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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 Vietnam 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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Situated at the extreme east of the Indochina Peninsula, Vietnam is a country that exhibits profound cultural richness and captivating landscapes. It holds the distinction of being the world's 15th most populous country, housing over 94 million residents scattered across its diverse geographical expanse. Despite grappling with issues like poverty and corruption, Vietnam's impressive economic performance cannot be overlooked. Notably, the country boasts a commendable GDP growth rate and is celebrated as one of the fastest-growing economies globally.
This country is well-known around the globe for its breathtaking natural beauty. It's also recognized for its energetic, larger-than-life cities that are always buzzing with activity. Furthermore, its culture is intricate and assorted, attracting millions who appreciate rich customs and traditions. In 2018, this place was a magnet for tourists, drawing in over 15 million visitors who were eager to immerse themselves in its unique way of life.
Broadly celebrated for its splendid scenic landscapes, there's an undeniable charm this country possesses. The vivacious megacities are a thrilling fusion of noise, colors, and life that leaves an impression on all who stroll through them. The cultural mosaic of this land is complex, and varied, presenting evidence of a fascinating history shared through countless generations. The year 2018 saw floods of tourists - well in excess of 15 million - come to explore, each leaving with their own tale of discovery within its borders.
The rapid development of Vietnam has made it into the next medical tourism hub in Southeast Asia. Now, medical tourists consider the country as their potential medical destination. Many new medical centers have sprung up and welcomed thousands of patients to relax and enjoy their treatment. The country offers a wide range of cost-effective medical treatment, well-trained doctors, and professional equipment. The country focuses on promoting medical tourism to neighboring markets such as Laos and Cambodia.
Vietnam, situated uniquely on the map, experiences differing climates in its varied regions. If you travel south, you'll find a tropical monsoon climate. This climate type typically comes with two main seasons - the wet season and the dry season.
Straying north, however, you'll encounter a different story altogether. Here, the climate is categorized as monsoonal but it's accompanied by four clear-cut seasons - spring, summer, autumn, and winter. So, regardless of the time of year, there's a high chance you'll experience a unique slice of Vietnamese weather, depending entirely on which part of the country you've set foot in.
There are numerous airports in Vietnam that connect the major cities. However, there are three major international airports where international visitors usually arrive at, Ho Chi Minh, Hanoi, and Da Nang. Most international flights will arrive at Tan Son Nhat International Airport which serves domestic and international flights to and from major cities in Asia, Europe, and Australia. In terms of capacity, the biggest airport in the country is the Noi Bai International Airport in Hanoi.
The airport is a hub for both local and global travel. It houses two terminals within its boundaries. Terminal 1 is tasked with the management of domestic flights, servicing those traveling within the country's borders. On the other hand, Terminal 2 oversees international flight operations, connecting this airport to numerous cities across Asia and Europe. Affordable airlines, including the likes of Jetstar Pacific and VietJet Air, schedule flights departing from and arriving at both Tan Son Nhat and Noi Bai airports - a testament to the airport's reach and convenience to travelers with varying budget needs.
Tourists do have a few travel options to get around Vietnam. The country is served by trains running from Ho Chi Minh City to Hanoi and it stops in many of the popular areas such as Da Nang and Nha Trang. Buses are a great option for tourists to get around the country and the buses are privately operated buses called “open tour” buses. There is also a national bus system, but they are generally not as comfortable as the private buses.
Taxis are available in most cities and can be hailed directly from the streets or via a phone call. The fare usually starts at VND 10,000 to VND 12,000. If you need to be quick, try the motorcycle taxis known as Xe Om. You will need to negotiate the price but they can be found in most parts of the cities. Cyclo (similar to trishaw) is also available for short-distance travel within a city. For easier travel, opt for Grab Motorbike, an online hailing app similar to Uber.
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