Please listen to me, ladies! This is such a serious topic. When it comes to our health, we have to be our own best advocate! This subject hurts my heart beyond words. But more so, quite frankly, it pisses me off!
So many women go for an HSG, but then quickly develop an infection...due to the HSG! This is a travesty that must be stopped! You ladies work too hard to heal yourselves to then be taken by uninformed, ignorant doctors who will not prescribe necessary antibiotics with HSGs.
For a long time, up until very recently, I was under the false presumption that all doctors do prescribe antibiotics with an HSG. Sadly, I've come to find out, many don't. I have spoken on the importance of antibiotics with HSG a few times, but today, I realized that it needs to be addressed in an article all on its own. This is NOT your fault, ladies. This is the fault of negligent, uninformed doctors.
First off, I am no friend of antibiotics. Let's get that out of the way. They can become very problematic for the human body. That said, you know that if I'm urging you to DEMAND antibiotics with your HSG, it's with very good reason! During an HSG, they open the cervix, which, by the way, is designed to be closed most of the time for the very reason of keeping out harmful bacteria and preventing infections from occurring in the womb.
This being the case, there is a moderate risk of developing pelvic inflammatory disease (PID) in dilated or distally blocked tubes following an HSG, if no antibiotics are used. There's also a risk of serious infection after HSG if there is a history suggestive of prior tubal infection or damage, which all of us dealing with blocked fallopian tubes have had. This type of infection may require hospitalization and an aggressive treatment with antibiotics, which may or may not be enough to protect our already fragile fallopian tubes from developing more scar tissue and inflammation. To minimize the likelihood of a pelvic infection, antibiotics should be prescribed.
Therefore, we MUST be ADAMANT about the use of antibiotics whenever we decide to go for a follow-up HSG. We are at a much higher risk of infection than someone with no previous tubal or uterine issues. Still, the doctors really have no way of knowing whether someone has had previous tubal or uterine issues, aside from asking them, and sometimes the woman doesn't even know herself if she's had an infection in the past. So, really, it should be standard practice to prescribe antibiotics with EVERY HSG. Period.
"While performing these procedures, the abdomen, upper vagina, and endocervix are breached, leading to the possibility of seeding pelvic structures with microorganisms. Antibiotic prophylaxis is therefore important to prevent or treat any procedure-related infections. After careful review of the published literature, it is evident that routine antibiotic prophylaxis is generally not recommended for the majority of ART-related procedures. For transcervical procedures such as HSG, SIS, hysteroscopy, ET, and chromotubation, patients at risk for pelvic infections should be screened and treated prior to the procedure. Patients with a history of pelvic inflammatory disease (PID) or dilated fallopian tubes are at high risk for postprocedural infections and should be given antibiotic prophylaxis during procedures such as HSG, SIS, or chromotubation. Antibiotic prophylaxis is recommended prior to oocyte retrieval in patients with a history of endometriosis, PID, ruptured appendicitis, or multiple prior pelvic surgeries."(1)
"A total of 150 women who had hysterosalpingography (HSG) for investigation of infertility, at the Kenyatta National Hospital over a five month period, were recruited into the study to determine the prevalence of pelvic infection following the procedure. 44.% of the total study group developed pelvic infection disease (PID) within the first week after the procedure. There were no obvious determining factors. It is possible that most women with infertility have quiescent genital tract infection, prior to HSG, with the latter only facilitating the entry of micro-organisms into the upper genital tract, thus causing pelvic infection or reactivating a pre-existing infections. Further studies should be conducted to determine the microbial patterns of the infection. There should be routine provision of prophylactic antimicrobial agent(s) to all women undergoing HSG in our unit to minimise the risk of developing pelvic infection and further damage to the uterine tubes which will worsen the prognosis. ....One week after hysterosalpingography, 44% developed acute PID, defined as having at least 2 of the following signs or symptoms: lower abdominal pain, rebound tenderness, cervical/adnexal tenderness, foul smelling vaginal discharge, adnexal mass(es), and fever of at least 38 degrees Celsius. The most frequent signs and symptoms were lower abdominal pain and tenderness."(2)
Completely preventable and unacceptable! How terribly irresponsible of these doctors to be so negligent with our healthcare!!
So, ladies, I can't stress this enough! When you go for your follow-up HSG, demand your doctor to prescribe at least a 3 day round of antibiotics (day before HSG, day of, and day after HSG). If they say they don't do that, then tell them you will be finding a doctor that does. With that, they might go ahead and prescribe them. If they don't, you HAVE to go to another doctor. Or ask your Primary Care Physician if he or she will prescribe them to you. It doesn't hurt to ask. They likely will. If they don't, don't get the HSG until you find a doctor who will prescribe antibiotics with it. There's no getting around this one. Not for us. Our tubes have been through enough, without taking this unnecessary risk to further damage them.
Take heed, ladies. Don't be a victim to an uninformed, negligent doctor. You have fought too hard for this. You deserve better.
Please feel free to share your experience with this in the comments below to further address this issue.
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When I began this vaginal steaming journey, I was so excited and I wanted to start right away. My only dilemma was, what am I going to use to steam this "vajayjay" of mine?? I didn't want to use my toilet. That didn't feel very queen-like to me. (Even though it is a "throne," haha! Gosh, I'm so corny. Still, not my idea of a throne) I didn't have an old wooden chair to cut a hole in it. I didn't have a spare toilet seat top laying around to use over a non-plastic bucket, or anything of this nature. So, I decided to look online and try to buy a vaginal steaming seat made just for this purpose. Sounds logical enough, right? So, Amazon and Google, here I come!
When I tell you I was disappointed with these search results...man! I am going to need someone to tell me why a wooden box with a hole in the top of it costs upwards of $150-$400??! And there was even one seat, that was not really a steaming seat, basically just a wooden toilet seat top that you would have to put on top of something. It was a slab of wood with a hole in it. It costed $70!!
Have you ever done a Vaginal Steam? If you’re not familiar with vaginal steams, get ready to be amazed! Vaginal steaming isn’t some kind of new fad or strange trend. Vaginal steaming is actually the most ancient form of female self care to revitalize the reproductive system.
Vaginal steaming is one of the oldest women's healing traditions. It is known by quite a variety of names such as V-Steams, Vagi-Steams, Yoni Steams, Bajos (which means "down low") amongst the Spanish and Mayans, and in Korea, it's referred to as Chai Yok. Mayan healers and midwives have used vaginal steams for centuries. You may also hear it referred to as womb spa or womb sauna.
So, what's it like? It's like a facial steam, but for your "vajayjay." Yes, I still say, "vajayjay." (side note: my hubby calls his penis the "vajohn." LOL)
Anywho...vaginal steaming is a powerful aid for increasing a woman’s vitality in regulating her menstrual cycle, relieving stress and depression, improving her intimate relationship, and most importantly, resolving reproductive disorders.
Castor oil packs are ah-maaaa-zing!!! From increasing circulation to supporting the lymphatic system to fighting infections and preventing the growth of bacteria, viruses, yeast, and mold to healing scars and internal adhesions to easing constipation, etc, etc! Natural healers worldwide have used castor oil to treat a wide variety of health conditions for thousands of years. The use of castor oil goes back as far as the ancient Egyptians, who used it as a very potent natural skincare elixir and to treat eye irritations. In India, castor oil has been cherished for its skin-healing, digestive-calming, antibacterial properties, and is commonly used in traditional Ayurvedic medicine applications.
One of castor oil's remarkable qualities is its ability to increase white blood cells, and the count of T-11 cells (a unique type of white blood cells that act like antibodies) produced within the body's lymphocytes that help kill bacteria, viruses, fungi, and cancer cells.
Much of the healing benefits of castor oil come down to its chemical composition. Castor oil is classified as a triglyceride fatty acid, and in fact, about 90 percent of its fatty acid content is a rare compound called ricinoleic acid. Castor oil is considered to be quite exceptional because ricinoleic acid is not found in too many other substances, and it's such a concentrated source.
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