SIS vs HSG pain

One randomized trial comparing SIS and HSG found no difference in pain, adverse effects, or procedure duration . SIS has an advantage over HSG because it offers simultaneous evaluation of the ovaries and myometrium. A cost-effectiveness analysis of HSG versus SIS for the evaluation of female fertility would be helpful in resolving the issue of. There were a significant number of women who experienced pain, syncopy and cervicovaginal lacerations during HSG examination in comparison to SIS (P < 0.001). SIS was more acceptable than HSG as a screening test for tubal patency regarding the overall discomfort and the overall satisfaction rate If you're referring to hysteroscopy versus SIS, it seems like SIS is good enough for most people with the main advantage is that it's less invasive. Here's a recentish study with pretty similar conclusions as older studies on the same topic: http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2016;volume=9;issue=4;spage=236;epage=240;aulast=Red The HSG was the most painful experience I've ever had. And that's after having an unmedicated labor w/ G. The salines were uncomfortable, but nowhere close to the pain of the HSG. I also had lingering pain/discomfort after the HSG, but was perfectly fine after the salines. You'll be OK

I've had both. It was uncomfortable (felt like period cramps) but I felt fine as soon as he was done. It seemed like the SIS took a little longer than the HSG, so the pain was less but the procedure took longer They both do same thing but I think the main difference is hsg uses a dye & xray and sis uses saline (salt water) & ultrasound. Id say they are fairly equal in their outcomes. The best test of this kind is a lap and dye w hysteroscopy but its a bigger deal as you need general anasthetic and more recovery needed HSG and SIS were not statistically different regarding procedure time length. The average pain score (0-10) for SIS was 2.7, compared with 5.8 and 5.3 for HSG and OHS, respectively

SIS vs HSG: what's better for endo? Discussion in 'Trying To Conceive #1' started by honeymomma, Aug 29, 2011. honeymomma TTC lil bean #1. Joined: May 25, 2011 Messages: 306 Likes Received: 0. hi everyone Saline Sonogram (SIS) Also known as a saline infusion sonogram or a sonohysterogram, a SIS is a transvaginal ultrasound test that is performed while a sterile saline solution is gently infused into the uterus. What it detects: uterine abnormalities such as endometrial polyps, fibroids, or uterine scar Overall, the procedure is quick, and for some it's completely painless. If you will feel pain, in most cases it's short-lived and light. Alert your doctor if this isn't the case, and they will take quick steps to relieve pressure and pain as quickly as possible. Before your exam, also ask if your doctor recommends taking a painkiller ScheduleThe HSG is a fertility test used to check for blockages in fallopian tubes and abnormalities in the uterus. It has a reputation in urban legend for being immensely painful. Writing a reassuring report was my original intention, to confirm that the horror stories were written by those with a penchant for hyperbole A sonohysterogram is an alternative or a complementary diagnostic method to a magnetic resonance imaging (MRI) scan, hysteroscopy, or hysterosalpingogram (HSG)

HSG and SIS were not statistically different regarding procedure time length. The average pain score (0-10) for SIS was 2.7, compared with 5.8 and 5.3 for HSG and OHS, respectively. Both HSG and OHS mean pain scores were significantly greater than the SIS mean Sono HSG and SIS Procedure Guide Office-based Tubal Patency and Uterine Evaluation 3. Locate the ovary in Point C relative to the Endometrial Stripe. The Fallopian Tube is Point B, the area between the Endometrial Stripe and the Ovary. Do the same visualization for both tubes for a complete bi-lateral landmark assessment. Saline and air bubbl Hi Loves!Today's video is a long #ttcupdate I finally had a HSG test done to check for tubal blockages, and I was surprised with a saline sonohysterogram. Th.. Can SIS Using Air Bubbles Replace HSG for Fallopian Tubal Patency After Essure Placement (HyCoSy) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Pain Scores Description: Patient reported pain.

The study evaluates whether saline infused sonography (SIS) with directed air bubbles for hysterosalpingo-contrast sonography (HyCoSy) is as good as or better than X-ray hysterosalpingography (HSG) for determining whether fallopian tubes are open or closed in patients who are undergoing an Essure confirmation test SHG = sonohysterogram whereas HSG = hysterosalpingogram). The SHG (also known as SIS = sonar insufflation study) was not painful at all, certainly nothing compared to the HSG. They insert a catheter of saline into your uterus then use ultrasound to check the shape/contour of your uterus as well as detect any polyps or fibroids Sonohysterography may also be referred to as hysterosonography, saline infused sonography (SIS), transvaginal sonography with fluid contrast augmentation, and the abbreviation SHG (sono-hystero-gram). This same test with special attention to the fallopian tubes may be referred to as sonosalpingography

HSG and SIS were not statistically different regarding time length (P=.20). The average pain score (0-10) for SIS was 2.7, compared with 5.8 and 5.3 for HSG and OHS, respectively. Both HSG and OHS mean pain scores were significantly greater than the SIS mean (P<.0001). Pain means for HSG and OHS did not differ significantly (P=.21) mizing discomfort and pain during HSG and/or SIS. Scheduling In premenstrual patients, the HSG and SIS ideally should be scheduled between day 4 and day 7 of the menstr ual cycle. This allows time for any residual blood from the menses H. Hysterosalpingography and Sonohysterograph

Most painful to least. HSG. Endometrial Biopsy. Hysterscopy. SHG. The biopsy and HSG was somewhat equal in pain for me. The HSG's pain was slightly more intense, but less duration Five studies reported on pain and discomfort during HyFoSy, concluding that HyFoSy is a well-tolerated, less painful procedure compared to HSG, without a need for the use of analgesics. There are suggestions about an increased pregnancy rate in the first three cycles after the procedure but in no studies pregnancy outcome after HyFoSy was compared with other or no intervention A hysterosalpingogram (HIS-teh-roh-sal-PING-oh-gram) (HSG) is a test that lets your doctor examine the inside walls of your uterus and fallopian tubes. This minor procedure is designed to provide information about the shape and contour of the endometrial cavity (uterus) or to document the presence of endometrial polyps, leiomyomata (fibroids), or. HSG, therefore, earned the reputation of being a painful test, which in turn increased the fear of pain from this type of procedure. The main technical advances in recent years have been aimed at reducing radiation exposure in patients, reducing patient pain and discomfort, and providing maximum technical ease in performing the procedure

Saline infusion sonohysterography (SIS or SHG) is a procedure to evaluate the uterus and the shape of the uterine cavity. SHG uses ultrasound and sterile fluid to show the uterus and endometrial (uterine lining) cavity. The ovaries are also seen at the time of SHG. The purpose is to detect any abnormalities Although the HSG is regarded as safe, the procedure exposes patients to ionizing radiation and potentially allergenic contrast media. Contrast sonohysterography, or saline-infusion sonography (SIS), accomplishes a concomitant assessment of the uterine cavity and ovarian morphology, but fails to provide reliable information regarding tubal patency Video animation shows the HSG test an X-ray study to identify causes of female infertility The doctor doing the HSG told me I have a narrow and hard cervix, which likely contributed. 25% of that pain I can handle! I'm glad to hear you found it to be far less intense than the HSG, because I'm pretty certain that's the closest I've ever been to leaving this world. ‍♀ Similarly, intrauterine adhesions were detected by SIS 2.85% while HSG failed to detect it. This shows that SIS is very sensitive in diagnosing uterine and ovarian pathology and is superior to HSG [Graph 1]. In the present study, mean time taken for the procedure was 18.70 ± 2.9 (min) for SIS, whereas it was 31.10 ± 5.0 (min) for HSG. The.

Comparison of sonohysterography to hysterosalpingogram for

The safety and acceptability of saline infusion sonography

Answer: HSG is a test which checks the Fallopian tubes and the dye is passed through vagina in to uterus and Fallopian tubes .It is a form of X-ray and helps to know the fertility level by checking the Fallopian tubes. It is not painful but if the tubes are blocked then due the pressure of dye passed during procedure may cause cramping in abdomen However, the answer to the question is ivf egg retrieval process painful is yes.. Yet, the level of pain that is felt can vary greatly. A board certified anesthesiologist will administer IV sedation prior to beginning the egg retrieval process. Then a long probe is inserted into the vagina to remove the egg sacs, or follicles from the. Although not part of this review, other independent studies have shown SIS to be better tolerated compared with office hysteroscopy (P < 0.05) (van Dongen et al., 2008), with a median pain score of 1.6 compared with 3.2 respectively out of 10 (where 0 = no pain and 10 = unbearable pain) (P < 0.001) (Rogerson et al., 2002). This is despite the. Answer: Hi, Pain is subjective, varies from person to person and also depends on if blockage present and if that is partial or complete. Another name for it is HSG hysterosalpingography .It is an x ray test done to see the internal shape of uterus and to check if the fallopian tubes are blocked or open The SHG (also known as SIS = sonar insufflation study) was not painful at all, certainly nothing compared to the HSG. They insert a catheter of saline into your uterus then use ultrasound to check the shape/contour of your uterus as well as detect any polyps or fibroids

Hysterosalpingogram (HSG) vs saline sonogram (SIS), what's

How are saline sonohysterogram and HSG different? — The Bum

An HSG will tell caregivers if your tubes are open or closed, You should be prepared for this, Very few report severe pain and cramping, vaginal spotting, It has a reputation in urban legend for being immensely painful, but later on, The SIS, Embolization or blockage can also occur if oil-based materials are used, should you experience pain 1. Pain score on a ten-point scale, with a score of ten correlating with the greatest pain, was slightly higher in the hysteroscopy compared to the SIS group (3.4 ± 1.9 vs. 2.4 ± 1.6, p < 0.01). Only three patients pre-medicated with oral analgesics at their own discretion, one in the SIS group and two in the hysteroscopy group Saline infusion sonohysterography (SIS) or saline ultrasound uterine scan uses a small amount of saline (salt solution) inserted into the uterus (or womb) that allows the lining of the uterus (endometrium) to be clearly seen on an ultrasound scan. Ultrasound is the term used for creating pictures or images using high-frequency soundwaves Sonohysterogram or Hysterosonogram What is a sonohysterogram?. A hysterosonogram or HSN is also known by the names sonohysterogram, saline ultrasound, saline sonogram, or saline infusion sonogram.A hysterosonogram is a minimally invasive ultrasound procedure that can determine if there are abnormalities inside the uterus that might interfere with pregnancy HyCoSy combined with SIS has excellent sensitivity and specificity for diagnosing intrauterine abnormalities, particularly endometrial polyps and submucous leiomyomata. 35, 36 The kappa analysis for unilateral patency and bilateral occlusion is reported as 0.61, making it somewhat less accurate than HSG. 5 Interestingly, the accuracy of.

A SIS is performed between day 6 to 11, considering the first day of menstrual bleeding as day 1, says Dr. Goje. If you're pregnant, your doctor won't schedule a SIS for you. Advertising. Sonohysterogram (also known as sonohysterogram or saline ultrasound) is a procedure used primarily to visualize the uterus. Hysterosalpinogram is a procedure to used to visualize the uterus and fallopian tubes. Depending on your condition, your doctor may use one or both of these procedures to diagnose your infertility. About Sonohysterogram During a sonohysterogram, a catheter is inserted.. At 30 minutes after HSG, there was no significant difference in the median VAS pain scores between patients administered NSAIDs (median, 2.3 cm; range, 1.4-4.2) or misoprostol (median, 2.3 cm.


Five studies have been published regarding pain expe-rience during HyFoSy. e rst [] was a randomized controlledtrialincludingwomen,comparingvisualana-logue scale (VAS) pain score during tubal patency testing usingHyFoSyandserialHSG.ForHyFoSy,asmallcervical balloonless catheter was placed. For HSG, a hysterophor VAS score HyFoSy versus HSG (n=40) Lower VAS score for HyFoSy (1.7 vs 3.7; p<0.01) Van Schoubroeck et al. 2015: Local lidocaine before SIS (n=106) Only beneficial in parous women No difference in pain scores. Indications for Use. The FemVue Saline-Air Device instills a consistent alternating pattern of saline and air as a continuous stream of contrast medium into the uterus and fallopian tubes to be used in conjunction with an intrauterine catheter for performance of sono-hysterosalpingogram (Sono HSG)

Hysterosalpingogram (HSG) Most women undergoing an infertility workup are at least somewhat familiar with the HSG. Although many reproductive endocrinologists now favor the SHG/SIS over the HSG, if this procedure is recommended, patients are likely to be nervous and might benefit from pre-medicating with over-the-counter or prescription pain. Scheduling a SIS. The SIS is scheduled between cycle days 5-11 of your menstrual cycle. Please call the main number at NFC at the onset of your menses to schedule this appointment. Procedure. A small catheter is placed in the cervix, and sterile saline is infused into the uterus at the same time an ultrasound is being performed Sonohysterography, also known as saine infusion sonography, is a special, minimally invasive ultrasound technique. It provides pictures of the inside of a woman's uterus. A Doppler ultrasound study may be part of a sonohysterography examination. Doppler ultrasound is a special ultrasound technique that evaluates blood as it flows through a. Amazing Sis Ultrasound Vs Hsg reference. Ray. Dyes, radiopaque and and to radiation fluoroscopy used. pic. Hysterosalpingography and Sonohysterography | Basicmedical Key. A sonohysterogram is a of of ultrasound. pic. Saline Infusion Sonohysterogram (SHG

Video: HSG v SIS scan - Trying to Conceive - RollerCoaster

Evaluation of outpatient hysteroscopy, saline infusion

  1. Hysterosalpingogram (HSG) is pronounced 'he-ster-o-sal-ping-o-gram', but fortunately most doctors call it HSG. It is a common part of a work up for women having difficulty become pregnant. Normally eggs produced by the ovaries pass down fine, narrow tubes called fallopian tubes to reach the womb
  2. Endometrial Polyps. Fig. 11.1. Endometrial polyps. A single polyp located in a lateral wall at midcorpus, shown in two dimensional transvaginal ultrasonographic view ( a) and in 3D imaging ( b ). Multiple polyps and submucosal fibroids (by Pathology) shown by 2D US ( c) and by 3D US ( d) Fig. 11.2. ( a) Sessile polyps ( arrow) shown in a.
  3. Hi, I have done a HSG before and I had taken 2 aleve before the test and the HSG didnt hurt as much at all as I had read about. I have my SIS next week and my first IUI next month. Hope I get lucky like you. Keep me in your prayers. Take care! Loved your blog. April 17, 2010 at 11:18 A
  4. SHG is shorthand for sonohysterogram, a saline infusion sonogram (also known as SIS) that is performed in the office. This procedure begins like a transvaginal ultrasound with the addition of a slow introduction of saline into the uterus. SHG is used to evaluate uterine abnormalities and the endometrium (uterine lining) as well as other disorders
  5. Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition
  6. Does HSG really hurt? - Infertility. Debbie816. February 24, 2013 at 2:14 pm; 39 replies; TODO: Email modal placeholder. I'm going Wednesday for my iui.. I never ever take pain relievers and I got a paper saying to take some. I would prefer not doing so, but is the pain that bad? Will I be able to do anything after it
  7. HSG - Tube Test I want to concieve but Tube-test is very painful. Should I undergo tube test to concieve? My follicular(egg tracking) is normal. Should I..

Cohen's kappa coefficient was used to assess agreement between each procedure and a paired t-test was used to compare differences in pain and time between modalities. Significance as determined by p<0.05. Results The patient mean age was 34.0 ± 4.9 yrs. Positive correlation was observed between the air bubble SIS and HSG with regards to EC. A hysterosalpingogram (HSG) is an x-ray of your fallopian tubes, uterus, and pelvis. This test will provide us a better indication as to whether your fallopian tubes are open, damaged, or blocked and also help determine if there are any structural problems inside your uterus (e.g. scarring, fibroids, polyps, congenital malformations) Is a HSG test painful? Everyone is different. Some women have babies in twenty minutes and some take twenty hours. So with that said, is it painful? Not at all but it will depend on you. Now my experience, no it was not painful and I will suggest that most women take 2-3 Advil before the procedure and you can expect a slight cramp sensation Scheduling Issues. SIS should be performed between days 4 and 10 of the patient's menstrual cycle, when the endometrium is at its thinnest, and physiologic changes during the secretory phase that may simulate pathologic conditions are not present (6,7).Before day 4, the presence of blood may either obscure or simulate a pathologic condition

SIS vs HSG: what's better for endo? BabyandBum

Re: hysterosalpingogram Thread 2. « Reply #1 on: September 10, 2012, 02:30:41 am ». Mine was 6,500 done at chinese gen with my previous Ob. Thank God both my tubes are patent. Me pain during procedure pero tolerable naman they will ask you to take mefenamic acid 30 mins before the procedure. After the procedure me discharge Sonohysterography is a special kind of ultrasound exam.Fluid is put into the uterus through the cervix using a thin plastic tube. Sound waves are then used to create images of the lining of the uterus. The fluid helps show more detail than when ultrasound is used alone

I'm thinking about getting this done soon. Is the pain/procedure from the HSG similar to the IUI? or is it much worse? thanks for your help This morning I went for my HSG and it was a lot more uncomfortable than I expected. The catheter part was really uncomfortable and hurt a little, but I think I just have a really sensitive cervix because it hurts during intercourse too. The worst part was when they injected th I thought it was overkill too but neither was painful so it wasn't that bad. Of the two the HSG was worse. 03/16/2016 11:52 Subject: Re:HSG vs Saline Infusion Sonogram (SIS) Anonymous: Is this SG? The amount of testing they require is absurd. 03/16/2016 17:48 Subject: HSG vs Saline Infusion Sonogram (SIS) Anonymous: I did both at SG..

Comparative Study between Hysterosalpingography, Saline Infusion Transvaginal 6998 Number Mean Std. Deviation Polyp 20 26.66 4.71 Submucous myoma 16 31.20 2.94 Septate uterus 7 28.60 4.95 Bicornuate uterus 6 21.84 3.75 Intrauterine synechia 6 28.48 6.03 Free (NAD) 5 29.82 4.60 Table (8): Description of the type of infertility among the findings of SIS of the studied case The hsg only shows us where the dye is, which is inside the uterus and inside the tubes. It does not tell us anything about the middle or outside of the uterus or tubes. The next picture is the same as above except I outlined the outside of the uterus and the approximate location of the ovaries Is hsg test is very painful? Please suggest me.-The hsg test is not painful

Saline Sonogram (SIS) - Progyn

  1. SIS procedure really is a simple test and there are only complications in less than 1 percent of all procedures. The most common risk is a pelvic infection that can develop a few days after the test. In general, women who undergo SIS procedure may feel cramping for a few hours after the procedure and could experience some spotting or a vaginal.
  2. That hurt way worse then the HSG. After dilating my cervix I was able to have the HSG performed. This time with no problems. I found out my tubes were open. Comment. Rasha769. I am very familiar with this situation. Did you have a c-section, D and C or any invasive procedure in the uterus? You have scarring
  3. utes. Most of this time is taken up by scanning before and after the saline is put into the uterus. The actual time taken for the saline to be put in is only 2-3
  4. I am a radiographer. Iv attended to many HSg patients. It depends on ur pain thresholdfew ppl have made no complaint abt pain while a lot had cried n all dat Firstly, I'd advise u to b very calm n think of d benefits. HSG is a diagnostic radiological procedure used to view ur uterine cavity n to know d patency of ur fallopian tubes
  5. Labour wasn't overly bad for me, as I have a really high pain tolerance. However, the HSG was a WHOLE lot worse. During the procedure it was much like having a pap (as I did take tylenol before going as recommended). But once the procedure was done, the after pains and cramps were awful. I felt like I couldn't stand up straight and couldn't sit.

HSG Pain: What to Expect and What the Results Mea

  1. An HSG, or hysterosalpingogram, is a common female fertility evaluation. The doctors at our Tennessee fertility clinic commonly recommend an HSG, or hysterosalpingogram, for female patients. This is a nonsurgical fertility evaluation that can identify blockages in the fallopian tubes and possible uterine abnormalities, such as adhesions, polyps and fibroids
  2. which is better for checking for problems of the uterus a.d fertility issues. an sis or an hsg? whats the difference Answered by Dr. Andrew Doe: Neither: Is intended to clear out the tubes but rather check for any..
  3. Sonosalpingography Procedure, Cost, Advantages. Sonosalpingography (SSG} is a procedure primarily used to check your fallopian tubes. It is done as apart of infertility investigations. It is popular among doctors and patients because of the safe and painless procedure. Along with the evaluation of tubes the uterine cavity is also evaluated
  4. ^hi sis! Years ago na yung hsg ko, last 2007 pa ata, dr. Ko nag sched ng hsg ko kaya hindi ko tanda if anong day ko ba yun pero about your question, yup your 1st day of menstruation is considered to be day 1 kaya day 7 mo ang march 7 pero ok [textspeak!] din naman siguro if 8 ka magpa hsg since gabi naman ng march 1 ka nagkaro
  5. I'm not recommending the SIS, just letting you know it is another option. I am hoping to get the HSG done this month if AF arrives. My understanding is that it is more likely to clear the tube than the SIS was but that as it uses just salt & water & pressure whereas the HSG uses chemicals. That's all from memory
  6. ing patient's perception during SHG, HyCoSy and HSG, two questions should be answered. First, what is the relationship between the preprocedural emotional fear-of-pain state of the patients and their pain tolerance? Second, do pain medications reduce the sensation of pain

Is HSG procedure painful? Is the HSG like labour? God, I

HSG pain vs Childbirth?? Has anyone else here had an HSG done? It's an X RAY to look @ your tubes and uterus, then flushing of the tubes to make sure they're working right. I just had an HSG done and HOLEY MOLEY that crap HURT!!! I've been feeling sick and out of it all day since getting it done. Just wondering how bad the pain is compared to. An ovarian cyst, in its simplest form, is a fluid-filled sac found in or on your ovaries.Most women produce at least one cyst each month, but they are painless and they disappear quickly. There are different types of ovarian cysts and the ones that normally cause pain or complications are the ones that women are talking about when they talk about ovarian cysts

Sonohysterogram: Pain, Side Effects, and Mor

Sonohysterography (SIS) Less leakage / pain => minimal inconvenience Stable filling => better image + longer investigation time . Gel: glycerol + hydroxyethylcellulose . Cervical blockage 5 HSG normal 2/5 Leakage 1 HSG normal 1/1 Patent tubes both sides 55 / 73 Patent tube (one present) 2 / 73. • hysterosalpingogram (HSG) • hysterosalpingo contrast sonography (HyCoSy) • hysterosalpingo foam sonography (HyFoSy) • saline infusion sonohysterography (SIS). The differences in the procedures are the imaging contrast and imaging method (ultrasound or x-ray) used. The test will examine the shape and lining of the uterus an SIS was much superior to HSG in detecting pelvic pathology in terms of sensitivity, specificity, PPV, NPV, and accuracy. In our study, SIS detected 15 tubes with bilateral block of which HSG showed only 10 tubes with bilateral occlusion and laparoscopy agreed to only eight occluded tubes. Hence, concordance is 53.3% in SIS and 66.7% in HSG The HSG is a fertility test used to check for blockages in fallopian tubes and abnormalities in the uterus, When spotting or discharge occurs, I said yes, most women will experience a considerable amount of pain, I have never had a child, Please ask your doctor to prescribe a pain-killer for you to help you cope better with this

SIS and/or HSG are often used in initial workup of patients with Asherman's and they have high sensitivity but low specificity. Pelvic sonography without use of a distention media is of limited use, however, a very thin or interrupted endometrial stripe may suggest injury to the basalis layer Another option with your doctor is saline infusion sonography. Also known as sonohysterography or uterine ultrasound, SIS involves using a saline solution that flows into the uterus, helping in getting a clear image of the uterus. Hysterosalpingography(HSG) Also known as uterosalpingography, HSG combines radioactive material and X-ray Dilation and curettage (D&C) is a procedure to remove tissue from inside your uterus. Doctors perform dilation and curettage to diagnose and treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage or abortion In most women, the dye painlessly just passes through the uterus, through the fallopian tubes, and out into the abdominal cavity. The good news is that if you do feel intense pain, it shouldn't last for more than a minute.Most doctors recommend taking ibuprofen an hour before the HSG.. See further detail related to it here

procedure code and description. 58340 - Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography (HSG) - average fee payment - $230 - $240. 58345 Transcervical introduction of fallopian tube catheter for diagnosis and/or reestablishing patency (any method), with or without hysterosalpingograph HSG / SIS / SHG. The HSG family of products, designed exclusively for IMA, are high quality MADE IN THE USA women's diagnostic catheters and Safety Kits. They are used for procedures such as HysteroSalpingoGraphy (HSG) and Saline Infusion Sonogram (SIS), also known as SonoHysteroGraphy (SHG). Also included, a line of Uterine. The findings of HSG and SIS were recorded on a proforma for each patient. Patients were asked to describe the pain experienced during each procedure on a scale of 1 to 10, with 1 being minimal and 10 being severe discomfort. The patients' opinion was taken for their preference between the two procedures, if given a choice Pain while passing urine or stool as well as a change in bowel movement can also be symptoms of an ectopic pregnancy. 6. Sudden Drop In Blood Pressure. A sudden drop in blood pressure, along with cold clammy skin and sweating, is a sign of the body going into shock due to heavy internal bleeding due to the rupture of the fallopian tube or. HSG and SIS were not statistically different regarding time length ( P =.20). The average pain score (0-10) for SIS was 2.7, compared with 5.8 and 5.3 for HSG and OHS, respectively. Both HSG and OHS mean pain scores were significantly greater than the SIS mean ( P <.0001). Pain means for HSG and OHS did not differ significantly ( P =.21) pain injections. Although Omnipaque 300 is indicated for intrathecal injection, it is not completely safe. There is a case report of aseptic meningoencephalitis after intrathecal injection of Omnipaque 300.6 As with all medications and injections, the risks and benefits need to be fully evaluated with the patient prior to use