Saw my Obgyn today

iVillage Member
Registered: 05-11-2010
Saw my Obgyn today
7
Wed, 08-11-2010 - 1:07am
She was concerned enough about my last menses and all of the physical symptoms I had the week + before it started that she ordered some blood tests as well as a sonohysterogram. With the sonohysterogram, she will be able to get a good look at my uterine lining and see if I have any problems like Ashmerman's syndrome. If there is a problem, the good thing about having the sonogram done between CD 5-10 is that she'll be able to correct any problems that may exist, and we can still TTC during that same cycle.
iVillage Member
Registered: 12-08-2009
Wed, 08-11-2010 - 1:15am

Julia, I am glad that your dr listened to you and was able to order some additional tests and start to give you a new plan of action for moving forward.

I've had the HSG done, and it's not too bad. There was a post a few weeks ago about what to expect during/after the HSG procedure. I will try to find it for you...

Have fun beginning to TTC again, whenever you and DH are ready.



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iVillage Member
Registered: 05-11-2010
Wed, 08-11-2010 - 2:06am

Thanks, Nicole. I did see the recent HSG post, but it was one of those days where I couldn't spend a lot of time on here reading, so I don't even think I clicked on it. Haven't had any time to find info. on the procedure. My apt. was before noon, we've been doing funeral-related stuff all day, and I've only just put food away and cleaned up after having DH's family over for food following the wake.

I'm forcing myself to steer clear of looking into Asherman's syndrome even more than I already have, 'cause I don't want to freak myself out or anything. I'm planning on testing this Sat. @10dpo. If I get consistent BFN's, I'll just wait AF out and make my apt for the HSG on CD1. If it's a shady AF like it was last time, I'll just try to relax the best I can and do the whole wait and see thing with the b/w and HSG.

iVillage Member
Registered: 03-25-2010
Wed, 08-11-2010 - 10:29am

Julia,

I've had both an HSG and a sonohystogram. They are very similar but are not the same thing. Which one are you having? In an HSG they inject dye and view via X-ray. In the sonohystogram they use saline and ultrasound (I had 3-D ultrasound, not sure if 3-D is standard). I was told for both to take pain medication an hour before the procedure. I took an antibiotic before the HSG, but they said that was because I have a history of a heart murmur. I was prescribed a z-pack with the sonohystogram as part of the standard procedure. Some women have no problems with the procedures and some cramp. I had cramps with both. I was not allowed to put my hands on my abdomen during the HSG (would be in the way for the X-ray) but was for the sonohystogram and it helped with the cramps. My HSG lasted about 5 minutes and the sonohystogram was about 20 (I think?) but they had trouble getting the uterus to fill with saline d/t my abnormal anatomy. My cramps started dissipating as soon as the speculum was removed with both procedures. HTH. Let us know how it goes. Let me know if you have any questions.

Lydia

Me(30), DH(30)...Our TTC journey:

~1993: Dx of bicornuate uterus (BU) on u/s

September 2003: begin wedded bliss! (on BCP)

Fall 2007: HSG results consistent with BU

Fall 2008: here we go, bye-bye BCP

November 2008: DH in hospital, ?CP/horrid AF

Winter 2008: back on BCP

Spring/Summer 2009: last chemo, radiation for DH

January 2010: bye-bye BCP, waiting

March 2010: green light to TTC

April 2010: BFP (4/1), beta ~900 (4/2)

May 2010: m/c (5/30)

June 2010: regrouping, septum (SU) vs. BU

July 2010: looks like surgery this fall


Daisypath Anniversary tickers



Lilypie Angel and Memorial tickers

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iVillage Member
Registered: 05-11-2010
Thu, 08-12-2010 - 12:32am

Lydia - Thanks for clarifying that the two procedures are not the same. I thought they were similar, but again, I haven't had much time to think about myself or look into these things.

To answer your question, I'm having a sonohystogram. I'd appreciate any info. re: what to expect during and after the exam.

iVillage Member
Registered: 05-11-2010
Thu, 08-12-2010 - 1:07pm

Lydia - I've finally got the chance to sit down to look at my paperwork. The instruction sheet about the procedure says that a biopsy of the endometrium may be conducted after the completion of the sonohysterogram. Did you have that done, too? If so, could you tell me what it's like?

Also, does is hurt when the catheter is inserted into the cervix and the transvaginal probe is reinserted? It sounds painful to me. When I had the cervical dilators placed before my surgery, THAT was very uncomfortable and painful, and this procedure sounds similar to that.

iVillage Member
Registered: 03-25-2010
Thu, 08-12-2010 - 7:20pm

Julia,

This was my experience. I walked in the exam room, normal room. They asked if I wanted to take a pg test. That totally threw me. I was CD6 when I had the sonohystogram (I'm going to shorten it to SHG), AF had just ended and I had started my BCP. After I said no, the nurse asked if I needed to use the bathroom. Of course, I did. I always do when I go to these appointments, LOL. Then it was undress from the waist down, hop on the table, and use the paper sheet to cover yourself up. The RE came in and we chatted for a little bit. Ok, so let's get down to what you really want to know.

Speculum was inserted then the catheter. I did not feel the catheter. The transvaginal ultrasound wand was placed next (only once) and that felt like it usually does. The RE took a quick look around and told me to expect cramps like I would have with a not so nice AF. Next the nurse started to fill me with the saline. Then the cramps arrived. Luckily, like I said, I was able to put my hands on my abdomen and press. I don't know if that helps you when you have cramps, but it helps me and it did at that moment.

She spent some time getting pictures. Due to my septum it made the catheter go to one side and did not allow my uterus to completely fill with the saline. The nurse ran out of saline twice trying to get both sides to fill. I don't think you should experience this so yours should go faster. The saline does "leak" out of you during the procedure. They have you on an absorbant pad and they have one on the floor too. I found that odd stepping over it. Ugh, but be sure to tug up your shirt when you scoot to the edge of the table or wear a shirt you don't mind getting a little icky. I had saline on my shirt and it just didn't feel nice.

When the RE had enough pictures she removed the wand, catheter, and then the speculum. My cramps started going away. I wasn't writhing in pain. You can get through it. I spent my time looking at the ceiling and semi-deep breathing. The RE said most women have no trouble with the SHG. I think perhaps I cramped as much as I did because my uterus has the septum and they took longer than usual. I was told that it is normal to spot and "leak" saline after the procedure. Make sure you take a pad with you. The nurse offered me one, but I already had one and a few spares. I spotted for three days, but really light, and I think I was done with the saline that day.

Ok, the biopsy. Umm, I really have no idea on what to expect from that. Sorry. I did not have one.

HTH! Let me know how it goes. I'll be thinking good thoughts for you.

Lydia

Me(30), DH(30)...Our TTC journey:

~1993: Dx of bicornuate uterus (BU) on u/s

September 2003: begin wedded bliss! (on BCP)

Fall 2007: HSG results consistent with BU

Fall 2008: here we go, bye-bye BCP

November 2008: DH in hospital, ?CP/horrid AF

Winter 2008: back on BCP

Spring/Summer 2009: last chemo, radiation for DH

January 2010: bye-bye BCP, waiting

March 2010: green light to TTC

April 2010: BFP (4/1), beta ~900 (4/2)

May 2010: m/c (5/30)

June 2010: regrouping, septum (SU) vs. BU

July 2010: looks like surgery this fall


Daisypath Anniversary tickers



Lilypie Angel and Memorial tickers

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iVillage Member
Registered: 05-11-2010
Thu, 08-12-2010 - 11:48pm

Thank you, Lydia. That helps so much as far as shaping some expectations of the procedure. It really doesn't sound all that nice when you just read the instruction forum that I got from the office. It says to take a pain pill an hour before the apt. if you have to have a biopsy. I don't know if I'll need to have that done. Maybe I'll just take a pill, anyway . . . just in case.

Thanks again.