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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 Thailand 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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Thailand is consistently voted one of the most popular travel destinations in the world, leading the way for Asian countries with over 60 state-of-the-art JCI-accredited facilities. The country is renowned for its tropical beaches, floating markets, stunning royal palaces, and Buddhist temples. The vibrant capital, Bangkok, blends tradition and modernity with its ultramodern cityscape featuring brand-new high-rise condominiums side-by-side with quiet, serene canalside communities. As per the Tourism Authority of Thailand, Phuket, Koh Samui, Chiang Mai, Hua Hin, and Pattaya are the most sought-after tourist spots outside Bangkok, each boasting excellent yacht chartering opportunities.
Each year, Thailand opens its doors to hundreds of thousands of medical tourists. These individuals traverse the globe to receive treatment, with a significant number hailing from the local SE Asia region, Australia, the United States, and the Middle East. Recently, there has been an upsurge in the number of visitors coming in from China for medical purposes.
The reasons for Thailand's popularity as a medical tourism destination are its outstanding private healthcare system, attractive tropical climate, and competitive pricing. In the list of top medical tourism destinations worldwide, Thailand currently holds the third position. The procedures that attract most patients are cosmetic surgeries, including breast augmentations, gender reassignment surgery, and CoolSculpting, along with cardiac surgery, orthopedics, and urology.
Thailand, with a population of just under 70 million people spread over an area of around 500,000 square kilometers, has several regions and cities that are widely popular with both natives and tourists. Offering a diverse blend of urban and rural experiences, beach life and inland natural beauty, each part of Thailand offers a unique angle into the rich and complex Thai culture.
Arguably the most popular area of Thailand is the capital city, Bangkok. Consistently ranked as one of the most visited cities in the world, Bangkok is an ever-buzzing urban hub with its busy streets, modern lifestyle, magnificent temples and opulent palace, alongside a pulsating nightlife. This city is typically the entry gateway for a vast majority of the 30 million tourists who visit Thailand each year. Known for its glimmering cityscape and vibrant food scene, Bangkok is indeed a compulsory stop in every traveler's itinerary.
While Bangkok is the country's urban heart, there's more to Thailand than just its capital. Among the other popular regions are the beachside island paradise of Phuket and Koh Samui, the city of Pattaya, and Hua Hin - each of them a haven for beach lovers and anyone seeking a laid-back vibe away from bustling city life. However, for those who prefer the call of the inland and a dash of adventure, Chiang Mai, nestled in the lush jungles of northern Thailand offers a refreshing and unique proposition with its derivative local culture, serene temples and interaction with native wildlife.
Known for its truly tropical climate and scorching temperatures, Thailand, in general, is hot and humid all year round. The coastal locations do benefit from the cooling sea breeze, a luxury urban Bangkok is denied. Average temperatures range from 28°C (82°F) up to 35°C (95°F). However, during the Hot Season (March to June), temperatures can top 40°C (104°F).
The infamous Rainy Season tends to start in July and continue through to October; during this time expect heavy rainfall, often amounting to flooding in some areas. It will remain warm to hot but humidity levels will rise and the mosquitos will come out to play!
November to February is often referred to as the Cool Season when less rain is expected and the temperatures tend not to rise above 35°C (95°F).
From a tourist perspective; the High Season lasts from November to March and the Low Season from April to October. But be aware of the Shoulder Seasons of April to June and September to October, when Thailand is less impacted by the Rainy Season and less busy with tourists – these can be the ideal times to visit.
In a nutshell, Thailand is a Shorts and T-shirt Country, you’re never really going to be cold, so pack light; shorts, t-shirts, vests, skirts, singlets, and light dresses. Maybe pack jeans and shoes if you’re planning on going to a swanky roof-top bar in Bangkok or to a temple where flip-flops are not acceptable.
Don’t forget mosquito spray as the little pests can get everywhere; big ones and little ones! Always protect against the sun; with high factor sunscreen and UV-protective sunglasses. The usual medications found at home should be available in most pharmacies.
With the Suvarnabhumi International Airport being serviced by some of the world’s major airlines, tourists can fly into Thailand from almost anywhere in the world, sometimes with a connection along the way. All the popular regions have their own international airports, with the exception of Pattaya, which is just a 90-minute taxi ride from Bangkok. However, arrival destinations are slightly limited outside of Bangkok, but the likes of Emirates and Qatar Airways will fly into Phuket International Airport. The rest, mostly fly in from local countries on budget airlines, including Scoot, SilkAir, AirAsia, and Lion Air to name a few.
For domestic flights, the airports are nicely linked in Thailand with flights from as little as $45 USD one way. There are several budget airlines servicing these routes, including Thai Lion Air, AirAsia, Nok Air, Thai Airways, Bangkok Airways, and Thai Smile.
The train allows for even cheaper travel within Thailand and is far more comfortable than spending hours sitting on a bus. Bangkok has the BTS, or Skytrain, which allows for fast transfer from the airport into the city. Given the traffic in central Bangkok, the BTS offers a great alternative to being stuck in traffic jams.
Taxis are great, however, be sure to confirm the price before you begin your journey or better still, insist the ride goes on the meter – that is how you guarantee the cheapest and fairest price. But expect traffic in the city and any built-up areas.
Before you travel to Thailand, it is important to stay updated with the latest visa requirements. While a number of countries are eligible for visa-free entry, the rules can sometimes shift, making it essential to verify before you travel.
If you are travelling from countries like the United Kingdom, the United States, Germany, Australia, Singapore, Canada, France, Italy, Japan, New Zealand, and South Korea can enjoy a stay of up to 30 days in Thailand without needing a visa. On the other hand, if you are visiting from China, India, Myanmar, Laos, Cambodia, Bhutan, Nepal, Bangladesh, Sri Lanka, Pakistan, and Uzbekistan, you will be granted the facility of a visa on arrival.
To get a visa on arrival here are the requirements:
1. You need to have a valid passport with at least 6 months of remaining validity.
2: You would need to show proof of a round-trip ticket within 30 days and confirmation of your accommodation for the first night in Thailand.
3. You need to demonstrate that you have sufficient funds for your visit, which is 10,000 THB per person or 20,000 THB per family.
Don't forget to carry a recent passport-sized photograph. The fee for a visa on arrival is 2,000 THB, and you can pay it via cash or credit card.
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