Last week I had an appointment for the final test of the Adiana procedure, the hysterosalpingogram. HSG is a fertility testing technique that involves the injection of a special dye into the uterus through the cervical opening. The progression of the dye is then monitored via x-ray. It shows whether the tubes are completely closed or not.
It was done by another gynaecologist. She was very friendly and did her best, but man oh man... it was SO painful! I know I have a low pain barrier, but still... Everything she did hurt, and hurt badly! Ron later said she was very young and seemed a bit insecure and clumsy when she didn't get it right in one try. I can handle pain impulses, but it just didn't stop hurting. I couldn't relax locally as I did with the Adiana procedure itself. I could watch the screens and follow the dye. I cannot describe how I felt when I clearly saw one tube wasn't closed completely.... Oh NO! What a disappointment...
Afterwards I felt shaky and when the gynaecologist and nurse left I burst into tears. I was in pain and lost quite a lot of blood. The doctor had said that was normal, so I wasn't alarmed and in the days after it slowly got less and eventually disappeared.
Today I spoke with my own gynaecologist. He told me only a very small percentage of tubes wasn't closed completely after 6 months. Of course I belong to that minority, just my luck... :-( We agreed to do another internal ultrasound scan next week, just to be sure the inserts are still in place. Then in 3 months we have to repeat the HSG. Unfortunately there is no other way to indisputably prove the closing of the tubes. He promised me he'll do it himself and in a slightly different way. Not completely painless, but hopefully a bit more bearable. With something to relax and pain medication beforehand I think I'll manage, but I'm not looking forward to it!
UPDATE Oct. 17: Just got back from the ultrasound. The inserts are still in place. One is slightly further into my tube, what might be why it isn't completely closed yet. The new HSG will be done in January.