HSG vs Saline infused sonogram

Bump****

From what I understand kttc these are two totally different tests. I have had both. The saline sono is to check for imperfections in the uterus like polypsa or scarring. The saline does not go into your tubes just fills the uterus so not sure how the doc could tell someone the tubes are clear based on theis. The hsg is dye that is put in thru catheter and they actually have you twist and turn on the table to get it into the tubes and watch it spill freely from them into the uterus. If you have not had an HSG and have been trying now for some time, I would definitely request it. In addition, I believe I read that your doc has never given your FSH, Progesterone and other bloodwork results. It is IMPERATIVE that you have this information. How can you advocate for your own care if you do not know what your working with? I really am amazed that this DR is so forthcoming regarding what weight you need to be, but hasn't provided you with any information regarding test proven issues that may be causing your infertility. I think you have some work ahead of you with this RE if you are going to be successful in his care. Good luck and baby dust!!!

sorry, meant to say spills into the pelvis :)

momma-I agree. I've had both as well. The hsg is a radiologic procedure to investigate the shape of the uterine cavity and the shape and patency of the fallopian tubes.With the saline infused sono (Dr. Ayers did this looking for polyps), it is done in the office with saline through a catheder, like an IUI and viewed over the ultrasound monitor and took less than five minutes.

hmm.. I asked him about hsg and he said he would do sis instead to check tubes and uterues... I am sure he has done fsh and antral follicle counts, but I never got any results, NONE of my dr's have done progestrone, I have never had bloodwork past cd 9... Idk, that ticks me off, because I was gonna have reg ob do hsg and he said, well this is less evasive and basically shows the same...wth.. It doesn't check your tubes at all? It hurt like hell!

mmmm..I just did a search and found that SIS are manily used to detect or shw uterine abnormalities and not tubal. If I were you, I would "kindly demand" a HSG. In addition to that, you should as for the results of your FSH and antral follicle counts, etc. The doctor should NEVER perform these tests on you without going over the results...or else, how will you ever know what is going on with your body? I don't know if you are familiar with my story, but my old RE didn't even tell me that I had a bad tube...I just so happen to be looking at my chart and noticed it. We wasted money on 5 IUI cycles because of it. Needless to say, we ended up changing RE's and will be doing IVF in Jan 2010 after I lose 20 pounds. No offense, but it sounds like your doctor isn't very aggressive and that can be a little dangerous when dealing with fertility. My defination of "agressive" in the fertility sense is a doctor who won't stop until you "take home a baby" A doctor that listens to you and makes recommendations that you both agree on, and will benefit you in the long run. You should indeed have CD21 blookwork to check your progesterone levels too.

good luck

Oh by the way, it is indeed very good that the SIS reflected that there were no abnormalities found with your uterus..at least you got that test out of the way. But please, seriously go see the OB/GYn for an HSG.

I may just do that,geez.. I never even researched it I just took his word and he was like well this test we do in office the other one (HSG) you go to the hospital for and this is better than the dye, less reactions... oh.. I am sooo mad, I go next thurs to a diff re for a free seminar, I think I will be switching.

They are totally different. I had the HSG done by an OBGYN, he needed me to go to a medical center nearby that had Xray since he did not. When I switched to the RE, he repeated the HSG in his office and then did the saline right after....He made it hurt less than the OBGYN. THe OB needed to use a clamp to grab my cervix...ouch...THe RE said he uses a smaller catheter and does not need the clamp. I am surprised that yours did not do them both since you were there.....

At first he didn't want to do either, because I had a baby already and he said likely they would be open