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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 Cambodia 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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Perched in the heart of Southeast Asia, nestled between Thailand and Vietnam, lies Cambodia — a dynamic blend of ancient and contemporary worlds that makes for an intriguing adventure. Dominating its list of attractions is the globally-renowned Angkor Wat, embroidered by lush jungles.
It is the soul of Cambodia — its vibrant culture, warm inhabitants, profound historical heritage, stunning coastlines, delightful cuisine, and spirited nightlife — that gives this nation its unique charm. Each element, individually fascinating and collectively harmonious, weaves a magical tapestry that is Cambodia.
Over recent years, Cambodia has strategically bolstered its healthcare infrastructure, aiming to appeal to a global patient community. In this endeavor, the country has witnessed several of its hospitals forging partnerships with institutions from close-by countries, with Thailand being a significant partner.
These strategic alliances have been key in establishing state-of-the-art healthcare facilities across Cambodia. These healthcare establishments strive to cater to a diverse array of medical needs, ensuring the delivery of world-class, professional care that meets, if not surpasses, internationally accepted standards.
Cambodia is relentlessly driving efforts to enhance its healthcare sector, with one main goal - to give patients access to top-notch medical care at costs significantly lower than those in other Southeast Asian nations, Singapore being a prime example.
This strategic approach is geared towards attracting patients from regions like Laos, Taiwan, and China. The essence of this approach is to establish Cambodia as a major healthcare destination that offers high-quality medical services, all within a budget-friendly framework that doesn’t strain patients' finances.
Phnom Penh is the capital of Cambodia, as well as the main medical tourism destination in the country. Once the ‘Pearl of Asia,’ this bustling city is now filled with bustling bars, historical architecture, vibrant café culture, a world-class food scene, and a glimmering Royal Palace.
Tourists venturing into Cambodia are invited to traverse the myriad attractions this enchanting nation has to offer. A must-visit is the National Museum of Cambodia which houses the country's extensive cultural history and art. For those who seek a deeper insight into Cambodia's past, the Tuol Sleng Genocide Museum provides a poignant yet important glimpse into the darker chapters of its history. In addition, the Royal Palace stands as a testament to Cambodia's architectural grandeur, drawing admiration from visitors across the globe. Another gem to explore in Phnom Penh is the Silver Pagoda, a unique blend of tranquility and exquisite craftsmanship, making for an unforgettable experience.
Moving beyond the capital city of Phnom Penh, Siem Reap emerges as another popular destination in the Cambodian travel circuit. This city, bustling with energy and soaked in history, captures the diverse ethos of Cambodia in its vibrant art, architecture, and local life. Inclusion of Siem Reap in any Cambodian itinerary lends an additional layer of cultural depth, making the exploration of this intriguing nation an even more enticing proposition. As such, whether it's diving into the past or experiencing the dynamic present, Cambodia offers a varied palette of experiences to delve into.
It’s where the fascinating, UNESCO-listed Angkor Wat is located. Aside from Angkor Wat, Siem Reap also offers other attractions, such as the Angkor Silk Farm, Wat Bo, War Museum, and Senteurs d’Angkor Botanic Garden. Those who want to relax on a beach should visit Sihanoukville. It was once a quiet beach town, but now it has become a modern up-and-coming holiday destination.
Phnom Penh International Airport stands as the largest and most bustling airport in Cambodia. Acting as a critical transportation nexus, it facilitates both domestic and international air travel. The airport offers numerous flight connections to various cities across Asia, making it a convenient choice for international tourists. Besides being a gateway into Cambodia, it also serves as a starting point for internal travel.
For tourists looking to cover various parts within the country swiftly, opting for domestic flights is a time-efficient choice. These flights are well-linked, providing easy access to different parts of this captivating country. Despite being the fastest mode of travel, they maintain reasonable fares, ensuring that the journey is equally enjoyable as the destination.
As one navigates within the cities, there is a disparity between the modes of transportation used for intra-city and inter-city travel. While trains and buses are the preferred options for traveling between different cities due to their affordability, city-based transportation adopts a different palette altogether. For daily city commutes and quick visits to local sights, taxis, tuk-tuks, and motorbikes are the most viable options. They're not only readily available but also allow for an intimate view of Cambodian city life. This dynamic and efficient transportation network significantly enhances the convenience of exploring Cambodia's stunning expanse.
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Cambodia is blessed with a warm climate throughout the year, making it a destination for all seasons with temperatures seldom falling below 20°C. Cambodian weather is generally categorized into two primary seasons: wet and dry. The wet season, spanning from May to October, is marked by episodic showers during daytime hours, adding to the country's tropical charm.
The dry season, commencing from November and extending up to April, is typified by agreeable and sunny weather conditions, making it an ideal time for travel and exploration. However, it is worth noting that during the peak of the dry season, specifically in March, temperatures can climb up to a sweltering 35°C. Despite the somewhat extreme conditions, the resplendent beauty of the country remains undeterred, with Cambodia promising a riveting experience regardless of the season.