HSG with saline and fibroids

October 17, 2007

I'm having an HSG done but it is with saline instead of dye. Is this procedure the same or better? The nure called it a hydrosonogram. She also called is an SIS (?). Also the doctor felt a small fibroid in my uterus about the size of a large grape. My HSG is not until the end of November, will the fibroid grow larger in that time frame? Is there anything I can do to keep it from getting bigger? I saw a pelvic pain specialist and he said that most times fibroids do not prevent pregnancy, is this true? Thanks.

October 17, 2007

Hi Marie,

These are two completely different things...What you're having done is called a "sonohysterogram" or can be called a "fluid ultrasound". This is great to determine if there are any endometrial polyps or fibroids, but are poor at determining whether the tubes are actually open. An HSG is much better at determining tubal patency, but not as good for looking inside the endometrial cavity.

Fibroids can keep on growing until menopause hits usually, and unless you're on meds to keep you from ovulating, such as Lupron which has been shown to shrink fibroids, then little can be done.

Fibroids for the most part don't affect one's ability to get pregnant. The only ones that can depends on where they're located, and the literature is still unclear about this, yet we RE practitioners continue to believe that submucosal fibroids and endometrial polyps in particular can result in a diminishment in pregnancy rates.

October 21, 2007

Dr. Q,

You said this procedure I am having is mainly used to see fibroids, etc. At the same time will is help to clear up any blockage that I might have in the fallopian tube?

October 21, 2007

Hi Marie,

an HSG or sonohysterogram won't clear any blockage, but the thought is that if there's any "debris" inside the tube, the fluid will flush it out...

December 09, 2007

Hi Dr. Q,

I have had a miscarriage and preterm labor and that baby didn't survive due to a fibroid that was 16cm, it was removed in Jan. since the myo. I have not noticed any cervical fluid. Is it possible for me to still get pregnant?

December 09, 2007

Welcome Latesha!

Many people even though they ovulate/have regular periods, never notice ewcm and get pregnant all the time...

I'm glad your fibroid was removed (which has no effect on mucus production) so that hopefully you won't have problems with your next pregnancy which we're all hoping you'll soon have..

Good luck, and keep us posted...

**************babydust***********

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