On the way to the desired baby, the couple may face various difficulties. Unfortunately, for a positive result - pregnancy - it is not always enough just to have an active sex life. Poor patency may be a possible barrier to a healthy pregnancy fallopian tubes. The latter are a kind of corridor along which the mature egg moves towards the sperm.
Normally, after successful cell fusion, the zygote continues its movement along the fallopian tube, reaches the uterine cavity and "settles" in it. It is sufficient patency of the tube that is the key to the successful advancement of a fertilized egg. If this does not happen, the zygote settles in the tube, and an ectopic pregnancy develops. Checking the patency of the fallopian tubes is one of the examinations at the planning stage of the baby. It is worth noting that this procedure should be carried out only if there are appropriate indications. How soon can you start planning for a baby? What is the likelihood of seeing long-awaited stripes soon after a fallopian tubes test?
Pregnancy after HSG. Indications, contraindications and technique for the HSG procedure
The abbreviation "HSG" stands for hysterosalpinography. This procedure is designed to assess the lumen of the fallopian tubes by introducing a contrast solution into them through the uterine cavity. The result obtained can be recorded using x-rays or ultrasound control. With good patency of the tubes, the image will show the uterus filled with fluid, its tubes, as well as the solution flowing into the peritoneal cavity. Manipulation is recommended for carrying out in the first half of the menstrual cycle (the optimal period is 7-8 days). The procedure is not very pleasant, but not too painful, although much depends on the individual reaction of the woman to the intervention.
The main indication for HSG is the inability of a woman to become pregnant for a long time in the absence of other reasons from her health and a good partner's spermogram. Also, checking the patency of the uterine canals is recommended:
- with a history of tubal pregnancy;
- among the preparatory measures before the IVF procedure or artificial insemination.
There is no special preparation before the GHA. A woman takes tests to exclude possible infections, a smear on the flora, and on the eve of the procedure she takes an analgesic or antispasmodic. Most often, the manipulation is performed under local anesthesia.
Checking the patency of the pipes by the HSG method is contraindicated in:
- Acute infectious processes (ARVI, tonsillitis, rhinitis, furunculosis, etc.).
- Diseases thyroid gland- hyperthyroidism.
- Hypersensitivity to iodine.
- Pregnancy.
- Inflammatory processes in the uterine neck or vagina.
- Poor blood and/or urine test results and smear results.
Pregnancy after HSG of the fallopian tubes
If a woman went to check the patency of the uterine canals, then the appearance of a toddler in her womb is very desirable. Most often, women are concerned about such issues as:
- How soon after the manipulation can I start having sex without using contraceptives?
- What impact - positive or negative - does the procedure itself have on the possibility of successful conception?
- Will the HSG be able to resolve the identified problems with tubal patency?
Pregnancy immediately after HSG
One of the options for assessing the lumen of the uterine tubes is the HSG. The result of the passage of contrast through the organs of the reproductive system of a woman and its entry into the peritoneum (normally) is reflected in x-rays. This method checking the channels of movement of eggs is quite common, but has an undeniable drawback - the actual irradiation. This factor is the main reason why pregnancy after HSG in the same cycle is categorically not recommended, although technically its onset is quite possible.
Pregnancy after ECHO HSG
ECHO HSG (or ultrasonic HSG) is a method of studying the lumen of the fallopian tubes by introducing a tinted solution into the uterine cavity and evaluating the result on the monitor screen. After the introduction of the liquid, an ultrasound is performed using a vaginal probe. The passage of the substance into the abdominal cavity indicates the patency of the fallopian tube. This method is no less informative than HSG X-rays, but it has an undeniable advantage - a woman is not exposed to radiation during ultrasound, so she can try to get pregnant a few days after the manipulation. The procedure itself also increases the chances of successful conception. Fluid supplied under pressure is able to straighten (destroy) small adhesions, if any. Such a picture is usually indicated by the slow passage of contrast through the pipes. But if the fluid still reaches the peritoneum, the tubes are passable. That. ECHO HSG is the preferred option for assessing tubal patency.
When can I plan pregnancy after HSG?
Manipulation to assess the condition of the fallopian tubes and study their lumen is a non-invasive procedure and does not require a long recovery. For this reason, women planning a pregnancy want to start trying to conceive a baby again as soon as possible. How to behave specifically for this woman will be prompted only by the doctor who observes her. And yet some general recommendations worth highlighting:
- If a woman is exposed to radiation during a tubal patency test, it is strongly recommended to skip the current cycle. And although the alternative position claims that all the woman’s eggs were already irradiated during her life (because a woman already has a reserve of eggs at birth - it is “issued” one for life), you should not neglect the recommendation of doctors.
- It is also worth delaying pregnancy planning if other abnormalities in the reproductive sphere that require treatment were identified during the tube check.
- If a woman is prescribed antibiotic therapy - as a preventive measure after the intervention or for other indications - the current cycle should also be skipped.
- When conducting an ECHO HSG, the current menstrual cycle can not be missed if there are no other contraindications to pregnancy.
Why does pregnancy occur after HSG?
The cavity of the uterus and its tubes are filled with contrast under pressure, so the movement of the fluid occurs with a certain pressure. That. during the HSG, a kind of purging of the uterine tubes occurs. If the cause of previous failures was precisely the problem with the tubes, namely the presence of a small (!) adhesive process in them, reduced tube motility, the HSG is able to remove the obstruction. The high probability of pregnancy persists for the next few months - up to six months. It is during this period that the planning couple is recommended to actively try to get pregnant. If the patency of the fallopian tubes is not broken, then the problem of the absence of pregnancy lies elsewhere. Naturally, the HSG in this case will not have any effect on the success of conception.
Ectopic pregnancy after HSG
There is no direct established relationship between tubal pregnancy and a previous HSG procedure. However, this manipulation can really increase the likelihood of implantation of the ovum in the tube. Moreover, such a picture can occur even with a history of passing pipes (according to the results of the examination). The fact is that manipulation itself can become an impetus for the development of an inflammatory process in the uterine canals and, as a result, the formation of adhesions in them. Immediately after the introduction of contrast, the likelihood of developing such a picture is minimal, and therefore it is recommended to make maximum attempts to get pregnant in the first months after the manipulation.
The complex term hysterosalpinography (HSG) in medicine is the procedure for checking the fallopian tubes for patency. The need for it arises when (if within a year of regular sexual activity with a regular partner without protection, she cannot become pregnant).
With a disappointing diagnosis of infertility, the HSG will be one of the first diagnostic tests a woman will be referred for. At the very beginning of this path, it is necessary to exclude poor patency of the fallopian tubes (due to the formation of adhesions and scars), which may be the reason for the inability of a woman to become pregnant. In addition, doctors recommend undergoing this procedure also because it is after the HSG that many women manage to conceive a baby.
Thus, HSG is both a diagnostic and, in some way, a therapeutic procedure. Because in addition to getting a real picture of the patency of the fallopian tubes, a woman also increases her chances of a long-awaited conception of a baby.
The likelihood of pregnancy after HSG
It is quite obvious that if the patency of the fallopian tubes is not broken, then it lies in something else. And, of course, the HSG in this case will be useful only in that it will exclude the probable obstruction from the “list of suspects” - you will need to look further, what is the problem.
However, if some obstacles in the advancement of a fertilized egg to the uterus still exist, then after the HSG they may disappear. The procedure itself helps to “cleanse” the fallopian tubes, improve their motility and restore their normal patency. Very often, in order to get pregnant, it is enough to do an HSG. This is confirmed by numerous reviews of women who gave birth to healthy babies precisely as a result of undergoing this procedure.
A few words should be said about the likelihood of an ectopic pregnancy after HSG. It does not exceed the average. In this case, the risks or chances of pregnancy increase in principle. And an ectopic may occur due to changes in the tubes that are absolutely not related to hysterosalpinography. However, it is better to play it safe and visit a gynecologist as soon as the pregnancy test is positive or you feel the first signs of pregnancy to make sure that the fetal egg is implanted correctly.
Is it possible to get pregnant after an HSG?
Practice shows that pregnancy after HSG, if the cause of infertility was precisely obstruction of the tubes, is possible in the same menstrual cycle that the procedure was performed. But such an outcome, oddly enough, may be undesirable. Moreover, it is not uncommon for doctors to advise women to terminate a pregnancy that occurs immediately after the HSG.
It's all about the high doses of X-ray exposure to which a woman is exposed during the procedure. They can have an extremely negative impact on the development of the fetus, and therefore the doctor is obliged to warn his ward that within a month after the HSG (X-ray method) she needs to be protected in order to prevent pregnancy in the current cycle.
If an ECHO-HSG (ultrasound method) was performed, then there are no risks associated with the onset of pregnancy. In general, the likelihood of pregnancy after HSG remains quite high for several months after the procedure.
We wish you just such an outcome!
Especially for Elena Kichak
The article discusses the method of studying the reproductive system of women - hysterosalpingography, and its impact on the possibility of conception.
The problem of infertility today affects many couples, and often it is caused by violations in the work of a man or woman that do not manifest themselves outwardly.
To identify such abnormalities, women are prescribed hysterosalpingography.
How is the HSG performed?
HSG or hysterosalpingography is a method of examining the fallopian tubes and uterine cavity for patency.
There are two types of HSG:
- x-ray;
- echohysterosalpingoscopy.
Fluoroscopy is a method of conducting HSC, during which the uterus and oviducts are filled with a water-soluble contrast agent.
Then, using an X-ray machine, a picture is taken in which the radiologist sees and evaluates the anatomy and function of the female organs. With ultrasound, the doctor injects into saline, which eliminates the risk of allergic reactions.
MSG feature
HSG and MSH are designations for the same diagnostic procedure. So the only difference is their names.
In medical terms, the Greek and Latin names of human organs are used to refer to diseases or methods.
This also applies to the terms "hysterosalpingography" and "metrosalpingography", where the Greek and Latin names are used. female organ. In the first case, it is “gister”, in the second, “metro”. Both words are translated as "womb". Due to the presence of two medical languages, the same diagnostic method has two names that are used equally often.
Pregnancy after HSG
Medicine has achieved high results in the treatment of infertility. Often, it is thanks to the HHA that couples manage to conceive and give birth to a child. Compliance with all the doctor's recommendations allows you to achieve results a few months after treatment.
Anxious moments
The procedure involves intervention in the body of a woman, so doctors do not recommend planning during the examination period. This is due to possible negative impacts:
- X-ray exposure affects the egg, causing mutations;
- the stressful state of patients affects the work of the hormonal system, which is also responsible for the development of the fetus;
- the risk of infection entering the uterine cavity;
- the likelihood of developing an allergic reaction or inflammatory disease.
Specific contraindications
Contraindications for performing the HSG procedure are:
- the presence of an inflammatory process in the reproductive organs of a woman;
- pregnancy of a woman or its high probability;
- high threshold of sensitivity to pain in women;
- the appearance of uterine bleeding;
- pathologies of the cardiovascular system;
- thrombophlebitis;
- menstruation;
- the presence of an allergy to the substances used in the study: iodine, a contrast agent.
The effect of x-rays on pregnancy in the first month after the procedure
Experts advise making an attempt at conception in the next cycle, which is associated with the negative effects of x-rays. The radiation is partly radioactive, but in small doses it does not harm the human body, with the exception of germ cells. They "absorb" radiation more actively and are much less protected from it. X-rays can change the DNA structure of the egg, thus reducing the possibility of conception and increasing the risk to the fetus.
Is pregnancy possible after MSG?
Since MSH is a diagnostic procedure, it cannot directly affect the ability to conceive. In the course of the study, only a conclusion is given whether the woman has pathologies that prevent her from becoming pregnant:
- hypoplasia;
- adhesions in the tubes or uterus;
- infantilism;
- polyps;
- myoma or fibroma of the uterus;
- obstruction of the fallopian tubes and others.
In some cases, the introduction of a special substance helps to remove small adhesions and increase the patency of the pipes. In parallel, there is an improvement in the functioning of the endometrial glands of the uterus. This leads to the fact that in the coming months after the procedure, the woman's chance of pregnancy increases significantly.
Contraindications and preparation for the procedure
Before MSG, it is important to make sure that there is no pregnancy. In this case, it is necessary to prepare for the procedure:
- exclude pregnancy;
- do not undergo other examinations in a week, do not use intimate hygiene products such as vaginal suppositories and tablets;
- drink painkillers.
What do the doctor's say
MSH will allow to make an accurate diagnosis and form a treatment method. Doctors recommend undergoing MSH for women who have not become pregnant within 1-2 years of regular sexual activity.
Good afternoon.
Background: when I went for this procedure, I promised myself that if it helps me, I will write a review about it.
For 8 months, my husband and I could not get pregnant. I tried a lot: I measured my basal temperature for several cycles, drank a pine forest uterus and a red brush (itself, doctors didn’t prescribe me, the power of the Internet ..), bought ovulation tests (not cheap). Each cycle I looked for (and found !!) signs of pregnancy in myself. And every time menstruation came .. I was already in despair, fuel was added to the fire by the fact that several colleagues almost simultaneously became pregnant and went so happy !! I felt inferior against their background, listening to their chirping and weeks and decrees .. I had nothing to say. We decided to get pregnant with two girlfriends at the same time (they are both my colleagues), and they successfully coped with this, one with the help of ovulation tests, the second just like that (she is the fourth child).
By the way, I also have a daughter, she is seven years old. I never thought that I could have any problems getting pregnant!! I thought it would work right away!! But months passed, both friends were already "in position", but I still didn't ....
Went to the doctor. Previously, I passed all the tests and the gynecologist told me to return with the pregnancy. Yeah, how.
And now, after 8 months, I again came to her, saying that "well, it doesn't work !!" The doctor immediately began to draw up HSG tests for me, explaining its essence and saying that this procedure is not only diagnostic, but also therapeutic. The bottom line is this: A contrast agent is injected into the uterus through a catheter. Then a picture is taken (we have an x-ray). They look at the picture, if the contrast has passed through the uterus and tubes, then the tubes are passable, there are no adhesions. If the contrast lingers somewhere in the pipe and does not go further - a spike. Adhesions can interfere with conception. When the contrast passes through the tubes, thin adhesions are torn, and the tubes expand slightly (here it is, the therapeutic effect). And it is easier for spermatozoa to "run" to the egg. I had it done on the 6th day of my cycle.
From the tests I gave: urine, feces, blood from a vein and a finger, went to a therapist for a consultation, put a stamp on fluorography (we go through every year at work). Well, a smear, of course. Analyzes must be fresh.
I left home for the procedure like going to war. Husband walked to the door. I cried a little in the car along the way (it was scary). After all, I read everywhere about this procedure, the state was - horror. I arrived at the hospital in the evening. In the evening, they gave me an enema (also the same procedure), and treated everything inside with alcohol (very unpleasant and stings). Evening and night passed in stress, I was VERY afraid. And, I tell you, not in vain.
In the morning, a handsome old doctor invited me. I put on a short robe and we took the elevator to the x-ray room. I took panties with a gasket and a diaper with me. They put me on the table, lifted my ass (put some kind of thing). And then it started!! With jokes, jokes, the old man introduced mirrors into me, and then it hurt me so much !! It was a catheter. It is inserted into the cervix. HURT!! Then they injected the substance, I felt it because I felt a cold trickle under the skin of my stomach, and the uterus began to pull strongly !! Ooooooooooo, I puffed (you can’t move), cried a little, moaned as quietly as possible, breathed very often and deeply. Everyone ran out of the room (to take an x-ray), only a female nurse remained nearby, who reassured me. Five minutes passed, the catheter hurt me, I was scared. The doctor came and took everything out of me (not so painful), rubbed it inside with alcohol. And that's it, I was asked how I feel and allowed to stand up. I rather put on my shorts and went to the department, to the ward. My stomach pulled (tolerably) for probably an hour. After about 40 minutes, the doctor called me, gave me a picture and said that everything was fine, the tubes were passable. And they let me go home.
At work, I took sick leave for 2 days.
A few days later I ovulated (I know exactly what day it is, about 13-14), and my husband and I did not waste time in vain. How many reviews have I seen that girls got pregnant in the same cycle after the HSG !!
In fact, at that time I had already calmed down, I stopped fanatically looking for methods and ways to get pregnant, because summer is ahead, we planned a vacation, booked a hotel room in Crimea .. I thought, okay, after the vacation we will try again. Relaxed!!
But my period didn't come!! And the line on the tests became more and more distinct !! Today I am just 5 weeks pregnant, I have already registered)) It turns out that the HSG helped me get pregnant!! Apparently, due to the expansion of the pipes, since there were no adhesions.
Here is such a story!! It was scary and painful, but it turned out to be worth it!!
Today, millions of couples face the problem of infertility. If pregnancy does not occur within a year of regular sex without contraception, then doctors recommend starting an examination.
According to statistics, in a third of cases, a couple is not able to conceive a child through the fault of a woman. The most common reason for this is blockage of the fallopian tubes.
It is usually checked with the help. In case of doubtful results or obstruction, laparoscopy is prescribed, which from a diagnostic manipulation can turn into a surgical intervention.
However, many women note that as soon as they had an HSG, pregnancy came after many years of unsuccessful attempts. Doctors attribute this to the washing effect of this procedure.
During it, it is introduced into the uterine cavity, which then normally enters fallopian tubes and pours into At the same time, small adhesions that were in them and prevented the onset of pregnancy may disappear. Thus, HSG promotes conception.
However, doctors strongly recommend preventing pregnancy during the cycle when the study is being conducted. This is primarily due to the harmful effects of x-rays. Irradiation can adversely affect the bearing of the baby and its development.
In addition, complications may occur after HSG, the most common of which is an inflammatory process in the reproductive organs. In this case, the course of pregnancy can be negatively affected by both the presence of the infection itself in the body and the drugs that the expectant mother will have to take.
Nevertheless, HSG and pregnancy for many women have already become very close and interconnected concepts. However, planning for conception after the procedure must be approached responsibly. Active attempts should be started after the onset of the next menstruation.
When pregnancy occurs in a cycle with HSG, the doctor may raise the question of terminating it. And this will be the strongest psychological blow for a woman who has been unsuccessfully trying to get pregnant for a long time.
In addition, for most patients, HSG is a serious stress, they are very worried and worried, especially if they do it for the first time. For some of them this procedure is a real torture because of the sharp soreness, although others experience only unpleasant sensations. This is due to the fact that different people have a different threshold of sensitivity.
It is also better not to experience such experiences. And many gynecologists believe that it does not begin at the moment of conception, but at the beginning of the cycle in which it has come.
In addition, when a radiopaque substance is injected, muscle spasm may occur, it will not be able to pass into the tubes and a false result will be obtained. Therefore, patients are advised to drink no-shpu before the procedure.
Quite often, after HSG, doctors prescribe drugs to prevent complications (suppositories, antibiotics, anti-inflammatory drugs). Their use during pregnancy is also undesirable.
Long-awaited pregnancy after HSG occurs quite often. This is evidenced by statistics, and experts say.
This opportunity must be used. However, HSG and pregnancy should be combined with caution. It is necessary to consider on which day of the cycle the study is performed.
Although some experts argue that it is only necessary to protect yourself after the HSG for three days, and then start actively planning so as not to miss this opportunity. After all, the effect of the procedure does not last long. There are also cases when women gave birth to quite healthy children, having become pregnant in a cycle with HSG.
So, how to combine HSG and pregnancy, each woman decides conscientiously with her doctor. However, it is better to postpone active attempts to conceive a baby for cycles after the procedure.