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Hysterosalpingography (HSG) is a procedure that uses a special form of X-ray to look at the fallopian tubes and uterus. It is a noninvasive medical test that is often used to find out why you are having difficulty conceiving. The doctor will check if the fallopian tubes are fully or partially blocked and if the inside of the uterus is normal.
Doctors also recommend HSG to examine repeated miscarriages that may be caused by congenital or acquired uterine problems, such as adhesions, endometrial (uterine) polyps, uterine fibroids, congenital problems (uterine anomalies), tumors. In addition, HSG can check the effects of tubal surgery, including:
Blockage of the fallopian tubes caused by scarring or infection
Reopening of the fallopian tubes after sterilization or a blockage caused by a disease
Closing of the fallopian tubes after sterilization procedures.
During HSG, you will have to lie on your back with your knees bent on a table under an X-ray imager called a fluoroscope. Then, a device called a speculum will be inserted into your vagina. This device holds the walls of the vagina apart, keeping it open and allowing your doctor to view the cervix. The cervix is then cleaned. In most cases, no sedation is used during the procedure, but your doctor may inject local anesthesia to the end of the cervix to numb the area. You may feel a slight pinch as this is done.
Next, a contrast medium will be placed in the uterus and fallopian tubes. A contrast medium is a fluid containing a dye that can show up the structures of your body on an X-ray screen. The dye can outline the inner size and shape of your uterus and fallopian tubes. Your doctor can also see how the dye moves through your body structures.
To place the contrast, the cervix is grasped with a special device to hold it steady. Then, an instrument called a cannula is inserted into the cervix. Through the cannula, your doctor gently fills your uterus with the contrast. After that, your doctor will remove the speculum, and as the contrast medium fills your uterus and tubes, images are made with the fluoroscope X-ray. You may be asked to move around so that your doctor can get side views. It is normal to feel cramping during this part.
Finally, once the images are taken, your doctor will remove the cannula.
HSG is an outpatient procedure, so you should be able to leave the hospital on the same day. In most cases, you can get the test results on the same day and discuss the results with your doctor right away, so you do not have to stay in Barbados any longer than you wish to. However, if the results are not immediately ready, plan to stay in the country for several days. Your doctor should give you the details.
You can resume your normal activities, including work, immediately after HSG. However, you should refrain from sexual intercourse for 2 to 3 days.
It is also important to note that you might have some vaginal spotting, cramps, stomach discomfort, and dizziness for a few days following the procedure. You can use pads for the vaginal discharge, but make sure to avoid using a tampon. Your doctor may give you antibiotics to prevent an infection and pain medicine to help you with any cramps and discomfort. If your doctor does not prescribe you pain medicine, you can take over-the-counter pain relievers.
HSG is a very safe procedure with high success rates. However, there are some complications that the procedure carries and they only occur with 1% of patients. These complications include infection, radiation exposure, fainting, allergic reaction to the contrast material, and spotting. Injury to your uterus or pelvic injury is possible as well.
The procedure is generally considered as effective and accurate most of the time. However, a small study revealed a 35% incident of false negatives. This means that the results showed a normal uterine shape, but other tests showed abnormalities. Also, 15% of women who undergo this procedure have a false-positive, meaning the results showed abnormalities when it is actually normal.
The following procedures can give your doctor similar information as HSG:
Hysteroscopy can provide a detailed view of the inside of your uterus, but it cannot give information about your fallopian tubes.
Laparoscopy can show if the fallopian tubes are open.
Sonohysterography can show the insides of your uterus. However, as with hysteroscopy, it cannot show whether your fallopian tubes are blocked.
Before HSG, you may have trouble conceiving or had two or more miscarriages, or you just underwent some tubal sterilization procedures. After the procedure, your doctor should be able to find any abnormalities that are causing the problem. The results will be able to help you and your doctor creates a treatment plan. If you have HSG because you have some tubal sterilization procedures before, the results will be able to tell if your fallopian tubes have been completely blocked.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Barbados is an island country located in the Caribbean region of North America. This vibrant island nation boasts an abundance of astounding natural beauty, beautiful weather, smashing nightlife, beautiful architecture, and welcoming people. Beyond its white sand beaches and dazzling turquoise bays, Barbados is also an emerging medical tourism destination. It is known as a leading destination for IVF, rehabilitation, and a wide range of surgical and non-surgical treatments. Hospitals and clinics in the country are equipped with modern technology and high-quality services. The doctors and specialists are highly-trained and international patients can enjoy the country’s beauty and tranquility, while undergoing a medical procedure and holistic therapy at the spa. This allows patients to be at their optimum relaxation when they undergo medical treatment, making the recovery period easier and the success rate higher.
Bridgetown, Barbados’ UNESCO World Heritage-listed capital, is filled with old colonial architecture and vibrant culture. Visitors can go to the beautifully restored Barbados Synagogue, learn more about cricket in the Cricket Legends of Barbados, explore the history of the country in Barbados Museum, and admire the beauty of the neo-Gothic parliament. Those who want to experience the tranquil beaches and the calm Caribbean Sea should visit Holetown. Located 13.5 kilometers from Bridgetown, this beautiful city offers the perfect blend of history with modern-day living. It is lined with world-famous restaurants and museums. The main draw of the city is its beaches, and most tourists come to witness the remarkable sea turtles in their natural habitat, try out paddle boarding, or see the man-made coral reef. Aside from Holetown and Bridgetown, other popular cities are Bathsheba, Oistins. And Speightstown.
International visitors will arrive at Grantley Adams International Airport as the airport serves the US, Canada, Central America, and Europe. A great way to travel around the country is by bus, which is the most affordable mode of transportation. Visitors who need a more flexible option can opt for a taxi. Taxis in the country are not metered, but the fares are regulated by the government based on the distance traveled and the cost is reasonably priced.
Barbados allows citizens of most countries, including Australia, the US, all EU countries, and the UAE, to visit and stay without a visa for up to 180 days. Nationals of other countries, such as Libya and Egypt, need a visa before arrival. All visitors must have a valid passport for at least 6 months.
Located in the tropics, Barbados experience hot sunny days and tropical rain showers during the summer months (mid-April to November). The cooler season (December to mid-April) has dry and less humid weather, making it the best time to visit the country.