could i need a confirmation hsg

Hello every one, I have been pregnant 3 times.  The first one was five years ago, didnt know at all, found out it was ectopic, right tube removed.  Got married and ttc with only one tube.  Got pregnant right after marriage, but HCG levels were not rising normally, ending up miscarring at 5 wks, never found out where the pregnancy was.  I went to a RE, got other test and an HSG, came back inconclusive.  Dr. told me that IVF or tubal Surgery were my only options.  But I concieved that same month of the HSG, but miscarried at 8wks.  I was just happy to concieve (conceive) and see a pregnancy and heart beat in my womb.  Now I know all things are possible and the my situation is probably not that bad.  Since my miscarriage in Aug 08, I have been ttc again with BBT and OPK that show ovulation, but no luck with BFP.  I started clomid, and tried to convince my RE to perform another hsg since he didnt give my the right answer the first time, he says no, that i have the best answer i need and that was a pregnancy, and that if wouldnt want to risk given my an infection with another hsg.  He doesnt want to hear my out so I am trying to find another doctor that believes that pregnancy in slightly increased after HSG.  My RE thinks it has nothing to do with it, but I have heard and read too many testimonials that say so.  I also found out through temping and hsg that I may have a luteal phase defect b/c i would get a surge on CD 16 with means Ovulation will happen in 12 to 48 hr which puts me on CD 17 or 18 and then my AF would come on the 28 that means the my luteal phase in 10 days, instead of the normal 14 or so.  I think that was the cause of my early pregnancy loses.  Clomid is the drug of choice for LPD, so now I am hoping to clear the passage way of mucus for the sperm to reach the egg.  
Has did ever happened to anyone?  Any recommendation of Good RE's in NJ that will actually listen to the patient?
Baby dust to everyone TTC, is a long lonely road, but there is light at the end of the tunnel.  God bless.

[findinghumility]

For what it's worth, 10 days isn't as long as one would like for a luteal phase, but I don't think it's generally treated as "short" until it's under 10 days.  With a 10 days phase you still have a great chance of implantation and your problem instead may be a progesterone deficiency.  I realize the two are kind of hand in hand, but if there are very simple ways you can treat the progesterone deficiency if you do in fact have one.  Do they think a progesterone problem had anything to do with your miscarriage at 8 weeks after hearing a heart beat and all? Also when you say you had a surge are you talking about a temp spike?  Because the temp spike indicates ovulation has already occurred which would mean you would have ovulated on CD14, 15, or 16.  And may not have quite as short of a luteal phase as you feared.

Also, and this may be a stupid question, but what do you mean by "clear the passageway of mucus for the sperm to reach the egg"?

Sorry if I haven't been much help, I just had a couple of things I wasn't understanding regarding your post. Take care and Good luck to you!

[AnnieBrooke]

It sounds like you believe that if you have an hsg, your chances of getting pregnant are increased.  There is no scientific proof of this, or every infertile woman would be having the process done and all good doctors would be ordering them for that reason.

I have seen some research that reported that a group of infertile women getting uterine biopsies got pregnant after the biopsy, but uterine biopsies are surgery inside the uterus, not just running radioactive dye up your tubes.  An hsg test is to see if the tubes are open enough to get pregnant, and your doctor was telling you that the fact that you DID get pregnant shows that your tubes are open enough to get pregnant more clearly than any hsg test can.

Regarding the thought that you somehow need to "clear the passageway of mucus," whatever is in the "passageway" when you ovulate is there by nature's design to assist the sperm to reach the egg.  (Look up the function of  "eggwhite cervical mucus" compared to the kind of mucus you have when you are not ovulating.  It is very facilitative of the motion of sperm.)  An hsg might not even "clear the passageway," and you probably don't want it to anyway.  

I was interested that your doctor's main concern is that doing an hsg risks infection.  It also opens your cervix at a time when the cervix prefers to be shut, and a cervix needs to be strong enough, and in a normal enough condition, to stay shut for 9 months of pregnancy despite the increasing pressure of a baby.  I would do nothing that messes with the cervix just before trying to get pregnant.

You could probably shop doctors until you find someone willing to do the process on the off-chance that your belief that it will increase your chances is true, but I would be nervous about such a doctor's standards in general.  Most doctors will do something if there is scientific evidence, even if it is an unusual use of a test or a drug, but no doctor should do things based on anecdotes from laymen.  I wouldn't be mad at a doctor who "didn't listen" to someone who demands a procedure that may add a negative element to her attempts to get pregnant and stay pregnant.  Maybe he has your best interests at heart.  Of course, it is your row to hoe, and if you want to change doctors, you might just find the perfect one.  He or she might not order the test, though.

[IwtLababy]

You know, thanks ladies, that's why I appreciate this form of communication and learning., when you hear it from someone else, it teaches you.  You guys are right, the fact that I got pregnant alone before and after the HSG should tell me that I am able to concieve (conceive).  I am sure you understand that when a woman is trying to achieve pregnancy, it is a tough road, and I was trying to incorportate what worked for me before in hopes for a better outcome.

Findinghumility-I was refering to the LH surge on CD16 and confrimation with a temperature rise on CD18.

Clearing the passage way of mucus--was my way of saying flushing out fallopian tubes of debris.

I know that there is no scientific evidence to proof the hsg could help, but when we look at evidence based practices, it was b/c someone thought of it as a good idea, and research was done to proof it. In this case, maybe the reasearch hasnt been conducted yet.

Anniebrooke, the cervical opening was a good eyeopeing point you made, I wish my Doc would have come up with that, because risk of infection is a common risk and it didnt convince me why he wouldnt do it because of something that was preventable as an infection (1%risk)  My desire for pregnancy outweighs my risk for infection is what I am trying to say.

I am trying to make sense out of all this b/c my only uterine pregnancy in my life was right after an HSG, and I am not saying that HSG is the answer(it wouldnt hurt though), I am eager the see the results the another hsg, (just one more), if is appears open then kudos for me I will just try to concieve (conceive) without even seeing a RE. If is doesnt, then at least I know and would try to fix the problem with the next step. I mean honestly, is one HSG going to hurt that much?  With rising healthcare cost, for me it is a bargain, because I can move on to things that work, insteading of spending money cycle after cycle and most importantly years going by, biological clock ticking, only for the end result of IVF, which also has risk and it's not even guaranteed.  

I am a believer that through Christ, all thing are possible, but the human mind is a powerful thing to waste.

Thank you all so much for your input, I will gladly accept more of it,  Now I will not go to a new doctor demanding test be ordered, I will just present the case and we can weigh all the odds.  

P/S for those who care, I am not leaving my doctor b/c he refuse to order a test, he is just not procative in my care, and a good doctor matters.

[AnnieBrooke]

I would not obsess on the hsg.  If you do so to a doctor, he is just going to write you off as someone who has read some stuff on the Internet and believes it, or that since two things happened to be somewhat connected in time in your case, you decided there was a cause-and-effect relationship.  You don't want him to write on your chart that you seem irrational.  I also don't think putting dye in your tube is that great an idea.  The natural environment there has to be better than radioactive dye.  The tubes don't get clogged up with debris, there are villii that create quite a current pushing everything in the tube downward.  Read up on the workings of the lining of the Fallopian tube and I think you will feel much better about leaving well enough alone.