I had the HSG test yesterday. Ridiculously, the office made me come in an hour early to take a pregnancy test. I assured them that there was no possible way that I was pregnant, and the woman at the desk looked at me pityingly. I guess she assumed I’m straight and haven’t had sex in a really long time.
The HSG test was uneventful. A nurse explained the whole process while I nodded along. She asked me how I know so much about the procedure, and I wanted to say “my blogging friends have told me about it,” but I just said “I’m a good researcher.”
The man (x-ray technician?) who inserted the catheter and dye seemed very skilled. There was really no pain with that part. I could feel the dye entering my uterus, and it felt like very mild period cramps. I watched the monitor as the dye leaked in. It quickly flowed through the right fallopian tube. He had me roll slightly to my left, and then it flowed out my left fallopian tube. He thankfully then removed the catheter and speculum. I sat up and let some of the dye drain out onto a puppy pad they had me sitting on. I asked if both tubes were clear, and he said “both tubes are clear!” After I changed and put on a diaper-like sanitary pad, they gave me a CD of the images for my RE. I think the whole thing took about 10 minutes. One interesting note is that later in the day I had TONS of EWCM. I almost never see any, so I was surprised. I guess the dye washed it down out of my cervix, where it must usually hide. It was CD9, so it seems a little early, but not completely off target.
I didn’t take any ibuprofen, though they recommended 800mg. I actually don’t think I’ve ever taken 800mg in one dosage. I might have taken one or two pills, but as I was on my way to the HSG test, the RE’s office called to give me more test results. They said everything looked great, except my bilirubin and liver enzymes were elevated. They want to re-test them. Those numbers are elevated by alcohol, obesity, diabetes, and over the counter pain medication. Well, they drew the blood on CD3, and I definitely had taken 2-3 aleve over the preceding two days for cramps/headache that accompany a period. The aleve would definitely elevate those numbers. I really wish they would have told me beforehand they were testing that and avoiding those things would give a more accurate measure. So, late next week I have to have another blood draw. Curiously, this time they are doing it through my own insurance/doctor, so it should be relatively cheap. It makes me very angry that they didn’t do the whole first round of tests through my own doctor/insurance, because I’m positive the tests would have cost less than through their own lab.
One other thing that caught my attention was that my AMH was 5.1. The nurse said it was “fantastic” and they want to see something higher than 1.5. She failed to mention that an AMH level that high could indicate PCOS. My slightly long cycles (up to 35 days) and a few other very minor signs (in addition to the fact that we haven’t successfully gotten pregnant) suggest to me that I might have mild PCOS. I’m okay with that, because I think it’s pretty manageable. It will be interesting to hear what the doctor says about all of these results. I know he’s going to push Clomid, and probably a trigger shot. We meet with him on the 10th to develop a “plan.” Meanwhile, I’ll be not drinking alcohol, not taking any NSAIDs, and scheduling another bilirubin test.