Sunday, October 19, 2008

What You Need to Know About HSG After Tubal Reversal Surgery

By Sandra Wilson

After tubal reversal, some women become concerned if they are not pregnant within a very short period of time. They decide that they want a hysterosalpingogram or HSG done to be sure their fallopian tubes are open. However, there are a few concerns about doing this procedure too soon.

First you might want to know what a HSG or hysterosalpingogram really is. Just think of it as a real time x-ray being done while a dye, or contrast material, is put into your uterus through the cervix. It is hoped, if done correctly, that the dye will flow from the uterus into both fallopian tubes and then spill out the ends into your abdominal cavity.

Perhaps the first concern with doing this procedure comes from it just being done too soon. Using the statistics from Dr. Gary Berger of Chapel Hill Tubal Reversal Center, we learn that 70% of women conceive within one year of the tubal reversal surgery. Some can become pregnant in less than a month whereas others may take as long as 68 months. Although that latter number can seem frightening, it should not when you realize that most women do conceive within a year.

As discussed above there are other reasons not to have this HSG procedure too soon. You risk infection, allergic reaction to the dye, fainting and spotting. Spotting may not be a big concern to you as most women who do it only have it for a day or two. However, anecdotes of women having the procedure done showed several felt like fainting.

This leads to another potential hazard you face with an HSG. Although a few women have reported no problems with the procedure, many on the Chapel Hill Tubal Reversal Center message board said they felt like passing out from the pain. One woman said it felt like gasoline had been put into her body and then lit on fire. It was the most severe pain several had ever encountered.

The pain is why Dr. Gary Berger of CHTRC says you should take 600 mg of ibuprofen before the procedure. If you have a low pain threshold, you may even want to discuss the matter with your doctor before hand. Additionally, in order to fight infection, Dr. Berger prescribes taking a vaginal douche the night before and the morning of the HSG. This is in addition to taking a prophylactic antibiotic as prescribed by your doctor.

Even with the above cautions and concerns, you may be faced with the sad truth that you still won't know the answer to your tubes being open after the HSG procedure is done. Why? There may be several reasons including not enough dye being used, a tubal spasm that does not allow the dye into your tubes, or something else. You just might get an inconclusive report even after facing the above concerns.

Hopefully, now you have some thought that it could just be better to wait. After all, most women do conceive within a year. At least wait till after the one year point after tubal reversal surgery to proceed with this potentially painful and costly HSG procedure.

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