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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 Greece 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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The upward shift in Greece's status as a medical tourism hub has been quite noticeable in recent years. Medical tourists are being increasingly drawn to the country, a relative newcomer in the industry, due to a myriad of reasons. One of the core attractions is its health care system, which holds a high rank on the global scale. However, in spite of boasting of world-class standards, the medical services in Greece are pleasantly affordable. In fact, it flaunts some of the most pocket-friendly medical care prices across Europe and even globally.
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The captivating city of Athens, the crown jewel of Greece, presents a dazzling blend of antiquated splendor, enchanting landscapes, and a vibrant modern core. The capital prides itself in harboring an unparalleled assortment of Greek ruins and antiques. Prime among them is the Acropolis, an iconic ancient citadel perched on a rocky outcrop. The Greek Agora, a central public space in ancient Greek city-states, adds an extra charm to Athens’ archaeological grandeur.
On the other hand, the striking island of Santorini stands as another touristic magnet in Greece. Admired far and wide, it carries the reputation of being the most breathtaking island in the country. The enormous allure of Santorini with its distinctive architecture, caldera views, and famous sunsets, keeps it perennially embedded in the bucket lists of travelers worldwide. From the captivating capital of Athens to the charming Santorini, Greece exhibits alluring facets that are truly hard to resist.
It is best known for its unique landscape and cliff-top towns. While Santorini is the most spectacular, Mykonos is the most glamorous. It is noted for its classy seafood restaurants and boutique hotels. Some of the most famous attractions in Mykonos, besides its beaches, are Paraportiani and Little Venice.
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As September ushers in the fall season, the weather across Greece turns cooler but largely stays clear. On the flip side, winters starting from December to February reveal a different picture. Coastal cities remain warm but the country's northern regions experience significantly lower temperatures, occasionally even witnessing snowfall.
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Athens International Airport holds the distinction of being the largest and busiest hub for international air travel in Greece. This is typically the point of arrival and departure for a majority of international tourists exploring Greece. The extensive network of this airport caters to both domestic and international flights, connecting many global cities like Dubai, London, Moscow, and New York to the heart of Greece.
Among affordable means of transport, the ferry services stand out, particularly for travelling among the islands. They run on a frequent basis, with services especially ramped up during the sun-soaked summer months. For land travel, buses come across as largely comfortable and hassle-free, although the network is somewhat limited.
For intra-city travel within major Greek metropolises, the extensive network of buses and trolleybuses prove to be reliable options. Particularly in Athens, the capital city, the metro and tram systems offer additional efficient and cost-effective ways to explore the local attractions. Additionally, taxis, which are conveniently available quite everywhere, turn out to be extremely pocket-friendly. Whether hopping between islands or navigating city streets, Greece offers a range of transportation options to suit the needs and budgets of different travelers.
Greece is part of the Schengen Area, which means that citizens of most countries can travel to Greece without a visa for up to 90 days within a 180-day period.
Citizens of the following countries do not need a visa to visit Greece:
Citizens of all other countries need to obtain a visa to visit Greece.
You can apply for a Greek tourist visa at the Greek embassy or consulate in your home country. The visa application process can vary depending on the country where you are applying, but there are some general requirements that all applicants must meet, such as having a valid passport, proof of onward travel, and proof of financial means.