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Hysterosalpingogram (HSG) and Sonohystogram (SHG)

Our care team at Troche Fertility Centers understands the stress involved to get all the fertility tests done to find answers. We offer both HSG and SHG at our centers and treat each couple with the utmost respect and compassion and guide through the procedure is the most gentle, least painful way possible.

Hysterosalpingogram (HSG)

Hystero = uterus + Salpingo = fallopian tubes + Gram = x-ray

Normal HSGThis test is offered at Troché Fertility Centers.

 

Definition:

A test conducted by a gynecologist or radiologist where dye is injected through the cervix in order to see whether or not a woman’s fallopian tubes are open and to document the shape of the interior of the uterus.

Purpose:

In a normal menstrual cycle, an egg is released from an ovary, passes into the fallopian tube where it is fertilized by sperm, and continues down the tube to implant in the uterus. There can be a blockage of this passage at any point of the journey, and the HSG can reveal an obstruction and its location. Additionally, during the HSG the shape of the uterus is noted to rule out anatomic irregularities that might interfere with pregnancy. By taking X-rays during the procedure, a permanent record is made for future comparison should additional tests be needed.

HSG ScreeningProcedure:

The HSG is usually performed in the first half of a woman’s menstrual cycle after the menstrual flow is completed, but before ovulation has occurred, ensuring absence of interference with a possible early pregnancy (not later than cycle day 11). The woman lies on an examination table with legs in stirrups, as in any gynecological examination, and the doctor performing the procedure injects dye through a small tube placed through the cervix (opening of the uterus) into the uterine cavity and out through the fallopian tubes, where it spills into pelvic cavity where it is harmlessly absorbed. The doctor may need to put an instrument on the cervix in order to inject the dye. This instrument, as well as the pressure caused from injecting the dye can cause moderate to strong cramping or pain.

We recommend that an hour before the procedure, you take a medication similar to ibuprofen (Motrin, Midol) to relieve the discomfort associated with this test. You should continue to take this medication for 24 hours.

Also, as a precaution against the remote possibility of a pelvic infection following the procedure, the physicians performing the procedure usually prescribe an oral antibiotic.

For further information about scheduling your Hysterosalpingogram, please contact Troché Fertility Centers.

Sonohystogram (SHG)

SHG Screening

Definition:

A test conducted by a gynecologist where a liquid (normal saline) is injected through the neck of the womb (cervix) in order to evaluate the inside of the uterine cavity (womb).

Purpose:

In a normal menstrual cycle, an egg is released from an ovary, it passes into the fallopian tube where it is fertilized by sperm, continues traveling down the tube, and finally arrives into the uterus to implant. Abnormalities of the uterine cavity could interfere with the process of implantation. These abnormalities could involve the shape of the uterine cavity, growths such as a fibroid tumors or polyps, and sometimes scar tissue from a previous procedure or infection.

SHG Screening

Procedure:

The SHG is usually performed in the first half of a woman’s menstrual cycle after the menstrual flow is completed, but before ovulation has occurred, ensuring absence of interference with a possible early pregnancy. The woman lies on an examination table with legs in stirrups, as in any gynecological examination, and the doctor performing the procedure injects normal saline through a small tube (catheter) placed through the cervix (opening of the uterus) into the uterine cavity. A transvaginal pelvic ultrasound is then performed while the uterine cavity is gently distended with normal saline. The examination takes only a few minutes. On rare occasions the doctor may need to put an instrument on the cervix in order to perform the procedure. This instrument, as well as the pressure caused from injecting the normal saline can cause moderate to strong cramping or pain.

We recommend that an hour before the procedure, you take a medication similar to ibuprofen (Motrin, Midol) to relieve the discomfort associated with this test. You should continue to take this medication for 24 hours.

Also, as a precaution against the remote possibility of a pelvic infection following the procedure, the physicians performing the procedure usually prescribe an oral antibiotic.

This test is offered at Troché Fertility Centers. For further information regarding the Sonohystogram or to find out if you may require SHG, please contact Troché Fertility Centers for a consultation.

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