What Does This HSG Report Indicate?

Posted on Mon, 9 Nov 2015

Question: hi doctor they said i have some spillage of contrast to the peritoneal cavity noted on the right fallopian tube

Answered by Dr. Aarti Abraham (20 minutes later)

Brief Answer:
Need more details please.

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Please upload the report of the test .
I assume that a XXXXXXX test ( HSG ) was done ?
Also, since how long are you trying to conceive ?
Are your cycles regular ?
Looking forward to hearing from you with more details.
Take care.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Aarti Abraham (15 minutes later)

Thanks for your answer. I have been trying for a 1 year now. yes I did HSG.yes i have regular cycle

Answered by Dr. Aarti Abraham (11 hours later)

Brief Answer:
More details please.

Detailed Answer:
Hello again.
Thank you for the update.
What about the left tube ?
Uterine cavity ?
Can you please upload the entire report ?
Have you had children earlier ?
Please write back.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (2 hours later)

Hi doctor, yes I have a son in 2011 and a miscarry in 2013. the result of the tes says: this

,the appear to be some filling of the fallopian tube on the right and there is some spillage of contract to the peritoneal cavity noted on the right as well. Normal appearance of the right fallopian tube is not well-defined . The tube may in fact be abnormal.|The left tube was never seen filled with contrast and is presumable occluded. There is some leakage of contrast from the endometrial cavity to the uterine interstitium,draining by uterine veins.

Answered by Dr. Aarti Abraham (9 hours later)

Brief Answer:
Laparoscopy should be done to confirm.

Detailed Answer:
Okay.
Thank you for the information.
HSG is not a very reliable test for diagnosing whether the tubes are open or closed.
A lot of women undergo tubal spasm while going HSG, so it is possible that this report is giving you a false picture.
Also, the right tube is having some amount of spillage, so it maybe open.
There is again possibility that the left tube is blocked, and right one damaged due to the miscarriage you had earlier.
You need to confirm these findings by having a laparoscopy test done, which is the gold standard for checking fallopian tube patency.
Also, you should get your partner's semen analysis test done.
Plus, follicular monitoring for yourself to check if you are ovulating well.
That workup will then reveal where the problem lies.
At 37, you need to have aggressive steps for conceiving soon.
Hope this information helps you.
You can contact me directly anytime, using the following link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (13 hours later)

Thanks Doctor for the answer. But I have had a baby in 2011, then miscarries 2013, so what can damage the tubes now?

Answered by Dr. Aarti Abraham (12 hours later)

Brief Answer:
Only laparoscopy will clarify

Detailed Answer:
Yes, it is possible that the miscarriage might have damaged the tubes.
Again, it is possible that HSG report might be erroneous, leading to a false report.
Laparoscopy will clarify the picture.
Take care

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar