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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Can I Conceive Naturally With Distal Blockage On The Tube?

I had HSG done and result says two filling defects second to air pockets and also shows distal blockage with mild dilatation of bilateral apiary end of the tube with small amount of spill of contrast only. kindly explain the implication of this to my chances of conceiving naturally
Wed, 4 Jan 2017
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OBGYN,  's  Response
Hello and welcome to ‘Ask A Doctor’ service.

I have reviewed your query and here is my advice.

When you have bilateral tubal block with dilatation of fimbrial end, the possibility of natural pregnancy is nil. You are having bilateral hydro-/pyosalpinx. You have to undergo reconstructive surgery on the tubes to open the tubes and then hope for the good results.

However, the results of opening the tubes (salpingostomy) in cases of hydrosalpinx are not quite encouraging. Please consult your gynaecologist before you take any major decision.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Nishikant Shrotri
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Can I Conceive Naturally With Distal Blockage On The Tube?

Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. When you have bilateral tubal block with dilatation of fimbrial end, the possibility of natural pregnancy is nil. You are having bilateral hydro-/pyosalpinx. You have to undergo reconstructive surgery on the tubes to open the tubes and then hope for the good results. However, the results of opening the tubes (salpingostomy) in cases of hydrosalpinx are not quite encouraging. Please consult your gynaecologist before you take any major decision. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nishikant Shrotri