I had an HSG in April . I had been tracking the "Pregnancy after HSg" forum for sometime . go through that for getting lot of information and Motivation ...
From what i understood from the info posted by lot of ladies , the pain differs from person to person and also depends on the doc . I thought it would be something like IUI (intrauterine insemination - I had it thrice) and told my husband that I ll go alone and come back , but he insisted he would accompany .. believe me I was not even able to sit straight for some time after the HSG .. I cried a lott due to the pain :( .. but doc told me that my tubes are unblocked :) ( so happy ) ... So would be great if u take a day off from duty ...
June 9th I will also be tested for LH and FSH . will update u on the rsults ..
I had the tests for the same earlier also .. in June 2010...
The following article I found in another site helped me understand the basic terms a lot .. please got thourgh it to unde3rstand more about the fsh and lh hormones:
Did you know that when a baby girl is born, she has all the eggs her body will ever use, and many more, perhaps as many as 450,000? They are stored in her ovaries, each inside its own sac called a follicle. As she matures into puberty, her body begins producing various hormones that cause the eggs to mature. This is the beginning of her first cycle; it's a cycle that will repeat throughout her life until the end of menopause.
Let's start with the hypothalamus. The hypothalamus is a gland in the brain responsible for regulating the body's thirst, hunger, sleep patterns, libido and endocrine functions. It releases the chemical messenger Follicle Stimulating Hormone Releasing Factor (FSH-RF) to tell the pituitary, another gland in the brain, to do its job. The pituitary then secretes Follicle Stimulating Hormone (FSH) and a little Leutenizing Hormone (LH) into the bloodstream which cause the follicles to begin to mature.
The maturing follicles then release another hormone, estrogen. As the follicles ripen over a period of about seven days, they secrete more and more estrogen into the bloodstream. Estrogen causes the lining of the uterus to thicken. It causes the cervical mucous to change. When the estrogen level reaches a certain point it causes the hypothalamus to release Leutenizing Hormone Releasing Factor (LH-RF) causing the pituitary to release a large amount of Leutenizing Hormone (LH). This surge of LH triggers the one most mature follicle to burst open and release an egg. This is called ovulation. [Many birth control pills work by blocking this LH surge, thus inhibiting the release of an egg.]
Ovulation
As ovulation approaches, the blood supply to the ovary increases and the ligaments contract, pulling the ovary closer to the Fallopian tube, allowing the egg, once released, to find its way into the tube. Just before ovulation, a woman's cervix secretes an abundance of clear "fertile mucous" which is characteristically stretchy. Fertile mucous helps facilitate the sperm's movement toward the egg. Some women use daily mucous monitoring to determine when they are most likely to become pregnant. Mid cycle, some women also experience cramping or other sensations. Basal body temperature rises right after ovulation and stays higher by about .4 degrees F until a few days before the next period.
Inside the Fallopian tube, the egg is carried along by tiny, hairlike projections, called "cilia" toward the uterus. Fertilization occurs if sperm are present. [A tubal pregnancy, called ectopic pregnancy, is the rare situation when e a fertilized egg implants or gets lodged outside the uterus. It is a dangerous life-threatening situation if the fertilized egg starts developing and growing into an embryo inside the fallopian tube or elsewhere. The tube will rupture causing internal bleeding and surgery is required. Find more about treatment for Ectopic Pregnancy at http://www.ectopic.org.uk.
A woman can use a speculum to monitor her own ovulation and use this information to avoid or encourage a pregnancy. This is the all-natural fertility awareness method (FAM) of family planning.
Uterine Changes
Between midcycle and menstruation, the follicle from which the egg burst becomes the corpus luteum (yellow body). As it heals, it produces the hormones estrogen and, in larger amounts, progesterone which is necessary for the maintenance of a pregnancy. [RU-486 works by blocking progesterone production.] In the later stages of healing, if the uterus is not pregnant, the follicle turns white and is called the corpus albicans.
Estrogen and progesterone are sometimes called "female" hormones, but both men and women have them, just in different concentrations.
Progesterone causes the surface of the uterine lining, the endometrium, to become covered with mucous, secreted from glands within the lining itself. If fertilization and implantation do not occur, the spiral arteries of the lining close off, stopping blood flow to the surface of the lining. The blood pools into "venous lakes" which, once full, burst and, with the endometrial lining, form the menstrual flow. Most periods last 4 to 8 days but this length varies over the course of a lifetime
you take the clomid from day 3 -7 or what ever days you take it and the have a scan on day 14 and depending on follicle size they will trigger ovulation usually with ovidriel or a hcg shot which ovulation will occur from 24 -48 hrs after the shot good luck
Thanks ladies.
So the FSH should be less than 9 and what about the LH??
My doc (OB-fertility specialist) said she wants me to do clomid again, can you do the trigger shot with it? or are they separte? THanks!
I think I"m just going to take the day off of work unless my appt is later in the afternoon, then I'll work until I have to go.
I had my HSG. my doctor did it real simple. just like any other transvaginal scan. no pain as such. i could drive back myself. you could go to work too. just take antibiotics before night. and you would have some bleeding post HSG. thats all. i wish the results would be positive for you.
FSH; should be less than 9 i guess. anything above 9 is elevated.
LH - i dont know the numbers
you may also need to get done your AMH. that tells egg reserve.
so your egg reserve will be basically decided by FSH; AMH and antra follicle count.
I never got my chromosome test. it may be a good idea if insurance supports.
is this doctor a OBGYN or RE? get all the tests done and after you take clomid for ovulation; she might give a shot for egg release and then might ask you to have sex.
good luck anyway.
I had an HSG done a few months back,, and it was fairly quick and I only felt a short cramp.. I also took a Vicoden before hand and I recommend that. Some women take Ibuprofen or Aleve beforehand also. I took the day off and that was it.. you will probably be a little crampy afterwards. As far as your hormone level, such as the day 3 FSH test, the lower your FSH is, the better. If you're under 30 it should be in the 5-8 range which is very good,, anything over 11 or 12 is usually a little bit of a concern but FSH can vary from month to month too. Your other hormones like estradol, progesterone, thyroid, will also be tested. An 'ovulation' shot is probably the trigger shot... that is usually done to release the eggs within a 36 hour period to time everything better. Thats all it's used for. Good luck.
I had my HSG done on 5/17/11, it was a little uncomfortable but not to much, it takes about an hour and they will not let your hubby come in with you do to the radiation, you will have to wear a pad afterwards because you may leak some of the contrast out, after you may have some cramping, its like period cramping, you may want to take the day off of work, the procedure is invasive but you get the results right then and there