
Had HSG Done, Uterus And Fallopian Tubes Normal. No Evidence Of Free Spill. What Else Could It Be?

Thanks for your query.
An HSG is a hysterosalpingogram which is an x XXXXXXX of the uterus and both fallopian tubes.
Your report says that there is no evidence of free spill on both sides.
Normally XXXXXXX is injected into the uterus from below and if the tubes are open, then the XXXXXXX spills into the peritoneal cavity ( abdominal cavity ) and it is seen on the x XXXXXXX
When both tubes are blocked , then the XXXXXXX spill is not seen on both sides.
This is true in your case.
This means that fertility is difficult as the tubes are blocked.
There are various causes of tubal blockage such as infections, adhesions, tubal spasm etc.
Only a diagnostic laparoscopy can confirm the diagnosis of HSG and tell you the cause of blockage.
If on laparoscopy tubes are indeed blocked and cannot be opened, you would require IVF ( in vitro fertilization ) to have babies.
Hope this clarifies things.
take care, and feel free to discuss further.

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