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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 France 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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France, renowned for its architecture, art, cinema, cuisine, fashion, literature, music, and wine, with the most significant attraction being its glorious capital city, Paris - home to the famous Eifel Tower. With its small medical tourism industry, France sees far fewer medical tourists than its neighbors Germany and Spain, however, many travel each year for Hysterosalpingography (HSG) procedures among other popular procedures. Other than Paris, popular locations for private medical centers, include Bordeaux, Lyon, and Montpellier.
France has welcomed more than 80 million visitors in the past few years. The country does have a lot to offer, from culture to iconic landscapes, making it an ideal place to spend a memorable holiday.
France generally enjoys mild summers and cold winters except in the Mediterranean area, which enjoys mild winters and hot summers. Spring starts in March and ends in April and the streets in spring are bursting with colors, making it a beautiful time to visit the country. It rains a lot during this season but the weather will start to brighten up in April. The temperature ranges between 7.5 °C in early March and 13.6 °C in May. June is when the summer starts and this season is a high season for tourism. The average temperature in summer is around 24 °C and the season experience little rainfall (around 11 days every month).
Autumn lasts from September to November. With an average of 12 °C, the temperature is still pretty mild to enjoy some outdoor activities. The temperature will slowly decrease in November when it reaches an average of 7.5 °C. Autumn is also the season of grape harvests, meaning it is a great time for wine tours. Winter is during the months of December to February and the weather can be really cold during this season with an average temperature of 5 °C. Despite the cold, December can be a delightful time to visit the country since it is one of the most festive months in France.
France has 34 airports, but the busiest are the airports in Paris: Paris Charles de Gaulle and Orly. Paris Charles de Gaulle Airport is the largest airport in France and the second largest in Europe. The airport serves domestic and international flights. It connects France with almost every country around the globe. It also serves budget airlines such as EasyJet and Norwegian Air Shuttle. While Charles de Gaulle airport serves as the main airport, Orly Airport serves as a secondary hub for domestic and overseas territories flights.
Traveling around France is easy. The wide range of airports let tourists travel around the country quickly by domestic flights. The country also has a great rail system since it is the creator of the earliest high-speed train system. The TGV (Train a Grande Vitesse) connects 150 cities in the country and Europe. It speeds up to 200 miles per hour. Other than the TGV, there are also Intercity trains, TER, and AutoTrain. The easiest way to buy train tickets is online. The prices vary widely but you will get good bargains if you book early. Before getting on the train, remember to validate your ticket in yellow machines known as compostage de billets.
Taxis can be found easily around France and you can hail a taxi from a taxi rank (station de taxi) outside railway stations, airports, or main areas in cities. You can also hail one directly from the street or by telephone. The taxis are metered and the base fare is around €4.10. If there are more than four passengers, there will be an extra fee of €2.50 and the driver can charge an extra €2 if you have a lot of luggage and Taxis are usually more expensive in Paris.
France is a member of the Schengen Agreement. Therefore, holders of ordinary passport from 62 countries including Australia, Malaysia, Singapore, and the United States do not need a visa to enter the country for short stays of up to 90 days. Other nationals not listed need to apply and obtain a visa before entering the country. It is advisable to always check at the nearest France embassy or consulate for a France visa.