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What Does This HSG Report Indicate?
Question: Dear Doctor, I have a 3 years old boy and had a miscarries in 2013 and D&C process. Now I am trying for another child but it is taking long. I had to go to the doctor and this was the result from HSG.
HSG is ,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.. This implies that satisfactory intraluminal endometrial pressure was achieved during contract injection . Nonvisualisation of the left fallopian tube is therefore most in keeping with occlusion.
Impression: Abnormal and technically difficult study. probable occlusion of the left fallopian tube. probably abnormal right fallopian tube not well-defined. Endometrial cavity is unremarkable. correlation with ultrasound suggested if not previously done.
HSG is ,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.. This implies that satisfactory intraluminal endometrial pressure was achieved during contract injection . Nonvisualisation of the left fallopian tube is therefore most in keeping with occlusion.
Impression: Abnormal and technically difficult study. probable occlusion of the left fallopian tube. probably abnormal right fallopian tube not well-defined. Endometrial cavity is unremarkable. correlation with ultrasound suggested if not previously done.
Brief Answer:
Fertility
Detailed Answer:
I understand your questions and concerns.
You need a systematic evaluation by a Reproductive Endocrinologist who will examine you thoroughly in-person in addition to appropriate further testing, such as
CBC
CMP
TSH
HbA1c
Prolactin
Other tests as deemed necessary based on findings on physical examination.
USG of the pelvis may be helpful too.
A comprehensive assessment will allow one to get to the bottom of this in terms of your inability to conceive again.
Fertility
Detailed Answer:
I understand your questions and concerns.
You need a systematic evaluation by a Reproductive Endocrinologist who will examine you thoroughly in-person in addition to appropriate further testing, such as
CBC
CMP
TSH
HbA1c
Prolactin
Other tests as deemed necessary based on findings on physical examination.
USG of the pelvis may be helpful too.
A comprehensive assessment will allow one to get to the bottom of this in terms of your inability to conceive again.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks doctor, but I need more details
Brief Answer:
Follow up
Detailed Answer:
The HSG appears to be inconclusive. It is usually a helpful test which typically provides useful answers. But this report is a bit unusual and ambiguous.
So I suggest you seek a more accurate report.
Evaluation of 'Secondary Subfertility' i.e. inability to conceive after having at least one pregnancy, requires a structured approach. It starts with a detailed history and complete examination followed by appropriate tests.
So Endocrine testing such as
Thyroid function
Prolactin
are important in ruling out hormonal imbalance.
Then there are structural studies like HSG and Ultrasound.
Even the husband's semen analysis is relevant.
Follow up
Detailed Answer:
The HSG appears to be inconclusive. It is usually a helpful test which typically provides useful answers. But this report is a bit unusual and ambiguous.
So I suggest you seek a more accurate report.
Evaluation of 'Secondary Subfertility' i.e. inability to conceive after having at least one pregnancy, requires a structured approach. It starts with a detailed history and complete examination followed by appropriate tests.
So Endocrine testing such as
Thyroid function
Prolactin
are important in ruling out hormonal imbalance.
Then there are structural studies like HSG and Ultrasound.
Even the husband's semen analysis is relevant.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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