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What Does This Ultrasound Report Of Uterus Indicate?

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Posted on Tue, 5 May 2015
Question: Hsg test report.

My name is XXXXX. i am 40years old. I married in the year 2007. I have one baby girl born in 2007. After that I am unable to become pregnant until now. My HSG test report read as follows:
- cervical canal and cavum uteri are normal.
- the two fallopian tubes are well outlined.
- the right is normal in all respects.
- the left is beaded and permits limited spillage of contrast.
- its features are in keeping with peritoneal and perifimbrial adhesions.

My question is what does that mean? Am I not fit to get pregnancy again?. Does it exist any medical solution? what shall I do?
Thanks and Best regards
XXXXXX

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doctor
Answered by Dr. Mahesh Koregol (35 minutes later)
Brief Answer:
Spasm of fallopian tubes likely

Detailed Answer:
Hello XXXXX,

I understand your concerns about Left tube limited contrast spillage.

There are 2 possibilities of your HSG report :

1. There is temporary spasm of fallopian tube on left side which lead to limited contrast.

2. There is possible infection of left tube (with earlier STD) which has damaged it. Hence you have damaged left tube which is not healthy as per HSG report. You seem to have conceived with right tube last time.

3. Only way to confirm this would be to get diagnostic laparoscopy done which will accurately diagnose the tubal status. There is no medical treatment for this unfortunately.

4. Even if one tube is presumably not healthy and functional, you can conceive with one tube only.
No problem in getting pregnant.

Let me know if you need any more help.

Regards
Dr. Mahesh Koregol.
IVF and Infertility Specialist

Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
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Follow up: Dr. Mahesh Koregol (18 hours later)
Recently, I had hormone profiles test and the result is as per the attached file.
my quest is, Is the result normal? if your answer is negative what shall I do?
Am 40years old, How possible is it for me to become pregnant under this condition? what shall I do to increase the possibility to become pregnant?
I dearly need your help and advise.
Thanks and best Regard
XXXXX
doctor
Answered by Dr. Mahesh Koregol (41 minutes later)
Brief Answer:
IVF is a better option

Detailed Answer:
Hi,

Your hormonal report seem to be fine.

40 years is little higher age to conceive.

In view of increased age and damaged on tube, I suggest you go ahead with IVF ( test tube baby) treatment for conceiving another ababy as soon as possible.

Let me know if you have any more queries.

Regards,
Dr. Mahesh Koregol
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Mahesh Koregol

Infertility Specialist

Practicing since :2000

Answered : 3836 Questions

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What Does This Ultrasound Report Of Uterus Indicate?

Brief Answer: Spasm of fallopian tubes likely Detailed Answer: Hello XXXXX, I understand your concerns about Left tube limited contrast spillage. There are 2 possibilities of your HSG report : 1. There is temporary spasm of fallopian tube on left side which lead to limited contrast. 2. There is possible infection of left tube (with earlier STD) which has damaged it. Hence you have damaged left tube which is not healthy as per HSG report. You seem to have conceived with right tube last time. 3. Only way to confirm this would be to get diagnostic laparoscopy done which will accurately diagnose the tubal status. There is no medical treatment for this unfortunately. 4. Even if one tube is presumably not healthy and functional, you can conceive with one tube only. No problem in getting pregnant. Let me know if you need any more help. Regards Dr. Mahesh Koregol. IVF and Infertility Specialist