Guest guest Posted August 4, 2001 Report Share Posted August 4, 2001 Beth, thanks for your honost reply. I'm actually glad to hear confirmation about the dye test being necessary. I'm scheduled to go in on Aug. 9. Please can you tell me what to expect during this procedure. Also, I think my definition of a hysteroscopy is different from yours. I thought a hysteroscopy meant a removal of the septum. At least that is what my last OB called it when she removed my septum. Am I wrong about that? Sincerely, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2001 Report Share Posted August 5, 2001 and Beth, thanks for arming me with all that great information. Is it really my right to request a local and to request that my fiance comes with me? I've already asked the nurse who scheduled the HSG (casually) if my fiance can come in with me. She said no. Should I protest? Cite some legal code? Grin and bear it? What would you do? Also, --- and this is a question I stupidly forgot to ask --- will the HSG effect my chances to conceive this cycle? This is day 4 of clomid, the 7th day of my cycle and the HSG is in 4 days. Thank you so much! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2001 Report Share Posted August 5, 2001 Beth and , I just logged on to the Fertility site and my question about pregancy was answered. I thought an HSG was the acronym for hysteroscopy. I'm learning so much from this site! The info on the fertility site said that an HSG " blows the cobwebs " out of the uterus and increased the chances of pregancy for up to 3 cycles. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2001 Report Share Posted August 5, 2001 <<Beth, thanks for your honost reply. I'm actually glad to hear confirmation about the dye test being necessary. I'm scheduled to go in on Aug. 9. Please can you tell me what to expect during this procedure. Also, I think my definition of a hysteroscopy is different from yours. I thought a hysteroscopy meant a removal of the septum. At least that is what my last OB called it when she removed my septum. Am I wrong about that? Sincerely, >> Hi , There are two kinds of hysteroscopies: diagnostic and operative. In a diagnostic hysteroscopy, you are awake and possibly somewhat sedated while the doctor distends your uterus and takes a look. In an operative hysteroscopy, the patient is usually out cold and intubated while small instruments are passed through the ports of the hysteroscope in order to cut, cauterize or laser off whatever it is that needs to be fixed: septum, adhesions, polyps, submucosal fibroids, or whatever else. A hysteroscopy to remove a septum is referred to as a septoplasty or as a hysteroscopic metroplasty. Both are fairly painful (I remember waking up from one with severe cramps), but apparently operative procedures take longer, hence the general anesthesia. A lot of the ladies can share their experiences with HSG. A cannula is inserted through the cervix, which may or may not be clamped (the use of the clamp, or tenaculum, was the most painful part for me, although the pain was brief) and while you lie under an x-ray apparatus, 3-5 shots of film are taken as the dye is injected and disperses throughout the genital tract. The actual injection of the dye can be painless or painful, depending on the individual, the condition of her uterus and tubes, and the technique of the doctor. (I have had 2 rough and one gentle HSG, and the gentle one hurt the least. It also showed the least amount of dye pressure in my tubes). Expect any cramping-type pains to subside within minutes, and all abdominal tenderness to be gone within 36 hours (usually much sooner than that). My first HSG was kind of scary because of the cold in the radiology room, the loud humming of the machinery, and the excitement of the doctors and nurses as my split cavities sprang into sharp relief on the fluoroscope screen. (I remember hearing the radiologist tell my OB something about checking to see how many cervical openings I had--so spooky) But the second two HSGs seemed just fine, as I knew what to expect. Most people report that the pain of HSG is no worse than moderate menstrual cramps. If you get cramps during your period, then you're probably pretty well prepared to handle this sort of pain. You can take a hefty dose of Tylenol or ibuprofen about an hour before the procedure, and that is said to help a lot. If you would like to know more, there is an invasive tests FAQ at: http://www.fertilityplus.org/ and hundreds of hysteroscopy and HSG war stories at: http://www.onna.org/ Hope this helps, Beth -- The Congenital Uterine Anomalies Home Page http://www.wegrokit.com/uterineanomalies/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2001 Report Share Posted August 5, 2001 , That all sounds absolutely correct to me. I have had three of them. The clamping hurt the most. The first one was with a different dr. and he clamped me and it was a very uncomfortable experience. He also did not let my husband come in the room with me. The room I was in was very scary as well. They had all of the instruments hanging on the wall! Can you believe it? I kept saying " you aren't putting one of those in me are you? " Thay dr. also had me move while all of the instruments were in me (turn on on side and the other) It was extrememly painful and I remember being terrified. SO, as you can imagine, when my new dr. said it was time for one I just about flipped! She kept ensuring me that it would not be as bad of an experience. She said OF COURSE my husband could come in (I would have insisted). She told me to take 4 advil before coming. And, she gave me a local (we discussed this, because of the pain on the first one). I basically felt nothing other than the local and some pressure. Oh, I don't think she clamped me, but I am not sure. Either way, what a different ! The dr. told me that some women feel nothing and some experience alot of pain. Having someone there to distract me was wonderful and the local---enough said! I also did not look at any of the instruments. I looked at my husband and the screen. I think it will help that you are prepared. The unknow is what had really frightend me the first time. Remember- this is your body and you should have the right to have certain things that you request. I would definately request a local ahead of time (she had it all made up), because it will just avoid you having to find out if it will be painful or not. Also, if you have someone that you don't mind being there I'd bring them. Gosh, my husband watched and he certainly had a new found respect for " everything women have to go through " . But, that isn't why I had him there. He was such a comfort. Oh, my dr. also told me everything she was doing as she was doing it, so ther were no surprises. I hope this helps a little! Good luck---remember it is over pretty quick and it is sooooo imformative! Lizbeth Ager or Persson wrote: > <<Beth, thanks for your honost reply. I'm actually glad to hear > confirmation > about the dye test being necessary. I'm scheduled to go in on Aug. 9. > Please > can you tell me what to expect during this procedure. Also, I think my > > definition of a hysteroscopy is different from yours. I thought a > hysteroscopy meant a removal of the septum. At least that is what my > last OB > called it when she removed my septum. Am I wrong about that? > Sincerely, > >> > > Hi , > > There are two kinds of hysteroscopies: diagnostic and operative. In a > > diagnostic hysteroscopy, you are awake and possibly somewhat sedated > while > the doctor distends your uterus and takes a look. In an operative > hysteroscopy, the patient is usually out cold and intubated while > small > instruments are passed through the ports of the hysteroscope in order > to > cut, cauterize or laser off whatever it is that needs to be fixed: > septum, > adhesions, polyps, submucosal fibroids, or whatever else. A > hysteroscopy to > remove a septum is referred to as a septoplasty or as a hysteroscopic > metroplasty. Both are fairly painful (I remember waking up from one > with > severe cramps), but apparently operative procedures take longer, hence > the > general anesthesia. > > A lot of the ladies can share their experiences with HSG. A cannula > is > inserted through the cervix, which may or may not be clamped (the use > of the > clamp, or tenaculum, was the most painful part for me, although the > pain was > brief) and while you lie under an x-ray apparatus, 3-5 shots of film > are > taken as the dye is injected and disperses throughout the genital > tract. > The actual injection of the dye can be painless or painful, depending > on the > individual, the condition of her uterus and tubes, and the technique > of the > doctor. (I have had 2 rough and one gentle HSG, and the gentle one > hurt the > least. It also showed the least amount of dye pressure in my tubes). > Expect any cramping-type pains to subside within minutes, and all > abdominal > tenderness to be gone within 36 hours (usually much sooner than that). > > My first HSG was kind of scary because of the cold in the radiology > room, > the loud humming of the machinery, and the excitement of the doctors > and > nurses as my split cavities sprang into sharp relief on the > fluoroscope > screen. (I remember hearing the radiologist tell my OB something > about > checking to see how many cervical openings I had--so spooky) But the > second > two HSGs seemed just fine, as I knew what to expect. > > Most people report that the pain of HSG is no worse than moderate > menstrual > cramps. If you get cramps during your period, then you're probably > pretty > well prepared to handle this sort of pain. You can take a hefty dose > of > Tylenol or ibuprofen about an hour before the procedure, and that is > said to > help a lot. > > If you would like to know more, there is an invasive tests FAQ at: > > http://www.fertilityplus.org/ > > and hundreds of hysteroscopy and HSG war stories at: > > http://www.onna.org/ > > Hope this helps, > > Beth > -- > The Congenital Uterine Anomalies Home Page > http://www.wegrokit.com/uterineanomalies/ > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2001 Report Share Posted August 5, 2001 , I don't know any legalities about this. However, I would call the doctor directly and tell her that you know of people that have been allowed to have a partner in the room with them. You are in a room that is simular to an ultrasound rm. and there is no reason that he shouldn't be allowed in. Explain that it will make the process easier for you. I would also TELL the dr. that you want a local. It is your body that they are dealing with. She just gave me a little novicane (like if you got a wart removed). If the doctor tells you no I would really demand reasons WHY! " policy " may be the answer. If you are not having the procedure in the dr.s office I would call the clinic and ask what their policy is. Truly, I, myself would be very assertive my wants and needs, because I have been through it both ways. My current (nice) doctor said there was no reason that my husband couldn't be in the room, and that she was happy to make me more comfortable during the procedure. She even gave me a prescription (I never needed to fill it) for pain relief after. You may not even experience any pain, but I would rather be safe. About the clomid, I don't know....never been on it. I would ask though. I hope this was helpful. I am due for another HSG and it is a yucky thing, but don't worry too much no matter what your doc says. Oh, remember to breath! moniquemduval@... wrote: > and Beth, thanks for arming me with all that great > information. Is it > really my right to request a local and to request that my fiance comes > with > me? I've already asked the nurse who scheduled the HSG (casually) if > my > fiance can come in with me. She said no. Should I protest? Cite some > legal > code? Grin and bear it? What would you do? Also, --- and this is a > question I > stupidly forgot to ask --- will the HSG effect my chances to conceive > this > cycle? This is day 4 of clomid, the 7th day of my cycle and the HSG is > in 4 > days. Thank you so much! > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2001 Report Share Posted August 5, 2001 - I just realized you have dr. Gloom. Are you still with him? I would look for someone else. I know the process is hard enough without having to deal w/ a dr. who is yucky. If it is him-I wouldn't be surprised that he says no to both requests. Sometimes I just think certain dr.s are insensitive! moniquemduval@... wrote: > Beth and , I just logged on to the Fertility site and my > question > about pregancy was answered. I thought an HSG was the acronym for > hysteroscopy. I'm learning so much from this site! The info on the > fertility > site said that an HSG " blows the cobwebs " out of the uterus and > increased the > chances of pregancy for up to 3 cycles. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2001 Report Share Posted August 6, 2001 , I spoke with my husband about this and he said that maybe one reason they may give you as to why he can't be in the room is because of the exposure to radiation. Well, when they took the picture they covered him in a jacket (like the tech and dr. had on) and asked him to move around the corner for a second. He also said to tell you that this is a dr./client relationship and your dr. should be appeasing you in any way possible. I think that you have the right to have a comfortable experience. moniquemduval@... wrote: > Beth and , I just logged on to the Fertility site and my > question > about pregancy was answered. I thought an HSG was the acronym for > hysteroscopy. I'm learning so much from this site! The info on the > fertility > site said that an HSG " blows the cobwebs " out of the uterus and > increased the > chances of pregancy for up to 3 cycles. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2001 Report Share Posted August 6, 2001 I've already asked the nurse who scheduled the HSG (casually) if my > fiance can come in with me. She said no. Should I protest? Cite some legal > code? Grin and bear it? What would you do? I actually have a little background in this as I often have to advocate for children to get md's to allow their parents in. I would speak to the doctor themself well in advance and provide them with clear, logical reasons for wanting your partner present: my fiance is my relaxation coach and I will be better able to relax my abdominal muscles with him there, I have a history of anxiety around medical procedures and must insist my fiance be present, etc. If the md says absolutely not, ask why. The room is too small? He'll stand in the doorway. Sterility and contamination? He'll scrub in, wear scrubs AND stand in the doorway. He says its hospital policy? Ask to see it in writing. You get the idea. Honestly, if my md still persisted after all of this, I would request another md. That's just my opinion though, because to me, an OB or RE is treating 1 family unit - a mother and a father - not just one woman, and if they have this much trouble with allowing you to have a support person there, they may be difficult further down the road. Good luck! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2001 Report Share Posted August 6, 2001 One other thing about having your partner with you, having worked in 4 hospitals (in the US - not sure about other countries) in order for hospitals to get medicare & govt funding, they have to pass a survey. One thing they need to provide for that is a patient bill of rights. Very often, presence of support persons is covered in that document. You can access it in most hospitals by going to their patient relations/customer satisfaction department. I hadn't realized about the radiation, but there are always lead vests, belts and coats to be worn if you ask. Good luck! Quote Link to comment Share on other sites More sharing options...
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