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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 Mexico City 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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Mexico City is the capital of Mexico and is the largest and populated city with a population of around 9 million, whereas the greater metropolitan area has around 21.2 million.
Mexico City is not only the political, administrative, and financial center of Mexico but also a major center for medical tourism within the country. It is a popular destination for affordable and quality medical care for many US and Canadian citizens and recently has started to attract Europeans and some Asian medical.
The City offers health care facilities and procedures at international standards and at a fraction of the cost when compared to the US and other countries. According to the Ministry of Health in Mexico, the competitive cost of medical care in the country allows an average saving of about 50% to 70% in various treatments and surgical procedures, and with the added benefit of small waiting times.
Mexico City offers state-of-the-art medical care in Cosmetic and Plastic Surgery, Cardiology, Orthopaedic, fertility treatments, and dental procedures. It has many famous hospitals with well-trained and board-certified doctors, and advanced medical equipment. Medica Sur, Hospital Espagnol, and Hospital Angeles, Dentalia Mexico City, and Ortopedia DF are some renowned hospitals and clinics in Mexico City. They have private rooms with all modern facilities and offer high standards of nursing care and the hospital staff all speak good English, which makes communication very easy.
The City is located in the valley of Mexico and is surrounded by Mountains and two stunning snow-covered volcanoes, Popocatepetl and Iztaccihuatl tower above it. Though the city is very large, most of the popular attractions are in the historic city center, ‘Centro Historico de la Ciudad’. This is a 5.8 square mile UNESCO World Heritage site that has more than 14,000 important structures from the 16th to 19th Century.
Some important landmarks to visit in Mexico City are –
The Palace of Fine Arts, Chapultepec Park, National History Museum, and Paseo de la Reforma and the Angel of Independence are other important landmarks of the city.
Mexico City has a subtropical climate because of its location in the high plateaus. It experiences mild and pleasant weather throughout the year. Summers are warm and winters are mild. The annual average temperature is 64°F. The temperature does not vary much throughout the year but the warmest month is May and the coldest is January. The average maximum temperature in summer is 77°F and the average winter temperature is 45°F.
The average annual rainfall of Mexico City is high at 33.31 inches (846.0 mm). June to September is the rainy season, with July being the wettest month. During the summer, there can be a few spells of rain.
The City has dry periods from January to April and November to December. February is the driest month of the year.
You can reach Mexico City by flying into Mexico International Airport which is known as Benito Juarez International Airport. It is the busiest airport in Mexico and serves many airlines. The major Mexican airlines Aeromexico and Aeromexico Connect operate flights to many Latin American cities and domestic and international destinations from this airport. Many American Carriers also have direct flights to Mexico City. Domestic carriers like Interjet and Volaris also operate out of the airport, connecting Mexico City to other domestic cities. The other airport in the city, Licenciado Adolfo Lopez Mateos International Airport (TLC) services low-cost domestic airlines.
There are many bus operators that offer bus service from US cities to Mexico City. The City also offers a well-planned transportation system to get around in which is the metro system, the downtown rail, light rail, normal buses, BRT (bus rapid transport), minibusses, and trolleybuses. Public transportation is very cost-effective and efficient, but can also be very crowded.
If you don’t want to travel by public transport, then you can choose Uber and other private taxi services. They are a bit more expensive but are stress-free.
Foreign Nationals wanting to enter Mexico must get a visa in advance unless they belong to any of the 67 eligible visa-exempt countries like the United States, UK, Canada, and Australia, or one of the three Electronic Authorization System eligible countries. Mexico also offers visa exemption to the people of any nationality who have a valid visa from the US, UK, Canada. They can travel to Mexico with their valid passports and can stay for up to 180 days.
However, citizens of countries like India, Russia, China, Sri Lanka, and many other countries need to apply and get a visa in advance to travel to Mexico for tourism.