I got this mail from a reader of this blog making enquiries about the cost of HSG, the procedure and other things. Read below….
Goodafternoon Doctor, I am a viewer of your blog posts and they are very detailed and informative. Thank you for your good works and continue using your medical knowledge to help people. Sir, I have been happily married for 3 years now though with no issue yet. We have been trying to get pregnant for 2 years now with difficulty. My husband thinking he was the cause went for seminal fluid analysis and the results was interpreted normal by the doctor. However, I was diagnosed of a suspected complicated pelvic inflammatory disease. Yes, I had an episode of vaginal infection in the past which went away on its own without medications. My doctor said she suspects that vaginal infection must have been PID and since I did not treat it, it might have lead to the blockage of my Fallopian tubes. She said tubal blockage may be responsible for my inability to conceive and requested i do a Hysterosalpingography (HSG) test to confirm the diagnosis. She advised me that HSG test will help check the patency of my tubes as well as show the ‘inside’ of my womb.
Doc, i learnt HSG test is done in Nigeria, but what is the cost, where can I do it, what are the compications, is it painful?, will i bleed? and what does it entail?
………..Joke from Lagos Nigeria……..
Thank you Joke for your message and kudos for seeking help for your inability to conceive medically. Tubal blockage is one of the complications of poorly treated or untreated pelvic inflammatory disease. It is said that 1 in 8 ladies who have had PID may have difficulty getting pregnant (infertility) in future.
There is no way your doctor will make a definitive diagnosis of tubal blockage without requesting for a HSG test. Hysterosalpingography is the confirmatory test for tubal blockage. Other important tests for tubal blockage are tubal insufflation and laparoscopy.
Hysterosalpingogram (HSG) is best performed between day 7 and day 12 of a 28 day cycle. Some doctors recommend you come for the test on day 10, counting from the first day you notice your menstrual flow. Meaning if your period started on the 1st of June, you are expected to go for your HSG test on the 11th or 12th of June.
A water soluble radio-opaque contrast medium is preferable although oily medium is sometimes indicated. It is an outpatient procedure (requires no hospital admission) and must be in a very clean or sterile environment to avoid infection. No special preparations is required but i will advice you to wear a big gown that day to make undressing easy. Sometimes, if you are anxious, you may be given some analgesics and sedatives plus antispasmodics may be required to calm your uterus and fallopian tubes from spasm or contraction.
Thereafter, a uterine cannula containing the contrast medium is passed gently through your vagina and contrast injected into your womb and fallopian tubes and radiographs taken. In some centres, the procedure will be viewed directly with an image intensified television fluoroscopy and this is far better and more accurate.
When properly performed, valueable information can be obtained which include tubal blockage and the part of the tubes that is blocked and the cause, anomalies with the uterus, Asherman’s syndrome, tubal polps, pelvic adhesions and more.
HSG procedure is not totally devoid of complications, which include uterine perforation, bleeding, pain, shock, allergic reactions and intravasations. These are rare with a skilled doctor.
The cost of HSG is about #20,000 to #40,000 naira depending on the location, diagnostic centre or hospital. The procedure is done in major labs and hospitals across Nigeria.
Since you are in Lagos, I will advice you go to any of the teaching hospitals, diagnostic centres or fertility clinics like Bridge, Nordica, Omvia etc. in Lagos.
For those in Benin, Lily Hospital, Raytouch, Union diagnostics, St. Bridget, UBTH .etc. does hysterosalpingogram.
I hope this was helpful? Thank you.
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