Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Do My HSG Test Results Indicate?
Question: my wife had gone through HSG test yesterday & after the HSG report,Doctors told that only option we have now is IVF but I am still hoping for natural conceive.Please suggest if any alternate other than IVF.Should we go for operative laparoscopy?
Below is the HSG report:
********************************************
Under IIT(Television) fluoroscopic control the contrast is injected into the uterine cavaity
The uterine cavity is normal in size deviated to the left in position.
No persistent filling defect suspicious for synechiae or fibroides is seen.
Right fallopian tube is visualised till the fimbrial end,shows beaded appearance in the mid & distal segment.No free peritoneal spill is seen.
Left fallopian tube is visualised till the fimbrial end.There is dilatation of the distal segment.There are multiple radiolucent defects in the mid & distal segment of left fallopian tube indicating salpingitis isthmica nodosa.
No free peritoneal spill is seen.
These changes are of infective in etiology with bilateral fimbrial block.
Clinical correlation is recommended.
*****************************************************
Below is the HSG report:
********************************************
Under IIT(Television) fluoroscopic control the contrast is injected into the uterine cavaity
The uterine cavity is normal in size deviated to the left in position.
No persistent filling defect suspicious for synechiae or fibroides is seen.
Right fallopian tube is visualised till the fimbrial end,shows beaded appearance in the mid & distal segment.No free peritoneal spill is seen.
Left fallopian tube is visualised till the fimbrial end.There is dilatation of the distal segment.There are multiple radiolucent defects in the mid & distal segment of left fallopian tube indicating salpingitis isthmica nodosa.
No free peritoneal spill is seen.
These changes are of infective in etiology with bilateral fimbrial block.
Clinical correlation is recommended.
*****************************************************
Brief Answer:
IVF is the best option.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
In HSG, the report suggests bilateral tubal block due to infective cause. This can be opened with the help of surgery but even after surgery, there is possibility of repeat scar formation which can decrease the chances of normal conception.
It is best to get an IVF done and do not further delay the pregnancy as even after the surgical correction there are chances that your wife may need IVF after repeated trials.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
IVF is the best option.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
In HSG, the report suggests bilateral tubal block due to infective cause. This can be opened with the help of surgery but even after surgery, there is possibility of repeat scar formation which can decrease the chances of normal conception.
It is best to get an IVF done and do not further delay the pregnancy as even after the surgical correction there are chances that your wife may need IVF after repeated trials.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Above answer was peer-reviewed by :
Dr. Prasad
Based on past statistics,Please tell me, what are the chances that if we go for tube repair treatment then tubes can start functioning again.Please suggest any natural remedy or medicine that can help.
It is because,Not just from the Baby point of view,I want to go for tube repair treatment but I am afraid that if I don't go for the repair of damaged tubes then in future ,Can it cause any health problem in future for my wife.Basically my concern here is my wife should not have any health issue because of these blocked/damaged tubes.
Can these blocked tubes create problem in IVF procedure as well.
Also I have some confusion about IVF So need Your expert opinion:
1) Is IVF a surgical method? Is it painful procedure?
2) Is it also possible that baby born via IVF can get some health implication or birth defect because of this scientific fertilization procedure?
It is because,Not just from the Baby point of view,I want to go for tube repair treatment but I am afraid that if I don't go for the repair of damaged tubes then in future ,Can it cause any health problem in future for my wife.Basically my concern here is my wife should not have any health issue because of these blocked/damaged tubes.
Can these blocked tubes create problem in IVF procedure as well.
Also I have some confusion about IVF So need Your expert opinion:
1) Is IVF a surgical method? Is it painful procedure?
2) Is it also possible that baby born via IVF can get some health implication or birth defect because of this scientific fertilization procedure?
Brief Answer:
Natural remedy cannot open tubes.
Detailed Answer:
Hello.
Thanks for writing again.
Even if you go for repair, the chances of natural conception are not more than 25%.
Any natural remedy or medicine cannot open up the tubes. Rather laparoscopy can detect the cause of blocked tubes like endometriosis or tuberculosis that may need treatment.
If you go for surgery then the tubes may get blocked again after 1-2 years. The blocked tubes do not have any detrimental effect on health except for inability to conceive. However the associated infection needs to be detected and treated after proper investigations.
Blocked tubes do not interfere with IVF process.
IVF also involves laproscopic retrieval of eggs and then the embryo is implanted in uterus. You can call it a key hole procedure. It is painful and done under anesthesia.
No. IVF is unlikely to affect the baby or cause additional malformations in the baby. It is a safe process.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Natural remedy cannot open tubes.
Detailed Answer:
Hello.
Thanks for writing again.
Even if you go for repair, the chances of natural conception are not more than 25%.
Any natural remedy or medicine cannot open up the tubes. Rather laparoscopy can detect the cause of blocked tubes like endometriosis or tuberculosis that may need treatment.
If you go for surgery then the tubes may get blocked again after 1-2 years. The blocked tubes do not have any detrimental effect on health except for inability to conceive. However the associated infection needs to be detected and treated after proper investigations.
Blocked tubes do not interfere with IVF process.
IVF also involves laproscopic retrieval of eggs and then the embryo is implanted in uterus. You can call it a key hole procedure. It is painful and done under anesthesia.
No. IVF is unlikely to affect the baby or cause additional malformations in the baby. It is a safe process.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thanks XXXXXXX for Your reply.
As per You knowledge & experience,Can You suggest me best IVF center in NCR region because on the internet there are many medical centers coming.
Once the first IVF is successful then after the delivery,I am thinking for laparoscopic treatment so that We get some chances of natural conception for 2nd baby.Am I thinking in right way?
As per You knowledge & experience,Can You suggest me best IVF center in NCR region because on the internet there are many medical centers coming.
Once the first IVF is successful then after the delivery,I am thinking for laparoscopic treatment so that We get some chances of natural conception for 2nd baby.Am I thinking in right way?
Brief Answer:
IVF is best for you.
Detailed Answer:
It is best to go for IVF now and then get laparoscopy done so that there are chances of natural conception next time.
The best facility for IVF is available at Sir XXXXXXX XXXXXXX hospital or XXXXXXX IVF center. It is best to know their previous success rate for comparison.
Regards.
IVF is best for you.
Detailed Answer:
It is best to go for IVF now and then get laparoscopy done so that there are chances of natural conception next time.
The best facility for IVF is available at Sir XXXXXXX XXXXXXX hospital or XXXXXXX IVF center. It is best to know their previous success rate for comparison.
Regards.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
