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r/TryingForABaby•
EverySingleStar

Sonohysterogram ordered instead of HSG

EXPERIENCE

I went to my first RE appointment yesterday. The doctor is great, super highly rated and does a lot of research in the field. She spoke to me about all the tests she’ll order for me, but didn’t use the technical names so when we discussed the test to look at my uterus, I just assumed HSG, but when I got home I noticed a sonohysterogram was ordered. I was just wondering what the reason for this would be? I read that it gives less information for the fallopian tubes but I don’t know much about the differences, or why a doctor would order that and not an HSG which I hear about all the time on here and therefore seems much more popular.

Posted May 2, 2019, 12:25 AM UTC

315
facedownasteroidup•

I had a sonohysterogram done instead of hsg, it was in the office and was easy, the doc was able to tell that my fallopian tubes were both entirely blocked and that I had a large polyp. Not sure why that was the plan and not the hsg but it worked fine for me.

5
sasunnachMOD | 35 | TTC#1 | Cycle 7 | 🇨🇦•

Same.

3
Pm_me_some_dessertMOD | 34F | TTC#1 2.5yrs | Benched for Summer•

Sonohysterograms are used more for looking at the interior of the uterus than at your tubes. HSGs have been the gold standard, but she may be interested more in looking for things like septums or polyps. They also use saline instead of dye, and ultrasound instead of xrays, so the benefit there is that they could potentially perform it in office instead of sending you out (I had my HSG done at a local hospital).

1
EverySingleStarOP•

Should I ask her about an HSG? Because it sounds like it won’t give information about the fallopian tubes, so any potential blockages could be missed. From my understanding that’s a pretty standard thing to check.

Also, the fertility clinic is in a hospital so I don’t think they’d have to send me very far :) but I don’t want to come across as the annoying patient with follow up questions right after the appointment.

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nosudo4uMOD | 31 | Grad (1 early MC)•

It really depends. I had a sonohystogram but it was also performed using a device that produced air bubbles so we were thoroughly able to check both my uterus and tubes. I didn't lose out on anything by not doing an HSG with dye. I would talk with your doctor about it but saline + air bubbles is more commonly done now since it doesn't require an x-ray and can be done in office for less cost.

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Sp00kyW0mbMOD | 26 | TTC#1 | 08/2017 | benched•

Do you have fertility coverage? Sometimes going to one test first can have to do with pre-authorizations and diagnostics.

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EverySingleStarOP•

I’m in Canada, and seems like the vast majority of tests are covered by public health care here, so I’m not sure it’s relevant for me (the HSG is free as are the majority of blood tests except AMH, which isn’t covered).

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Mrs_Belcher31 | Cycle 10•

I’m in Canada too and was also sent for sonohysterogram instead of an HSG. I know one other woman in person that went through fertility testing, and she was sent for the same thing. I get the feeling this is the standard here instead of the HSG. I got the radiologist’s report from mine and it says my tubes are clear, so they can determine that with this test. When I googled the differences before I went for mine, I read that sonohystergram can provide superior images of the uterine cavity, and detailed measurements of abnormalities. This study that I found in my search says that sonohysterograms are more accurate at detecting uterine abnormalities than HSGs. This one says there was no difference in this study between pregnancy rates after sonohysterogram vs. HSG, and it was an effective assessment of tubal patency.

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Sp00kyW0mbMOD | 26 | TTC#1 | 08/2017 | benched•

Hmm. Then you could ask why this was indicated over the HSG. It’s worth voicing your concerns and getting your questions answered.

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Maybelle_30 | TTC #1 | Cycle 21 | Unexplained•

Same, I’m Canadian, I was sent for a saline-infused sonogram (the one with bubbles) instead of a HSG. I was told it’s the new gold standard, it gives you the same information as a HSG with fewer risks.

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shabamboozaled33| TTC#1 | Cycle 8•

I got one done the other day. I also wondered why instead of an HSG. But it did show that one of my fallopian tube was opened and the other closed. She could also see which side I was going to ovulate from. Luckily it was from the open side. She couldn't tell why my right tube was closed. She said possibly a spasm?? Maybe an HSG would have shown why? They use saline but she also said it was radio markered (dyed). Waiting to see my RE to discuss. Anyway, you should be able to find out if your tubes are open or not.

1