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Is Normal Conception Possible If HSG Test Is Normal?
Question: hi doc..had my hsg on 2/9 (8days of cycle period) result was saying my uterus is retroverted with normal cavity. left tube is normal and there was free spill of contrast noted in the pelvic.Right tube did not not demonstrate spill. after buscopan there was spill noted in the right tube. conculsion bilateral spill noted , the right after buscopan injection ? can I conceive normal?and what is my next step
Brief Answer:
REPORT IS NORMAL, NEED MORE DETAILS
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
The HSG report is essentially normal.
It indicates that both your fallopian tubes are open.
ALso the uterus is normal.
So there is no abnormality in this report.
Regarding natural conception, a lot of factors decide it.
I need to know a few more details, before I answer that -
Since how long are you trying to conceive ?
Have you ever conceived naturally ?
what investigations have been done so far to assess fertility, and please upload them.
Then I can guide you regarding your next step.
What is your height and weight ?
Looking forward to hearing from you.
Take care.
REPORT IS NORMAL, NEED MORE DETAILS
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
The HSG report is essentially normal.
It indicates that both your fallopian tubes are open.
ALso the uterus is normal.
So there is no abnormality in this report.
Regarding natural conception, a lot of factors decide it.
I need to know a few more details, before I answer that -
Since how long are you trying to conceive ?
Have you ever conceived naturally ?
what investigations have been done so far to assess fertility, and please upload them.
Then I can guide you regarding your next step.
What is your height and weight ?
Looking forward to hearing from you.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Doc,
Good to know that im normal.i been ttc up to 3 years with conceive normally.my height is 5"5 and weight is 57kg.im just worried that is there any chances to get pregnant with normal intercourse or any solutions like iui due to my retroverted uterus.On january 2014,(2nd day of period) i went to fertility for the ovarian reserve stated in the right side of tube had few like 8eggs ..on the left side cant see them. So again i decided hsg two days ago to another hospital.below is my blood test reported normal.i did a semen test on my husband.still waiting for the answer.but thanks for the information on the hsg
Good to know that im normal.i been ttc up to 3 years with conceive normally.my height is 5"5 and weight is 57kg.im just worried that is there any chances to get pregnant with normal intercourse or any solutions like iui due to my retroverted uterus.On january 2014,(2nd day of period) i went to fertility for the ovarian reserve stated in the right side of tube had few like 8eggs ..on the left side cant see them. So again i decided hsg two days ago to another hospital.below is my blood test reported normal.i did a semen test on my husband.still waiting for the answer.but thanks for the information on the hsg
Brief Answer:
DONT STRESS, HAVE OUTLINED WORKUP FOR YOU
Detailed Answer:
Hi again.
Are your cycles regular ?
If you have been trying to conceive normally for 3 years and are yet unsuccessful, you need to consult a proper qualified Infertility specialist.
The steps to proceed ahead are -
1. Get your blood tests done, just the thyroid report has been done which is not enough.
Am providing you with a list -
Complete blood count, blood group, viral markers, FSH, LH, TSH, AMH, Prolactin, DHEAS, Free testosterone, Lipid Profile
2. Get a Pap smear and internal exam done.
3. Husband semen analysis is the next step.
4. Now, ovarian reserve estimates capacity of your ovaries to produce good quality and good number of eggs. In women, this declines as age advances. Instead of counting the egg follicles on sonogram, a better way is to measure the hormone AMH, which gives direct idea of the ovarian reserve, so please get that done.
5. Now, if your cycles are regular, go for 3 - 6 cycles of follicular monitoring. This involves tracking egg growth with serial scans and confirming ovulation on ultrasound scan. It also provides you with more precise dates to time intercourse according to ovulation.
If the ovulation is observed to be compromised, then go for drugs to induce ovulation and again follicular monitoring.
6. There is no need for IUI for a retroverted uterus, retroverted uterus is a normal anatomical variant, and there is no need for IUI. IUI is required only if the semen count is compromised or you fail to conceive inspite of good ovulation observed for 3 - 6 months.
Do not worry, you are young.
Take daily 5 mg per day folic acid supplements.
Do not stress out, IVF ( in vitro fertilization ) is always a last resort for you.
Take care.
DONT STRESS, HAVE OUTLINED WORKUP FOR YOU
Detailed Answer:
Hi again.
Are your cycles regular ?
If you have been trying to conceive normally for 3 years and are yet unsuccessful, you need to consult a proper qualified Infertility specialist.
The steps to proceed ahead are -
1. Get your blood tests done, just the thyroid report has been done which is not enough.
Am providing you with a list -
Complete blood count, blood group, viral markers, FSH, LH, TSH, AMH, Prolactin, DHEAS, Free testosterone, Lipid Profile
2. Get a Pap smear and internal exam done.
3. Husband semen analysis is the next step.
4. Now, ovarian reserve estimates capacity of your ovaries to produce good quality and good number of eggs. In women, this declines as age advances. Instead of counting the egg follicles on sonogram, a better way is to measure the hormone AMH, which gives direct idea of the ovarian reserve, so please get that done.
5. Now, if your cycles are regular, go for 3 - 6 cycles of follicular monitoring. This involves tracking egg growth with serial scans and confirming ovulation on ultrasound scan. It also provides you with more precise dates to time intercourse according to ovulation.
If the ovulation is observed to be compromised, then go for drugs to induce ovulation and again follicular monitoring.
6. There is no need for IUI for a retroverted uterus, retroverted uterus is a normal anatomical variant, and there is no need for IUI. IUI is required only if the semen count is compromised or you fail to conceive inspite of good ovulation observed for 3 - 6 months.
Do not worry, you are young.
Take daily 5 mg per day folic acid supplements.
Do not stress out, IVF ( in vitro fertilization ) is always a last resort for you.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Doc,
1.My period cycles are regular.
2.Theres a attachment complete on my hormone test together with my husband result. I hope theres some details you can see through those result.
3.I did paps smear early this year. Doc said looking normal and no report showed.
4.We will wait and see. I go buy ovulation kit to check this week if I'm fertile.If not i will consult doc again if he decide to give me a clomid or any solutions.
Thanks again for the concern.
1.My period cycles are regular.
2.Theres a attachment complete on my hormone test together with my husband result. I hope theres some details you can see through those result.
3.I did paps smear early this year. Doc said looking normal and no report showed.
4.We will wait and see. I go buy ovulation kit to check this week if I'm fertile.If not i will consult doc again if he decide to give me a clomid or any solutions.
Thanks again for the concern.
Brief Answer:
SEMEN ANALYSIS HAS A PROBLEM
Detailed Answer:
Hello
I have gone through the new attachment that you have sent.
As your cycles are regular, ovarian reserve should not be a problem, but please get FSH, LH and AMH atleast measured.
REgarding your husband's report, there is one worrying factor.
The percentage of normal looking sperms is only 2 %, that means that abnormal sperms are high.
Now, there could be various reasons for this.
Smoking, drinking, age, hormonal deficiencies, stress, prolonged abstinence periods, infections, blockages of tubes carrying the sperms etc.
Is this the first time his test has been carried out ?
A repeat test after 3 days of abstinence should be done.
IF the findings are still the same , he needs to see an XXXXXXX ( male infertility specialist ) and then , IUI is a better option after proper evaluation of cause of this problem .
3. Do not rely on ovulation kits to check ovulation.
Get your husband assessed first and once his problem is sorted out, go for follicular monitoring as that is the best way in your case to check for ovulation.
Kits will only waste more time.
Only if you do not ovulate by yourself, clomid or other medications are required.
Take care.
SEMEN ANALYSIS HAS A PROBLEM
Detailed Answer:
Hello
I have gone through the new attachment that you have sent.
As your cycles are regular, ovarian reserve should not be a problem, but please get FSH, LH and AMH atleast measured.
REgarding your husband's report, there is one worrying factor.
The percentage of normal looking sperms is only 2 %, that means that abnormal sperms are high.
Now, there could be various reasons for this.
Smoking, drinking, age, hormonal deficiencies, stress, prolonged abstinence periods, infections, blockages of tubes carrying the sperms etc.
Is this the first time his test has been carried out ?
A repeat test after 3 days of abstinence should be done.
IF the findings are still the same , he needs to see an XXXXXXX ( male infertility specialist ) and then , IUI is a better option after proper evaluation of cause of this problem .
3. Do not rely on ovulation kits to check ovulation.
Get your husband assessed first and once his problem is sorted out, go for follicular monitoring as that is the best way in your case to check for ovulation.
Kits will only waste more time.
Only if you do not ovulate by yourself, clomid or other medications are required.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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