Results? A Clean bill of health…..yup…..there was absolutely nothing in our samples that would lead the doctors to believe we would have trouble conceiving. So now what? I was even more frustrated at this point because I had no answers!
I am not getting pregnant and now they are telling me that I there is no reason for it! Do they think I am doing something wrong?
The Nurse on the phone continued politely and spoke softly, “Dr. O would prefer if you have what is called an HSG (hysterosalpingogram). This test will show us if you a have a blockage in either of your tubes by injecting dye into your abdomen and taking an x-ray photo.”
She paused, obviously sensing that I was both terrified and frustrated. She spoke to break the silence, “Why don’t you talk to your husband and think in over tonight and if you decide to do it we will schedule in the morning. OK?”
A brief silence. “No. Schedule it now.” I was ready for anything they were going to throw my way as long as it meant we would have an answer as to why we did not have a family of our own.
The HSG, or hysterosalpingpgram, is a photograph (x-ray) of your abdomen to include your uterus, fallopian tubes, ovaries and the areas surrounding them.
There is a balloon placed in the cervix and inflated slightly in order to place the contract material through the narrow space and into the reproductive system. Once set up, x-rays are taken as the dye enters and travels through the fallopian tubes. This allows the scan to detect any blockages in fallopian tubes which could prevent travel of egg, travel of sperm to the egg or both. This scan can also help in detection of issues within the uterus which could hinder blastocyst implantation. The dye in this test is also sometimes used to clear small blockages that my exist. (Paraphrased from WebMD.com)
The day comes for the test and I get ‘admitted’ to the hospital. This is a necessary process for paperwork, but completely unnecessary for your anxiety level. They send you up to x-ray, give you a changing room behind a curtain and tell you that you must be stark naked before putting on your ‘gown.’ Now if I may say…a hospital ‘gown’ is the most poorly named article of clothing in all of history. Most definitely not “a long dress, typically having a close-fitting bodice and a flared or flowing skirt, worn on formal occasions” (oxforddictionaries.com).
ANYWAYS….I digress. I do as asked (there is a lot of that in fertility testing and infertility treatments; just doing as you are told to do).
I am walked into the x-ray room by an x-ray tech where we meet up with Dr. O. He is sitting in the corner of the room reviewing papers. God I hope those are not directions….
He explains the process, “Ok, I am going to have you lay on this table and place your legs in the stirrups.” I did so, without question at this point. He talked to himself more than he did me at this point and every now and then when I thought a direction was meant to be heard; I followed.
The balloon catheter went in and he stopped, “ok, now I am going to blow some air into the balloon and dilate your cervix. This will allow me to get the larger catheter through in order to inject the dye. I need you to tell me once the level of dilation get uncomfortable so that I can stop. Ok?” I nodded.
TIP: Don’t try to be a hero in infertility. If the doctor tells you to say STOP once you are uncomfortable than DO IT! Don’t try to bite the bullet and let him get your cervix open enough to deliver a child and then say STOP. I WISH someone was there to give me this advice…
I waited too long before saying STOP and I was in more pain then I had felt in longer then I can remember. Dr. O reached over to the button under the x-ray bed to get it to move up and in position for the x-rays. There was a click and Nothing. The bed was broken. The Doctor looked up at me with fear in his eyes and after he spoke I realized why, ‘uhm, I am going to need you to lift yourself and scoot up higher on the table so I can get the right angle on the x-rays.
So, cervix artificially dilated, speculum in place, catheter hanging, in a glorious hospital gown which was now lifted over the waistline baring everything I wanted to hide and in massive pain…I did as asked and without protest or complaint.
In 30 seconds it was over. The, dye injected, x-rays taken and balloon deflated and withdrawn. One deep, yoga-breath later, Dr. O was gone and the x-ray tech was back to make sure I didn’t pass out as I sat up.
“Everything looked good from what I saw,” she said kind while she waited for the color to come back to my cheeks. I smiled at her, but didn’t have the energy to speak.
I went behind my curtain down the corridor, changed into public appropriate attire and headed home. I waited. I waited for a reason why I didn’t have a baby yet. I waited to find out what was wrong with me. I waited for what I thought was the answer I was actually searching for.
In infertility, you want nothing more than answers and reasons for why you are facing what you do, but something the journey teaches you more about yourself and your partner. It will grow you together or grow you apart. Force it to grow you together. The journey is not easy and you will need each other.