As part of moving forward with IVF, my new doctor (um, yeah I changed clinics, I think I’ll write a post about why soonest) ordered an SHG before we moved forward. Now, when the nurse told me this all I heard was “HSG” which I’ve already had done. He’d mentioned he might want to re-test some things since all my original testing and HSG were done this time last year. I was fine with that. Then I looked at the paper more carefully and realized that infertility is hell for dyslexics because my doctor had ordered an SHG.
My layman’s explanation follows:
An HSG is a hysterosalpingogram. It involves a dyed solution being pushed into your uterus and tubes while you have X-rays taken. This is to check that your tubes are indeed clear. (For those who might be reading who are nervous about having this procedure, I’ll add my experience. That was: this was pretty easy for me. I took some ibuprofen the night before, took some an hour before the appointment, took some after. I cramped a bit during the procedure and was a bit crampy the rest of the day, but not bad at all. Overall not nearly the horror story I’d read some women go through.)
An SHG is a sonohysterogram. This involves filling your uterus with a saline solution while sticking an ultrasound wand up your hooch to have a nice look at what’s going on in there. They also had me take a three day course of antibiotics to prevent infection during this. I didn’t do that with my HSG, not sure why. (Again, my experience: this was very easy. The most uncomfortable part was the ultrasound wand, which I’m pretty used to at this point. Actually, maybe the worst part was gushing water out my hoo-hah for an hour afterwards. Minor cramping during the procedure and NONE afterwards at all. It was much easier than I expected.)
What I did not realize is that the HSG very rarely tells you anything about your uterus. Which is why I was sort of surprised to hear during my SHG that I have a decent sized polyp in my uterus. Polyps can inhibit implantation and can cause miscarriage. My new doctor recommends getting it removed before proceeding with IVF for just those reasons. So, my question now is: WHY THE HELL DID IT TAKE A YEAR TO GET ONE OF THESE?! Sorry for yelling, ahem.
I realize that the polyp might not be my explanation for my unexplained infertility. But it might be and I think we can all agree it sure as hell is not helping anything. So I left with my mind whirring. Is this why I miscarried two years ago? Is this why we haven’t been able to get pregnant since? If having this removed will help my chances for IVF, wouldn’t it have also helped my chances for IUI? For natural conception? I know that no doctor can answer those questions for me, but I’m pretty frustrated I’ve been seeing an RE for 10 months who never ordered this really super simple procedure that takes 10 minutes. My old RE was ready to proceed with IVF without even doing this! This polyp could have cost me $20k!
So, obviously I will be having this puppy removed. This will be my first ever surgery and first time under anesthesia. I guess it’s good practice for egg retrieval? It’s a simple, outpatient procedure that basically involves sticking a camera in there, snipping this thing outwith scissors, and looking around a little. Our IVF calendar will be laid out after that. I’m itching to get started, but also kind of happy to wait awhile all at the same time. IVF is weird like that.
Stay tuned for: venting about doctors, deciding to switch REs and pricing out IVF (shoot me) and attending our first “IVF Class” at our clinic. Good times ahead for sure.
So whose had both an HSG and SHG? Did they tests tell you different things? Did anyone have an RE ordered both of these before even starting treatment? Discuss.