WWTTC>35D - To HSG or not to HSG?

[meredithcarole]

So the RE wants to do an HSG in March as soon as my bench time is up.  Part of me wonders if I should try on my own for a couple of months before we go that route in the hopes of mitigating cost (and I hear they are rather uncomfortable). I did get KU before and we have taken care of the likely culprit (fibroids) in my subsequent fertility challenges. Thoughts?

[boobacat]

I've had two very different experiences. One was easy, one was painful but the pain was short lived in the grand scheme of things. (A couple hours and could have been helped if I had taken something prior). I have no IF insurance but even though it was coded that way, the majority of the procedure ended up being covered. They say it helps to clear path and conception rates increase the three months following. We conceived DS month after first one. My second one was last March so not as fortunate that time. My tubes were open both times.

[vh2014]

I'm also in the "the more you know the better" camp. If you can afford it, I'd do it. If he can code it for another reason maybe they'll cover it.

[lickwed]

My insurance said anything fertility wise coded as medical was covered, so if they code it that way, I say go for it. I would not do it if it was me, but then my problem is not getting pregnant but staying pregnant. If doing it wouldn't bench you, I would say go for it if it was covered. If you would need to be benched, then maybe try a few cycles first since they think fibroids were the cause. Also, I'm assuming if this was covered, because you have met max out of pocket, you shouldn't have to pay anything.

[lickwed]

My insurance said anything fertility wise coded as medical was covered, so if they code it that way, I say go for it. I would not do it if it was me, but then my problem is not getting pregnant but staying pregnant. If doing it wouldn't bench you, I would say go for it if it was covered. If you would need to be benched, then maybe try a few cycles first since they think fibroids were the cause. Also, I'm assuming if this was covered, because you have met max out of pocket, you shouldn't have to pay anything.

[luvmyponies]

If your insurance covers it, or you can afford it, I'd go for it. My friend had two kids no problem, and then had trouble after trying for a year for her third. Turns out both her tubes were completely blocked - she ended up having her son IFV. I know everyone is different, but it really wasn't too uncomfortable for me. Unfortunately it didn't help us get pregnant the months following, but at least I know my tubes are open and everything is normal.

[meredithcarole]

It will be covered under insurance, but the clock reset on 1/1 so now I have a new $1500 deductible to meet. Chances are that because of that I will pay the whole thing OOP and it will apply toward my deductible. I may possibly have a credit with the RE so it is pissible some cost would be absorbed there. I guess I just wonder if it truly would be beneficial.

[waterbaby]

meredithcarole I totally hear you on the clock resetting for the damn deductible. I just missed out on getting my HSG by a week at the end of the year. Dammit! I would say go for the HSG, it may save you money down the line if you end up having to go to more advanced measures.

[flippinchica]

Lurking


I think either is reasonable. You are 35 will good ovarian reserve so if it won't stress you out and you want to try on your own for a few cycles there is nothing wrong with that. I think it just depends how impatient you are feeling. I would definitely get the HSG before doing any medicated cycles, however. Personally I had no pain with my HSG (I did take an alleve before it) but I know others have had significant pain/cramping.

[bearfootz]

Does the RE give other reasons for wanting to do it, like any concerns about increased tubal pregnancy risk or anything of that sort? (I don't know if that's a concern or not, I'm just wondering) I guess personally, I would talk more with RE and explain the concerns about costs, etc. and if he/she is comfortable with you trying on your own for a couple monthsh then go with it, otherwise I'd probably be partial to take their advice and just get the test out of the way. Hopefully you'll be meeting that deductible no matter what with labor and delivery costs by the end of the year

[meredithcarole]

Jan 23, 2015 21:26:46 GMT -5 bearfootz said:

Does the RE give other reasons for wanting to do it, like any concerns about increased tubal pregnancy risk or anything of that sort? (I don't know if that's a concern or not, I'm just wondering) I guess personally, I would talk more with RE and explain the concerns about costs, etc. and if he/she is comfortable with you trying on your own for a couple monthsh then go with it, otherwise I'd probably be partial to take their advice and just get the test out of the way. Hopefully you'll be meeting that deductible no matter what with labor and delivery costs by the end of the year

I think it's just their standard protocol.  There is no reason to suspect a blockage, but who knows. 

[jazzra369]

I would do it. I also have recurrent miscarriages instead of infertility, but my OB said to do it anyway just in case there was something else going on like a bicornate uterus which would make getting pregnant easy but staying pregnant hard. It really didn't hurt at all. Just my 2 cents!

[URMySunshine77]

Jan 23, 2015 20:02:02 GMT -5 flippinchica said:

Lurking


I think either is reasonable. You are 35 will good ovarian reserve so if it won't stress you out and you want to try on your own for a few cycles there is nothing wrong with that. I think it just depends how impatient you are feeling. I would definitely get the HSG before doing any medicated cycles, however. Personally I had no pain with my HSG (I did take an alleve before it) but I know others have had significant pain/cramping.

---

I agree with flippinchica. As usual. 

[EmsMama15]

I think it's reasonable to try for a few months before getting it done. My RE let me try for #2 for two cycles before redoing it. I had a c-section with postpartum hemorrhage and infection (awesome), which did concern him a bit, but he was willing to see what happened. I ended up having it last month (on 2014 insurance, thank goodness) and it was fine, but it gave me some reassurance that the surgery didn't cause any scar tissue or anything.

[itsmeally]

I had an HSG before #1. Not gonna lie, that test HURT. Like cramps worse than I've ever felt in my life. But, I will tell you that I got a positive pregnancy test less than a month later. The test was totally normal, so I was glad to have that information, and it was covered under insurance.

[WVaRN]

No advice since I have no experience with HSG yet. I just wanted to stop in and say good luck at whatever you choose to do.

[mushe]

I'm also in the 'the more info, the better' camp, but mine was also only $100, and it's already done and was NBD.

[happyktmom]

Meredithcarole - I'm so glad you posted this! I was given my 'to do' list Friday after my first RE appointment and HSG is on there. I'm kind of in a panic because they want it between CD5 and CD12 and you can't be still menstruating! So I scheduled for CD9. I don't want to be out this month, but everybody say's they've been benched. My RE didn't say anything about benching, just to abstain 2 days prior to my DH's SA on Sat. That means we can BD on my CD7 and not again until CD10. This may cause me to miss my window this month.
I know it's better to have all the answers and therefore, solutions.

[meredithcarole]

Jan 26, 2015 15:04:21 GMT -5 happyktmom said:

Meredithcarole - I'm so glad you posted this! I was given my 'to do' list Friday after my first RE appointment and HSG is on there. I'm kind of in a panic because they want it between CD5 and CD12 and you can't be still menstruating! So I scheduled for CD9. I don't want to be out this month, but everybody say's they've been benched. My RE didn't say anything about benching, just to abstain 2 days prior to my DH's SA on Sat. That means we can BD on my CD7 and not again until CD10. This may cause me to miss my window this month.
I know it's better to have all the answers and therefore, solutions.

I believe you are supposed to abstain for a few days post-HSG because of the risk of infection. Hopefully that won't cause you to miss your window.  FX the timing works out for you. 

[boobacat]

I was told to abstain meredithcarol. Infection risks and they do not want you to be pregnant. I think that's why they want it immediately following your AF. Hopefully happyktmom the timing works out but I'd ask your dr.

[mushe]

Huh, we were not told to abstain, but I was given a 5 day course of antibiotics as a precaution.