local or generl anesthesia.
What to Expect If You Have the Procedure:
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