Unblocked Tubes Can Still be Blocked

Yesterday I had my HSG. The good news? My tube (yes, that’s singular and not a typo) is not blocked! The dye ran freely through it and each of the five other people in the room were happy to see that (yes, you read right, there were five other people in the room with me, not a typo). BUT, that doesn’t mean my tube’s not blocked from the outside.

Confused?

Yeah, me too.

For anyone who wants to know what the procedure was like, maybe you’re about to have the same thing done, well here ya go:

Dr. C (looking adorable in a pink and yellow Hawaiian printed x-ray vest, mind you) had a difficult time getting to my cervix. Just like Dr. B did, except instead of six minutes of fiddling around down there, it took him about a minute. He said my cervix is pushed waaaay to the left and is pointed toward my left hip. My uterus is also tilted thirty degrees to the left. Basically, everything is either on or pointing to the left. Anyway, he inserted the catheter and I both felt and saw the dye traveling through on the screen at the same time; freaky. It hurt like whaaaaa when he put in the speculum and catheter and I really wished that they would numb you first. I felt immediate cramping when the dye was injected. (Oh, and for the record, the remaining four people in the room were the radiographer, radiographer assistant, random required hospital female to make sure no one does anything naughty, and a med school student.) We watched the dye travel across the screen, lighting up as it went, and flow through the tube and, from there, into wherever it goes next. They took x-ray images by lowering the x-ray machine over my lower abdomen and, that was it—done! The whole thing took less than ten minutes. I was handed a pad and instructed to change into my regular clothes. I had some spotting and clotting yesterday and today, and am generally pretty sore from the speculum, but otherwise feel fine.

I asked Dr. C why I’ve been experiencing years of infertility if my tube is unblocked, I’m ovulating normally, have a standard cycle length, and am making and releasing follies. He replied that even though my tube is open from the inside, it could still be blocked from the outside with endometriosis adhesions and/or scar tissue.

Huh?

I’m no doctor, but if it were blocked on the outside from adhesions, then wouldn’t the dye have not been able to flow through? He tried to explain it to me in terms of picturing a baseball glove catching and releasing a ball, but I was totally lost and didn’t (don’t) really understand the analogy since I was feeling out of sorts.

Overall though, Dr. C was very kind, compassionate, upbeat, and cool about everything. He told me to schedule an IVF consult with him for the upcoming week. I haven’t scheduled the consult yet because I’m still kind of scared to commit to IVF, but I’m getting there. Slowly. I just want at least this one last month to try naturally. Or maybe get a prescription for a bottle of these:

fertility pill