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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 Cancun 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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Occupying a coveted location on Mexico's Yucatan peninsula and bordered by the Caribbean Sea, Cancun stands as the country's top-tier coastal attraction. This city, best recognized for its sprawling 21 km stretch of pristine white sandy beaches, also presents exhilarating water-based recreational activities and a lively nocturnal scene.
Cancun is emerging as one of the most desirable destinations for medical tourism. It has world-class healthcare facilities and internationally accredited hospitals. The city hosts two of the five JCI accredited hospitals in Mexico. Furthermore, Multi-million dollar ‘Health City' project is underway and the aim of the project is to establish the largest medical complex of its kind in the country.
Annually, Cancun welcomes thousands of individuals from various global corners seeking to undergo an array of medical procedures. Affordability remains a key attraction, with patients managing to save approximately 60-80% in total healthcare costs, inclusive of travel and accommodation. As an illustration, a bariatric surgery that could set you back by $25,000 in the US could be feasibly done in Cancun for a mere $600.
The gamut of medical procedures offered in this beach-front city spans across dental treatments, alternative therapies, aesthetic surgery, cardiac surgery, cosmetic surgeries, as well as obstetrics and gynecology. The most sought-after treatments are typically dental and cosmetic surgeries, largely undertaken at acclaimed centers such as Perfection Makeover and Laser Center, Cancun Dental Specialists, and Hospital Galenia.
Cancun, a prominent resort city, can be broadly classified into two distinctly different areas: the Zona Hotelera Cancun and Cancun Downtown.
Zona Hotelera Cancun
The area encompasses several suburbs. The zone lies on the 15-mile long sandbar just off the mainland. Beachfront luxury resorts, shopping malls, multi-cuisine restaurants, and lovely Caribbean beaches are the highlights of the area. The nightlife is exhilarating with glitzy bars and salsa clubs. You can enjoy the rotating observation deck on the scenic tower Cancun to enjoy the breath-taking view of the ocean and the city.
Tourists can indulge in a number of water sport activities including snorkeling, windsurfing, paragliding, scuba diving, and water skiing. The natural water park Xel-Ha is ideal for snorkeling.
Your trip will be incomplete without a visit to the age-old Mayan Museum. Cancun is the starting point for discovering Maya Riveria, which houses the world's second largest coral reef.
The picturesque island, Isle Mujeres is just a few miles off the coastal line and has pristine beaches. The world-famous underwater Museum, MUSA is an absolute visual treat for the tourists. The museum has over 500 stunning sculptures. You can admire their beauty from inside the glass bottom boats.
Cancun downtown
The downtown portion of Cancun is characterized as a bustling hive of lively shops, diverse eateries, and spirited pubs. Tulum Avenue stands out as the primary and most attractive boulevard in the area, boasting an impressive assortment of handicraft shops, theatre venues, departmental stores, and shopping centers.
The city’s expansive open-air market, Mercado 28, enjoys popularity for its vendors specializing in silver jewelry and unique souvenirs. Yaxchilan Avenue, a street forever brimming with animated bars and restaurants, virtually never sleeps.
The residential architecture within Cancun downtown predominantly comprises of apartment complexes and villas.
Endowed with the quintessential sun-soaked holiday weather, Cancun boasts a tropical savanna climate characterized by two distinct cycles: the dry season and the rainy season. Average temperatures generally oscillate between 23°C and 28°C. Dips below 21°C are fairly rare, just as surges above 34°C.
The optimal time to plan a visit to this city spans from November to April. This timeframe offers moderate temperatures and minimal rainfall, making it an appealing period for a holiday. However, it's noteworthy that accommodation costs tend to hike significantly during these months.
It is easy to get around and navigate in Cancun, as most of the tourist attractions lie in the Zona Hotelera. Taxis, public buses and other means of transportation are available to cater to the needs of the locals and the tourists.
Visa requirements for Mexico:
Citizens of 67 countries, including Australia, Brazil, Belgium, Canada, the USA, UK, Spain, Japan, and more, are exempt from visas when visiting Mexico for up to 180 days.
Citizens of India, China, and Russia need to apply for a tourist visa in advance before traveling to Mexico. The tourist visa is valid for six months from the date of entry and can be extended for up to six months. The tourist visa fee is around $22 USD.
How to apply for a Mexican tourist visa:
You can apply for a Mexican tourist visa online or at a Mexican embassy or consulate. The online application process is relatively straightforward and takes about 20 minutes to complete. You will need to provide your passport information, travel dates, and contact information. You will also need to upload a digital photo of yourself.
Once you have submitted your application, you will receive an email confirmation. You should then receive your visa within 5 to 10 business days.