Hysterosalpingogram (HSG) After Tubal Reversal
Posted On: Sunday, January 13th, 2008
Patients often ask when they should have a hysterosalpingogram (HSG) to see if their fallopian tubes are open after tubal reversal surgery.
When to Have an HSG
Wait for at least 6 to 12 months after a tubal reversal procedure for this test of tubal patency. An HSG carries a risk of infection and often does not give conclusive results. It is best to give yourself a chance to become pregnant rather than rushing to have an HSG. Most patients conceive within this time frame and will avoid the need for an unnecessary and possibly misleading or harmful procedure.
Preparing for an HSG
To avoid unnecessary risks, an HSG should be performed only after menstruation is over and before ovulation occurs. Having an HSG after the time of ovulation may interfere with a pregnancy - before a pregnancy test can detect that conception has occurred. To minimize the risk of infection, use a betadine vaginal douche the evening before and the morning of the scheduled procedure and ask your doctor for a prophylactic antibiotic prescription. 600 mg of ibuprofen taken one hour before the HSG will minimize its discomfort.
What to Look For in an HSG
You can ask to watch the results on the fluoroscopy screen while the dye is being injected into the uterus.
At first, the dye will fill the uterine cavity. It is essential that the dye actually enter the fallopian tubes up to the point where the anastomosis was performed. Often, this does not occur due to spasm of the sphincter between the uterus and tubes (shown by the arrows) or from mucus or calcium deposits in the proximal tubal segments.
If the dye passes through the anastomosis sites, the fallopian tubes are open. Most radiologists do not consider the x-ray to show tubal patency (openness) unless dye spills into the abdominal cavity. When this happens, the diagnosis of tubal patency is conclusive.
We often see x-rays where dye has passed through the tubal anastomosis site, but has not yet spilled into the abdominal cavity. This is due to an insufficient amount of dye being injected into the tubes. The radiologist may mistakenly believe the tube is blocked when in reality it is open.
Send Your X-Rays To Me
In order to be certain about whether an HSG demonstrates tubal patency, tubal occlusion, or is inconclusive, please instruct the radiologist to send the x-ray films to me to interpret. Having documented the anatomy and measurements of the fallopian tube segments during tubal reversal surgery, I can compare the x-ray findings with each patient’s operative report. This allows me to give the most accurate interpretation of HSG results.
Dr. Berger’s Comment
Hysterosalpingography is a widely available procedure to examine tubal anatomy. Unfortunately, it is often performed or interpreted inaccurately. An HSG also has risks as well as discomfort and cost. It is best to wait for at least 6-12 months after a tubal reversal procedure to have an HSG. Most patients will become pregnant after tubal reversal within a year and can avoid the problems associated with HSGs. Preparing properly for an HSG and sending the x-ray images to me will minimize the risks and errors associated with a hysterosalpingogram.
January 13th, 2008 at 2:39 pm
This topic will be very helpful to our patients. Patients often wonder when it is best to have this testing done after surgery. I just wanted to mention that a lot of times the radiology facility faxes their report of the x-ray results, but does not send the actual x-ray images. We want to make sure that Dr. Berger always sees the actual x-ray films. These will have to be mailed to our office. A patient can request this in writing at the facility prior to having the x-ray done to help facilitate the process.
January 13th, 2008 at 3:17 pm
This is an excellent blog topic! We occasionally hear from patients who have been told that their tubes have become blocked following surgery. In many of those cases, the tubes were found to be open when the patient returned for surgery. For the HSG to be helpful, it must be performed and interpreted accurately. As Dr. Berger wrote, it is often better to give yourself 6 – 12 months of trying to conceive before undergoing this testing.
January 13th, 2008 at 7:35 pm
Many patients ask me if HSGs are painful. HSG tests can be uncomfortable for many women. It is important to follow your doctor’s recommendations for pain medication to minimize discomfort. The test is usually performed quickly and the discomfort should be brief. We are happy to talk to our patients about Dr. Berger’s recommendations for pain management. I think this blog is helpful because most women do well when prepared and know what to expect.
January 13th, 2008 at 9:46 pm
This is wonderful information for women who are considering having an HSG. This will help to better prepare them for the procedure. I think that the more informed patients are the better they can understand the outcome of the test. I also think that this information can help alleviate some of the stress that a person might feel.
January 14th, 2008 at 12:38 pm
It seems that some patients become over anxious when trying to conceive after tubal reversal. They want to rush in to having an HSG within two or three months of surgery. The information that Dr. Berger has given makes the point that this is not only unnecessary but in some cases can actually be harmful.
January 14th, 2008 at 2:26 pm
Dr Berger has done it again! Another excellent article giving his patients the education and the tools they need to make informed decisions about their care. This issue is so important for our patients to understand clearly so that at the time of HSG they can ask the best questions and understand the answers given to them.
July 7th, 2008 at 2:43 pm
I recently read somewhere that it should be done on 7-10 cycle days. However, my Hysterosalpingogram was done on the 4th day of my cycle (I had almost stopped menstruating by then.
I am now worried if this will have some consequences on my reproductive system and fertility.
Will appreciate your response.
Thanks,
Alison
July 7th, 2008 at 2:55 pm
Dear Alison -
The risk of a complication (infection)from HSG is low, so you probably don’t need to worry. But if you develop pain or fever after the HSG, you need to contact your doctor right away to be treated with antibiotics. If your doctor scheduled the HSG for cycle day 4 when you were still menstruating, it sounds like he/she is not fully informed about the potential risks of the hysterosalpingogram.
July 15th, 2008 at 2:11 pm
yesterday I had an operation. my baby grow in my left tube near ovary. they took the tube with the baby. now I do not want to have that experience again, so I want to check out my right tube.do you advice me to make hsg?
July 15th, 2008 at 6:36 pm
An HSG will be able to determine if your right tube is open and looks normal, but it cannot predict whether or not an ectopic pregnancy may occur in the future.
July 16th, 2008 at 4:01 pm
thx for the answer. my left ovary will still work after left tube removal. does the egg drop inside the stomach after left ovary produce it? or can right tube catch it? how long should I wait for next pregnancy trial?
July 16th, 2008 at 6:11 pm
The egg drops into the abdominal cavity and the right tube may catch it. Once you feel fully recovered from your surgery and have had a normal menstrual period, you can begin trying to become pregnant again.
July 29th, 2008 at 6:16 pm
I am the exception to the rule. I have 2 healthy boys and after had a tubal ligation in 1999 that failed within the first year. Then the same MD went back in through larger incision and took my fimbria. My husband to be and I desperately want to have a child together and I have read where an x-ray HSG should be done prior in some cases before the surgery before the fimbria re-build is done? But I am also reading don’t do it until after the reversal, which of course my surgery would be a little more than a reversal with a fimbria rebuild… Help?
Should I have an HSG prior to scheduling the procedure with you and at 30 years old what are my chances of getting pregnant? Both prior children were conceived while taking oral contraceptives and first tubal failed.. MD says I am very fertile. or was…
Christina
July 29th, 2008 at 6:24 pm
Cristina – In the case of tubal ligation by fimbriectomy, an HSG can determine if there is sufficient ampullary segment of tube remaining for the procedure of ampullary salpingostomy – that is what is done for fimbriectomy reversal. If you do not have an HSG performed, then I advise starting the procedure with screening laparoscopy to see if the tubes are repairable. If so, then the salpingostomy procedure is performed at the same operation.
July 30th, 2008 at 9:54 am
I had an HSG in 2006, and got pregnant. I am trying to have another baby, and my doctor wants to perform another HSG. The problem is, the first one was horribly painful. Is there any medication (stronger than Advil, which I took the first time around) that I can take that will make the procedure less painful?
July 30th, 2008 at 6:33 pm
An HSG should not have to be painful. This usually has to do with the techniques used by the doctor performing the procedure. I think you should discuss your previous experience with your doctor to see how it can be made comfortable for you. You may require a prescription medication for pain control, but if so, that would need to be prescribed in advance by the doctor who will perform the HSG.
July 30th, 2008 at 7:41 pm
Thanks. My new doctor knows about my experience, so hopefully he will do what he can to make sure the procedure is not painful (I’ll still be nervous, though).
September 1st, 2008 at 7:29 pm
2006 I had a tubal pregnancy.Although , I think it was a miscarriage.I had a tubal legaition done at the age of 17 reversal in 1992, which states my right tub mite not work but my leftis open, i have had 2 pg since then one misscarriage in 2001 and 2006 tubal pg. I had a HSG IN 2006 AND it states thread like spillage in the left tube none in the right. but not a complete spillages does this mean my tubs are compleltly blocked thats what the radiologist says. thanks EA
October 19th, 2008 at 8:48 am
im about to go for a hsg on tuesday. i started a period on 9th oct very very light and its now the 19th oct still having a period what do i do? i understand i cant have it done unless i have finished my cycle, also what will happen if they find my tube(s) are blocked will they try to open the tube(s) there and then or will i have to go for surgery and have them opened?
many thanks
October 28th, 2008 at 7:20 am
i did hsg test and since then after 3 days of menses water flow from my vagina for three days at night pls what is the cause. n there is no sign of pregnancy.
October 28th, 2008 at 3:13 pm
Janny – please check with your doctor about your bleeding after the HSG.
December 19th, 2008 at 10:51 am
Do oral contraceptives cause tubal blockage?
December 26th, 2008 at 5:33 am
i had my hsg which was very painful. the x ray is not showing the spillage but i have read that in case of blockage, the fallopian tubes looks fluid filled .my tubes dont look like fluid filled moreover i never had irregular periods. in my report it is written blockage of fallopian tubs in distal 1/3 part bilaterly.
now my doctor is advising me for laprascopy. should i go for it.
December 26th, 2008 at 5:35 am
one more question: how come its possible for fallopian tubes to be blocked even if we have regular periods. sorry for being so dumb but i think that regular periods means that we are ovulating and the ova sheds off during menses. am i correct.
December 26th, 2008 at 9:32 am
It is possible for fallopian tubes to be blocked and to still have regular menstrual periods. This happens when you have a tubal ligation or other tubal blockage. If fertilization and implantation do not occur during your cycle, you will shed the lining of the endometrium as your progesterone level falls. The ova does not actually have to make it to the endometrium. It would be helpful to send your HSG films to Dr. Berger for review because he will compare the findings from the images and your tubal reversal operative report to see if the tubal anastomosis site was truely tested.
December 28th, 2008 at 4:02 pm
i had done my hsg 21st so left tubal is open if possible i will pregnant in next month
December 28th, 2008 at 11:26 pm
Thanks Fran M.
December 31st, 2008 at 9:22 am
I had a HSG test done on the day 4 of my cycle. Today is my day 13. i had pain in my lower left and right abdomen for last 2/3 days. i am TTC for a while now and want to ask if my period will be regular after HSG because i took pills for 1 month befor ethe test to regulate my period.Thanks
January 6th, 2009 at 10:30 am
hi i am thinking of going to have a hsg as i had a reversal in may this year and am still trying with no luck as yet do u think i should leave it a yearas its only been 6months ??? after reading all about the test not sure if i want it done as it seems painful and im such a baby …..thanx
January 12th, 2009 at 4:04 pm
I am going to have a hsg test done next week. I have taken pills to build my system up which worked. I want to know if I take the hsg test will this help with me getting pregnant ?
January 16th, 2009 at 5:42 am
Tubal lagition on 31.10.2008
HSG on 9.01.2009
Tubal lagition failure. Please suggest me what can I do now.
January 16th, 2009 at 4:40 pm
MINOKSHI – Discuss redoing your tubal ligation with your doctor if you have had a failure of the original tubal ligation and intend to prevent becoming pregnant.
January 17th, 2009 at 10:29 am
is 40 to old to have a reversal?what r the main risks how many eggs should i have do i have a better chance if i have eggs and the sperm count is good
January 24th, 2009 at 10:38 am
Hi,
I am a 25y/o f and will be getting an HSG test Tues. I am nervous about what the results will be, but I will keep you informed and send the x-rays for a second opinion.
Thanks
February 24th, 2009 at 10:35 pm
I am going to have a hsg next week, and my doc never told me the risk, or about taken any pills. Should I be worried. Also I am prone for infections should I go threw with this, and what is the percent in getting an infection.
February 25th, 2009 at 4:50 am
My recommendation would be to ask your doctor for a prescription for antibiotic prophylaxis, such as with doxycyline, and also a medication called Difulan to prevent a yeast infection if this is what you are prone to having. In any event, with your history of prior infections, you should talk with your doctor again before having the HSG.
March 6th, 2009 at 6:09 pm
I had an HSG x-ray done yesterday and the doctor told me my left tube is blocked as no dye has gone there. How can I get it unblocked?
March 6th, 2009 at 6:23 pm
MEHREEN – You can have the radiologist send your x-rays to Chapel Hill Tubal Reversal Center for Dr. Monteith or me to examine. If you attach your contact information with the x-rays (such as your name, email address, telephone number), we will contact you to let you know about unblocking your tubes. You can also call Chapel Hill Tubal Reversal Center at (919) 968-4656 to speak with a Tubal Reversal Nurse for further information about unblocking blocked tubes. Chapel Hill Tubal Reversal Center offers a Free Phone Consultation regarding tubal ligation reversal and repairing blocked fallopian tubes.
March 26th, 2009 at 5:58 am
Delayed spills? What does this mean? I am anxious -pregnancy?
March 31st, 2009 at 10:01 pm
I had a laparoscopy that report says delayed spill. What does meaning of delayed spill? Can you able to become pregnant?
Thanks
VIJI
April 1st, 2009 at 4:11 am
Delayed spill shows that the fallopian tubes are open and that pregnancy is possible.
April 5th, 2009 at 5:59 am
I have been married for seven years. My husband sperm report says count and movement is normal. I have regular cycles of 28 days to 30 days and endowments is 10 mm in 13thday and follicle 2.2 mm in 13th day ruptured all are normal. Three times I have done IUI. I have not been able to become pregnant. Laparoscopy result says dye test says delayed spill from both sides and bowel with minimal adhesions to right illiac fossa peritoneum & ligaments no endometriosis. Am I able to become pregnant normally or with an ART method?
Thank you,
Viji
April 6th, 2009 at 4:17 am
I had a HSG done on 30th March and on the 2-3rd day after the test I experienced some spotting.. This spotting lasted till today and is still here. Is it normal?
April 6th, 2009 at 6:23 am
It can be normal to have spotting for several days after an HSG.
April 6th, 2009 at 6:32 am
Sounds like you have unexplained infertility. You can become pregnant normally but it may take longer. You may have to do assisted reproduction to become pregnant if you are unable to become naturally pregnant.
April 21st, 2009 at 11:36 am
I had a tubal ligation 11 years ago and became pregnant in Feb/2009. I miscarried in March..I had a HSG done this week to determine if my tubes are reconnected..and the Rad-Tech said that my tubes didn’t looked connected to him.. On the x-ray my right tube didn’t fill up and the dye stopped at my uterus but on the left side the tube was filling up with dye but no spillage showed…The tech had to stop the hsg because I was having pain on the right side..but didn’t feel any pain or pressure on my left ..My question is “Do you think maybe he didn’t use enough dye for it to spill out of my left tube?? Or since I became pregnant once with a tubal would or could it happen again?”
April 21st, 2009 at 1:16 pm
Penny
Many people have the misconception the tubes have reconnected if they become pregnant after a tubal ligation. They almost never reconnect.
When the tube heals often a small opening (termed a fistula) forms. This happens occasionally and it may take a while for a sperm to find its way through the small hole to find and fertilize an egg. It is very hard for a fertilized egg to find the opening. Many patients will end up with an ectopic pregnancy (sometimes these pregnancies act like a miscarrigae). Sometimes the eggs do find their way into the uterus and you will become pregnant- this is very uncommon.
Penny you do have a small opening, hence your positive pregnancy test, but the dye test was not able to find it. Read the next two sentences very carefully:
If anyone becomes pregnant after a tubal ligation then an abnormal opening does exists. If you want to become pregnant then do not count on the opening helping you to become pregnant. If you do not want to become pregnant then talk to your doctor about your options so you do not have an ectopic pregnancy in the future.
May 28th, 2009 at 8:22 am
I had my tubal reversal 5 months ago. My HSG yesterday showed my tubes are open, so that was good news. Let’s hope for a positive pregnancy test soon.
June 4th, 2009 at 6:24 am
I have been diagnosed with PCOS and my HSG report says delayed spill in left tube while normal spill in right tube. Does that mean my left tube is blocked. I have done 4 IUI but all came out negative. This is the 5th time that IUI was done and I am on waiting period.
June 4th, 2009 at 10:16 am
Delayed spill does not necessarily mean tubal blockage.
June 4th, 2009 at 7:19 pm
[...] add this word of caution, Dr. Berger recommends patients wait for at least 6 to 12 months after a tubal reversal procedure before having a HSG. As you say Sandra this is a simple enough [...]
June 15th, 2009 at 2:49 am
I had an hsg done on 29thMay. After 3 days from hsmy g I started spotting for 2 days then bled for 3 day like a period, then it stopped. Is it a period that came early?
June 15th, 2009 at 6:47 am
Bleeding that follows an HSG and continues may indicate some injury or inflammation of the uterus (endometritis), so you should contact your doctor for follow-up evaluation.
June 16th, 2009 at 9:56 am
I had a hsg on day 11 of my cycle which was on June 11th and I am experiencing sharp but bearable pains in my lower abdomen. Could this be from an infection from the hsg? No fever though.
June 26th, 2009 at 10:40 am
Hi,
Yesterday 6/25 my wife had an HSG as a follow-up to the tubal reversal she had in March. The right tube showed spillage, but the left tube showed that the dye stopped in the middle of the tube? Does this mean the left tube is blocked or closed, and if, so can we have a baby with only 1 tube? Thanks!
June 26th, 2009 at 11:19 am
JARED – Your description of the HSG makes it seem likely that the left tube is blocked at the anastomosis site, but that can best be determined by having the x-rays sent here for examination and comparison with your wife’s operative report. And the answer is, yes, you can have a baby with only 1 tube.
July 26th, 2009 at 12:25 am
I had a HSG on 20 July 2009 after trying for nearly 2 years. The test was painful it felt like I was having very bad cramps. The test was quick. I had my results and both of my tubes are open. I hope to be pregnant soon!
October 8th, 2009 at 7:25 am
I had my tubal reversal March 2009. I was very scared of having the HSG done, but after reading all the information I feel better informed on what to expect. Even with Chapel Hill Tubal Reversal Center being so far away from me I feel like I always have someone to turn to with questions. Thank you for never making me feel silly- no matter how silly the question …Thank You for caring.
December 16th, 2009 at 11:14 pm
I had HSG done one month back. The doctor who conducted the test feels that my left tube is blocked. He also feels its because of TB and feels it needs to be cut since it had hydrosalpinx. They are the same images when I showed to other doctor and he said he feels left tube is not blocked.
Could you look through my images and let me know what you feel? Let me know where I can send the image.
January 11th, 2010 at 6:24 am
I did my hsg 0n 30/11/09 and the xray showed bilateral partial fimbrial adhesions with forced spill.my gyna recommends laparoscopy to clear the adhesions or ivf.does this mean i cannot have a normal pregnancy without the surgery?pls help am very confused.
January 11th, 2010 at 6:55 am
JULIET – The dye went through your fallopian tubes so they are open. The diagnosis of fimbrial adhesions from an HSG is a presumptive diagnosis. To be definitive, laparoscopy should be performed, at which time the adhesions, if present, should be able to be cleared up if done by a doctor experienced in reproductive surgery.
January 13th, 2010 at 6:28 pm
I had my HSG test done back on Nov.24, 2009. The dr that I went to told me that my tubes were closed because there was not any dye spills. I sent everything over to Dr. Berger on December 3rd and he told me that my left tube was still open. Now I have to start on a pill called Clomid to help me ovulate. I can say one thing – Dr. Berger is the best. I hope to have another child soon. Good luck.
January 22nd, 2010 at 4:07 pm
HI, i had an HSG yesterday, and the doctor wasn’t able to finish it. He said there was something that was pushing it out and he said to go back next month. Should i be worried? Could this be because the tubes are blocked? I mean he couldn’t even get to the point of injecting the liquid? I’m very nervous and sad as well. I’ve been trying to get pregnant for the last 2 years, and I’m only 24 years old. Please someone, is this normal? The Dr said that it could be mucus or anything there, but yet he didn’t really satisfiy me with an answer?
January 22nd, 2010 at 4:31 pm
ROSIE – This was a technical problem with the HSG with the dye leaking out through the cervix. It does not mean your tubes are blocked. Often the radiologist tells women their tubes are blocked when they really are not!!
February 17th, 2010 at 12:58 am
Dr. Berger
Thank you very much, i really appreciate that!
im gonna get the test done again soon, i am praying to god that everything goes well and that i am perfectly fine , once again thank you, i will update with the results .
February 23rd, 2010 at 1:06 am
Dr. Berger
I had my HSG again,I am very confused with what the doctor told me, he said that both of my tubes were blocked, and somehow he was able to open the left side tube, but not the right one. He said that I had a little percent chance of getting pregnant normal, because there is still some tissue there. Is there any procedure to getting the tubes unblocked? Why is it that I have blocked tubes?
February 23rd, 2010 at 8:32 am
Rosie
Make sure you send any HSG images to Dr Berger for review.
Sometimes what you describe happens because endometrial tissue can temporarily block- or plug- the fallopian tubes during the HSG.
The only way to unblock tubes is to have tubal repair surgery. Occasionally patients will come to us for second operations to revise tubal blockage which occurred during the healing from the first tubal surgery.
March 12th, 2010 at 4:38 pm
I have recently had a lap and dye test. The results are “both tubes and ovaries healthy and mobile
both fallopian tubes patent with delayed dye spill bilaterally noted.” What does this mean exactly?
March 12th, 2010 at 6:37 pm
Anonymous – These are normal findings and indicate that your tubes are open. There is no anatomic abnormality.
March 13th, 2010 at 7:05 am
Dr Berger
Thank you for your speedy reply, that has eased my mind a little but what could be the possible reasons for the ‘DELAYED DYE SPILL’
March 13th, 2010 at 11:41 am
Louise – Often x-ray dye has delayed spill from the tubes. It may have to do with the contraction of the tubal muscular layer or the presence of a diverticulum of the infundibular segment of the fallopian tube. We see these often at the time of tubal ligation reversal. In any case, delayed spill of dye on an HSG does not imply any tubal factor as the cause of infertility.
May 10th, 2010 at 9:12 am
[...] to pay attention to your body – if something seems out of the ordinary, get it checked out!HSG After Tubal Reversal SurgeryI started my period again in the middle of February. Fifty-three days after my miscarriage. It was [...]
July 6th, 2010 at 7:45 pm
Well it is almost another year later and still no luck with my tubal reversal. Can anyone help me what to do. The doctor want to do another hsg test and I don’t know what to do.
July 6th, 2010 at 7:53 pm
Eissie – If your have previous HSG showed the x-ray dye passing through the anastomosis site, it is not essential to perform another HSG. However, when dye does not enter a fallopian tube, a repeat HSG can be helpful to determine if the tube is open or not. Basic tests when not yet pregnant include using ovulation predictor kits to ensure that you are ovulating regularly and identify the most fertile time in your cycles and a semen analysis. If these are normal, then the chances are that you will become pregnant after tubal reversal in time – not everyone becomes pregnant during the first year after surgery. When ovulation does not occur regularly, Clomid is usually prescribed. In this case, it is important to continue to use the OPKs to ensure that the Clomid has resulted in ovulation.
July 8th, 2010 at 7:41 am
But I explained to the doctor that one of my tubes was open and the other was not determined. I also told him that I rather not do the test because it can hurt me and I had just done it not even a year ago. I have one more month of clomid and last Monday I was ovulating. But since I have been on Clomid I have been ovulating normal. Does this mean that I have a good change of becoming pregnant since I am ovulating and I should take that test again?
July 8th, 2010 at 7:58 am
Eissie
There is no need to take the HSG again unless something major has happened. You do have a good chance of pregnancy with an open tube. You may need to take clomid longer for 6 months. You should consider seeing a reproductive specialist who may be able to do intrauterine sperm injections to increase your chances or put you on medications other than clomid (glucophage) that will help you ovulate consistently and over time so you will have a better chance of conceiving naturally. If you can loose weight and exercise your ovulation may become more regular, you will not need clomid, and you chances of getting pregnant after tubal reversal will increase.
July 21st, 2010 at 3:46 pm
[...] I found out I was pregnant on an appointment where my doctor was going to do the dye test (HSG) to see if I would be able to conceive again, and to my surprise I was pregnant [...]
August 12th, 2010 at 2:16 am
My husband and i been trying to conceive since Aug 2009, i had a D&C Oct 2009 I also had a cyst on my left ovary in Oct 2009, I had a laparoscopy done my gynecologist asked for me to get my OP report on my laparoscopy. The report said I had normal uterus and normal fallopian tubes noted bilaterally, what does that mean? My doctor has me scheduled for a HSG next week. I am scared because a lot of women say the procedure is very painful, I also heard you can get pregnant real easy after a HSG is that true? Also one more question why do you have to schedule HSG after your period but before ovulation?
August 12th, 2010 at 6:14 am
Emarie
For some women the HSG can cause severe cramps. The HSG is done before ovulation to make sure your are not pregnant when the x-ray is done.
August 12th, 2010 at 1:59 pm
what happens next if they do find out that my tubes are blocked? on my OP report it say i have normal uterus and normal fallopian tubes noted bilaterally what does that mean?
August 12th, 2010 at 5:50 pm
It means everything is normal. You will need to talk to your doctor about your management plans.
August 16th, 2010 at 2:49 pm
I’m a 37yr. female with a history of tubal ligation followed by a tubal re-anastomosis. Also had a heterotopic pregnancy in 3/2010 with a exploratory laporatomy right salpingectomy. Initially with a spontaneous abortion. Just recently underwent a hysterosalpingogram 8/2010 which resulted to be effectively blocked. And was wondering what my next option would be? Should I try a tubal cannalation to try to unblock it or is my only other option IVF?
August 16th, 2010 at 9:36 pm
Selective tubal cannulation is always a good test before considering moving to IVF.
August 23rd, 2010 at 9:59 am
I have had my tubal reversal done almost two years ago and I had no luck at all. They had me on two different medications and I had that test done and still no luck. How long could it take after a tubal reversal to get pregnant? What else should I do? Does anyone have any suggestions?
August 23rd, 2010 at 1:26 pm
Most patients become pregnant within the year after tubal ligation reversal. You need to have the HSG to see if your tubes are open and your films need to be reviewed by the reversal surgeon. If your tubes are open then there could be other reasons and you need to see a fertility specialist.
August 27th, 2010 at 11:53 pm
I had a tubal reversal 5 years ago and have had no luck. I had an HSG 6 months after that and both of my tubes were open. My Dr. has decided that i should have another HSG done. He has scheduled my HSG on cycle day 13 is that too late to have it done? My cycle is usually 27 days, will the dye have any affect on my cervical fluid or my husbands sperm?
August 28th, 2010 at 4:00 am
Yes, day 13 is too late to schedule an HSG. You may already be ovulating since your cycles average 27 days. Read the tips for HSG testing.
August 30th, 2010 at 11:57 am
Had HSG done in April and it read bilateral tubal spillage. What is the meaning please?
August 30th, 2010 at 1:04 pm
Jane
It means both of your tubes are open.
September 17th, 2010 at 5:42 pm
I have had this procedure done in 1998 and I have had my daughter in 1999. and I have had my second child in 2001, this is 2010 and me and my husband is trying no luck, do you think my tubes became blocked again?
September 17th, 2010 at 6:28 pm
Tubes usually only become blocked if someone has an infection or a tubal ligation. Tubes do not usually become blocked on their own.
September 29th, 2010 at 5:40 pm
Well I have started a new medicine called Femara. I dont know what else to do to get pregnant.I seem to try everything. I am not over weight, I do exercise. Could caffeine and smoking have anything to do with me not becoming pregnant? I have a hsg and Dr. Berger said that one of my tubes were open but I told other doctors that in they said if the dye did not spill then your tubes are closed. But how would they get block again on there own. Is that other doctor wrong. Who should I believe,
September 29th, 2010 at 9:17 pm
Essie
Smoking can cause problems with pregnancy and having one tube means it may take you longer to become pregnant.
October 5th, 2010 at 3:31 am
I am Adeoye Adejoke from Nigeria. Please, doctor, I wouldlike you to assist me by interpreting my results on my HSG. .There is “bilateral partial fimbrial adhesions with forced spill”.
Thanks,
Adejoke
October 5th, 2010 at 6:29 am
Adejoke – Your HSG indicates the fimbrial ends of the tubes have some scarring but that your tubes are open. Laparoscopy is needed to further evaluate and possibly treat this.
October 6th, 2010 at 5:40 am
I had an hsg done for the first time and felt disappointed when the dr. said sorry there is nothing we can do. The dr said my tubes are partially blocked. when i looked at the pictures i wondered to myself could they have done more because only before reaching the end it was blocked. Do u think i should take another one next month and see if it would clear before taking an operation to clear them?
I am from Belize City and i really need more advice because the doctors in my country some of them take the time to do there work and would go the extra mile. The others don’t care to be honest. I took the test last Friday that was the 1 October and nobody told me that HSG had side effects i had to look it up on the internet. I had a fever and some cramping.
I have two children already ages 13 and 16. All my blood work was good and after taking the hsg the only problem the x – ray or radiologist found was my partially blocked tubes.
October 6th, 2010 at 6:43 am
Karen – You should not have another HSG since it can cause further damage to your fallopian tubes. If you have the hospital or radiologist send me your x-ray images, I can let you know if tubal reparative surgery may be beneficial for you.
Gary S. Berger, M.D.
Medical Director
Chapel Hill Tubal Reversal Center
109 Conner Drive
Suite 2200
Chapel Hill, NC 27514
November 30th, 2010 at 9:59 am
Had an HSG done sometime in June, 2010
Pls see report
Opacified uterine cavity is normal in size,
Shape and outline, the cervical canal appear normal
Both tube were opacified and they demonstrate loculated spillage contrast bilaterally
Conclusion: Bilateral Tubal spillage, so what is the meaning
November 30th, 2010 at 10:01 am
Jayne
This is good and means both tubes are open!
December 18th, 2010 at 4:12 pm
Well it has been two years and still no big fat postive. I was on to different meds and nothing. What else can I do I am starting to give up.
December 18th, 2010 at 4:15 pm
Well i have been getting my period between 28 and 31 days. This month it was 35 day in between. Is this normal or is it not normal. What is a normal period.
December 18th, 2010 at 4:27 pm
Has your husband had a semen analysis? If not, it would be a good idea. What medications have you been taking?
December 18th, 2010 at 4:29 pm
It is not unusual for cycles to vary. Menstrual cycle lengths between 28 and 31 days are normal. An occasional late cycle is ok also. It usually indicates that ovulation occurred later than the usual cycle day.
December 18th, 2010 at 4:44 pm
I was on ferma and also clomid. Should I have another HSG test done who what should I do. Yes he did have that test done and he is okay.
December 18th, 2010 at 4:56 pm
In that case, a second HSG would be a good idea.
December 18th, 2010 at 4:57 pm
If you have had the HSG test done and it showed one or both tubes were open then they should still be open and should not have closed. You could always consider having it repeated and if you do send us the images for evaluation. If your tubes are open and your husbands sperm are normal then this is called unexplained infertility and you should see a reproductive specialist.
December 30th, 2010 at 5:00 pm
I have very painful ovulations is this normal?
February 6th, 2011 at 10:51 pm
How many days after HSG bleeding lasts?
February 6th, 2011 at 10:53 pm
Is it necessary to plan for conception, the same month on which HSG test is performed?
February 6th, 2011 at 10:57 pm
Some women may bleed for several days after a HSG test.
February 6th, 2011 at 10:58 pm
No but many pregnancies are reported after HSG tests.
February 6th, 2011 at 11:07 pm
My gyno didn’t discuss the HSG test report immediately. she told me to plan for conception and meet her on 12th feb. what does that mean…
February 6th, 2011 at 11:09 pm
You will have to ask your doctor because I am uncertain of what she meant.
February 6th, 2011 at 11:12 pm
My ovulation is on 8th feb….however, HSG was done on 10th day…still bleeding(3rd day). thanks for your reply.
Dr. said that bleeding will be there for 3 days after HSG. If bleeding continues for more days..i will miss my ovulation day. however, she gave us the dates from 7 – 9th feb for conception.
February 7th, 2011 at 9:15 pm
since the egg formation already takes places on 8th day, HSG on 10th day…will it not wash away the aggs or causes any fetel damage.
February 7th, 2011 at 9:20 pm
Egg release happens on day 14. If you have a HSG around this time it could prevent pregnancy. If it happens after it could interfere with implantation.
April 3rd, 2011 at 3:29 pm
Is there a weight restriction to have a HSG?
April 3rd, 2011 at 3:45 pm
Anonymous – There is no weight restriction to have a hysterosalpingogram (HSG).
June 3rd, 2011 at 8:29 am
I had a c-section in the past. I have been trying to TTC my 2nd for the past year, I just had a HSG, with a conclusion patency not established. (tube are opacified but there is no peritoneal spill), my question is what can cause the tubes to block? Can a c-section damage your tubes? Your reply is much appreciated.
June 3rd, 2011 at 2:53 pm
Most likely it is due to tubal spams or mcuous plugs in the tube..very often the HSG is not accurate in these cases.
June 23rd, 2011 at 9:56 am
Hi,
I had a HSG Scan in Feb of this year and was told my right tube was blocked. The report reads as follows:
“No abmormality identified within the uterine cavity. The left fallopian tube filled readily and outlined normally with free peritoneal spill. No part of the right fallopian tube filled during this examination indicating complete blockage”
Does this mean i have a proximal blockage or distal blockage?
June 23rd, 2011 at 10:04 am
Sarah – This indicates a proximal tubal blockage on the right side or an alternative explanation is tubal spasm preventing any dye from getting into the tube.
July 17th, 2011 at 4:26 am
Hie,
I have had three tubal surgeries after HSG results indicating blocked tubes with fimbrial adhesions with no spill. The first surgery was done in Nov 2009 where the surgeon indicated that my left tube was corneal blocked and the right tube was ampillarly blocked, However, he managed to fix the right tube. In August 2010 i got a an ovarian ectopic pregnancy which caused a rupture of the right ovary.The doctor then requested another HSG on Feb 2011 which shows blocked tubes. However, the right tube seemed shorter than the left tube a phenomenon that the doctor did not adequately explain to me. He told me that the left tube stand a chance and can prepared. I must admit that i was surprised since the doctor who performed the first surgery had indicated that the left tube was blocked beyond repair. I sought his advise and after a closer look on the images he said that the tube could be repaired and that the corneal blockage he had noted during the initial operation was because of the immobility of the body during the surgical procedure. Due to desperation and age factor, i am 29, i agreed to take another surgery in May, 2011 where the doctor performed an open bilateral salpingostomy.During the surgery the doctor noted that the left tube was blocked at isthmus while the Right tube was blocked at fimbrial end. Cuffing and adhesionlysis was done and adequate spill noted from both tubes. Now it is the third month since the surgery and i have note conceived but i have noted delayed periods which affects my ovulation.Though i am getting my periods but irregularly, i have not been able to note my ovulation day and the doctor told me to go back after six months of constant trial. What should I do to regulate my periods and ovulation. should take fertility drugs such as clomid? Additionally, with three operations do i stand a chance of getting pregnancy with a history of PID which seems never to go away. I will appreciate your help. Thanks in advance
July 17th, 2011 at 5:01 pm
Rose – It is difficult to comment about your chances of getting pregnant without reviewing your medical records, but if your cycles are irregular then treatment with Clomid or other appropriate medications to ensure regular ovulation would certainly help.
August 19th, 2011 at 8:14 am
Dear Dr Berger,
I had 3x ectopic pregnancy, 1 tube has been removed and the rest was treated by injection which the latest was May 2011. My dr from Singapore asked me to do HSG on July however I am thinking to do it in Phils instead this Aug. I am worried to go through the HSG for I am not sure if I can take the worries if the result is negative again. Please advice me how can i take the result openly and should I go now? Thank you.
August 19th, 2011 at 8:56 am
Kate
An HSG is a good test to see if your only remaining tube is open or closed.
September 1st, 2011 at 4:20 am
I had a HSG and below is the report::
The HSG was performed by injecting 8-10ccs of conray 280 after atropinisation.
The uterine cavity is well opacified and appear triangular in shape. No filling defects are noted in uterine cavity.
The fallopian tubes on the either sides are opacified and appear normal in caliber, smooth in outline and do not show any irregularity.
There is free peritoneal spill on the either sides.
Gross extravasation of contrast is noted.
Please tell what does this reoprt mean, if eveything okay??
September 1st, 2011 at 4:55 am
Yes, this shows that both tubes are open.
September 6th, 2011 at 3:32 pm
I am totally depressed. I had tubal reversal on 5/11/2011 and although my repaired tubes were on the shorter side (3.50R and 4.75L) I had hope of conceiving. In July my GYN referred me to a RE because he said my chances of having another child naturally were practically impossible with such short tubes, and my age (35). The RE I was referred to put me on clomid days 5-9 and ordered some tests, a hsg and IUI. I had my HSG done today and the result is that both my tubes are completely blocked. I don’t understand how my tubes have become blocked so quickly.
September 6th, 2011 at 3:52 pm
Natasha – Please have the radiology office or department send us your HSG images to examine. Often the tubes are said to be blocked when in fact the dye did not enter the tubes. In this case, the HSG cannot determine if the tubes are open or closed. We like to see the x-ray images to compare with your operative report and will contact you when they arrive. Your tubes are not too short to conceive.
September 7th, 2011 at 2:14 pm
Recently had an HSG and my OBGYN physician is unable to interpret the report. He states his expertise is not in the field, but he told me that the dye did make it to the end point. I’m confused…
Report says “retrograde opacification of the FTs is identified extending to the proximal ampullary segments. No further opacification of the fallopian tubes were identified. The FTs are opacified to the proximal ampullary segments. No distal opacification of the fallopian tubes was accomplished. What does all this mean? Are my chances of becoming pregnant no longer a possibility?
September 7th, 2011 at 4:34 pm
TaShara – Please send us your HSG images for us to examine; then we will get back in touch with you.
September 7th, 2011 at 5:15 pm
The imaging center will be mailing those out first thing tomorrow morning. Thank you.
September 29th, 2011 at 8:45 am
I went for HSG in 17/7/2006 and my result show
Uterine cavity is normal
Fallopian tubes show distal hydrosalpings
there is peritoneal spill
then i went back again 5/2/2009 the result show
central study is unremarkable centrast study shus shus a normal sized uterus cavity. both tubes are seen in the free peritoneal spill
pls explain to me. tnxs
September 29th, 2011 at 8:54 am
You have swollen tubes (distal hydrosalpinx) with narrow ends and a small amount of dye coming out. If you are having trouble getting pregnant then you should consider coming to us to open the partially closed ends (ampullary salpingostomy), allow the fluid to come out and increase your chances of pregnancy.
October 7th, 2011 at 9:54 pm
i had a tubal ligation back in 2001 with filshie clips i have recently found out both clips are off floating in my abdominal and ob doctor ordered a hsg to be done i got it done and the x ray tech said both tubes were blocked but took several pictures after the test and had me roll to my left side could he had seen something and whats my chances on becoming pregnant?please help very confused
October 7th, 2011 at 10:08 pm
Nikki
The clips have caused your tubes to heal closed even though they may have slipped off your tubes. This is very common with Filshie clips. The clips have done their job and the chance of a failure (even if the clips have come off) is less than 2%.
October 8th, 2011 at 10:44 am
so whats my options in getting pregnant?what should i do now i really want to have another baby. And could the hcg been wrong?
October 8th, 2011 at 11:43 am
The HSG is correct in showing the tubes blocked. Sometimes the clips “migrate” but the tubes have been sealed. Having a tubal reversal at Chapel Hill Tubal Reversal Center will give you the best chance of having another baby.
October 12th, 2011 at 10:27 am
thanks could you please give me the phone number and address to the Chapel Hill Tubal Reversal Center and is it possible for the hcg to open the tubes a little bit?
October 12th, 2011 at 10:30 am
Nikki
Pregnancy rate are increased after HSG and we don’t full know why. We think it may flush debris out of some tubes when it is done.
The phone number is (919)968-4656, the fax number is (919) 967-8637 fax, and the mailing address is:
Chapel Hill Tubal Reversal Center
109 Conner Drive
Suite 2200
Chapel Hill, NC 27514
October 12th, 2011 at 10:39 pm
do you think it is possible that even with my tubes closed after having the hsg it could open up tubes enough to become pregnant?
October 13th, 2011 at 7:34 am
If your tubes are blocked by scar tissue then the hsg will not open your tubes.
October 22nd, 2011 at 7:09 am
I did a HSG the findings were:
the endometrial cavity is normal in size and contour
both fallopian tubes are opacified in there entirety.
However, no peritoneal spill is demonstrated from either tube.
conculsion: No evidence of peritoneal spill.? Muscle spam.? Physical occlusion
WHAT DOES THIS MEAN? PLEASE
October 22nd, 2011 at 9:31 am
Tanisha Lee – This could mean that an insufficient amount of dye was injected. I would need to see the x-ray images to be able to give a specific interpretation.
October 23rd, 2011 at 4:57 am
Thank You
October 24th, 2011 at 3:13 pm
I had my HSG test two days ago and my report says : the control was non-contributory
Normal cervical canal
There is a normal anteverted uterus with no filling defects identified
Both tubes were promptly demonstrated but demonstrate bilateral small terminal hydrosalpinges
These are non-occlusive with partially spill evident bilaterally
What does this report mean??
Can I fall pregnant naturally?
October 24th, 2011 at 4:34 pm
Maryam – Your HSG report shows that your tubes are open but the ends are reported to be swollen or enlarged. You may be able to get pregnant naturally, or you may benefit from a fimbrioplasty in which the ends of the tubes are opened further. This delicate microsurgical procedure is performed as outpatient surgery at Chapel Hill Tubal Reversal Center.
November 9th, 2011 at 2:26 pm
hi i had an hsg done 2days ago and im bleedn stil after d hsg my report states the uterus is visualised and is triangular in shape bt irregular in outline. Both fallopian tubes were not visualised and no spil bilaterally. Comment by doc bilateral cornual block with no spil and irregular uterine outline with outpouches suggestive of endometriosis i dnt know wat dis means. Plz help. Im tryn 2 have a baby 4 2yearz nw
November 9th, 2011 at 5:11 pm
Sam – Your HSG indicates that your tubes may be blocked at the junction of the uterus. Tubal implantation is a procedure that can overcome this type of tubal blockage.
November 10th, 2011 at 12:59 am
so it doesnt meant that i have endometriosis. will i conceive after having the tubal implantation done
November 10th, 2011 at 8:19 am
Sam
You could have endometriosis but that can not be diagnosed by a HSG x-ray. Surgery is the only way to diagnose endometriosis and you can conceive after a tubal implantation is performed.
November 28th, 2011 at 10:35 pm
Hi – I had an HSG test on day 6 of my cycle (about a week and a half ago) – my results were normal and there were no problems detected. However, it appears to have delayed my ovulation – I’ve been monitoring it for over a year now and my doctor has tested me to confirm that I am ovulating (I am) and I normally ovulate on day 14 – my cycle is 28 days long, like clockwork. I’m now on day 18 and still haven’t ovulated – can this be caused by the HSG procedure and if so, will it be delayed or will I simply not ovulate this month? My doctor told me the test would increase my fertility, so I’m just wondering how that would be possible if I don’t ovulate this month…
Any input you have would be much appreciated – thanks so much!
November 29th, 2011 at 5:15 am
Jane – This is an unusual sequel to an HSG. It is hard to know if you will ovulate late or not at all this cycle.
November 30th, 2011 at 8:52 am
Hi,
I did an HSG test in October the result is: I did a HSG the findings was:
the endometrial cavity is normal in size and contour
both fallopian tubes are opacified in there entirety.
However, no peritoneal spill is demonstrated from either tube.
conculsion: No evidence of peritoneal spill.? Muscle spam.? Physical occlusion
THEN I DID ANOTHER HSG TEST YESTERDAY AND THE RESULT IS:
The endometrial cavity is normal in appearance.
Both tubes filled with contrast but appear thickened. Free but delayed spill of contrast is seen on the right, but no spill is seen on the left.
IMPRESSION:- Possible salpingitis with occlusion of left fallopian tube
What does this mean and can i get pregnant?
PLEASE
November 30th, 2011 at 8:57 am
Tanisha -
I would need to examine your HSG images myself in order to give an accurate interpretation. If you want to have them sent to me, you can contact the radiology department where the HSG was performed and instruct them to send me a copy of your HSG images. You will also need to include your name and email address or phone number so I can get back in touch with you if you have them sent to me.
Gary S. Berger, M.D.
Chapel Hill Tubal Reversal Center
109 Conner Drive
Suite 2200
Chapel Hill, NC 27514
December 3rd, 2011 at 3:47 am
Hi,
HSG Test Report of my wife is as below:
Please let me know is everything fine with this
- Uterus : Normal
- Both fallopian tubes : Normal
- Bilateral locaulted spill
- No free spill seen
IMPRESSION : *BILATERAL LOCULATED SPILL.
What this mean ” BILATERAL LOCULATED SPILL”
Thanks,
Raju
December 3rd, 2011 at 9:04 am
This means the tubes are open because the dye did come out of the ends of the tubes;however, the dye collected in areas outside the tube and this can indicate pelvic adhesions or scar tissue. If infertility is the reason for the hsg the a surgery may be indicated.
December 4th, 2011 at 11:52 pm
Can you please explain again doctor…are the both tubes blocked? We are trying to have babies.Is this a major problem?Is the surgery is must and major one?
Can we conceive naturally after surgery?
Please explain doctor…..
December 5th, 2011 at 6:43 am
The tubes may be partially blocked and there may be scar tissue in the pelvis. You can conceive naturally after surgery. You can send us your records for review.
December 8th, 2011 at 5:59 am
Both tubes are thickened but are filled with contrast. Free but delayed spill of contrast is seen on the right. Does this mean i can get pregnant?
December 8th, 2011 at 8:42 am
Danielle
This means your tubes are open.
December 13th, 2011 at 4:04 am
Hi my HSG report say minimum spillage on right side and small spillage on left side with normal uterine cavity. What does this mean? please help.
December 13th, 2011 at 9:06 am
It means dye is coming out of your tubes but only a small amount. Technically your tubes are open. Other than this we can not tell you what the findings mean because we don’t know the clinical context, why the x-rays were being doing, or your medical history.
December 14th, 2011 at 5:57 am
I am trying to conceive since 3 years but with no luck. I am 33 years old. All the test are normal but HSG says minimum spillage on right tube and small spillage on left tube. Is this, the tubes are open? Does this mean I can get pregnant? I have undergone three IUI but with no success.
December 14th, 2011 at 7:20 am
Rose
You should be able to become pregnant. You can send your HSG films to us for review. If pregnancy is not happening you may need a laparoscopy to take a direct look at your tubes from the inside.
December 20th, 2011 at 4:57 pm
My doctor told me he cannot talk to me until Jan.9th about my HSG. I have had three miscarriages and the most recent on Nov. 13.I have never had a heartbeat.
My 15 viles of blood work came in normal and all my husbands blood work (etc) came in normal. I have normal period cycles and ovulate regularly. I am normal weight, eat well, healthy body for both my husband and I.
My doctor only suggested the HSG as a check off. Now he says he found in the bilateral tubes more spillage on the right side than the left side. They call it intraperitoneal spillage. He wants to do a surgery where they go and look at it.Will this surgery to just look at it, help?
I am so confused. Can spillage cause miscarrigaes? I don’t want another surgery if it may not help me.
Please help with any answers you can.
Alana S.
December 20th, 2011 at 7:04 pm
Spillage of dye means your tubes are open. This is normal. There is likely another reason for your miscarriages but your doctor will have to evaluate you for all the possibilities.
December 28th, 2011 at 11:26 am
The endometrial cavity is normal in appearance.
Both tubes filled with contrast but appear thickened. No spill is seen on the left tube, free spillage on the right tube but it was a little delayed
IMPRESSION:- Possible salpingitis with occlusion of left fallopian tube
is this bad?
December 28th, 2011 at 12:02 pm
The tubes may have a partial or complete blockage. It is only bad if you are trying to become pregnant and are not able to do so. If you are considering tubal surgery or want to know more about your options you are welcome to send us the images of your HSG films for a second opinion. Please include your medical history and a way to get back in touch with you. Feel free to call the office at (919)968-4656 and one of our nurses can explain how to mail your HSG images to us.
January 9th, 2012 at 7:55 pm
Can the dye used for the HSG procedure cause a yeast infection?
January 9th, 2012 at 8:32 pm
The dye should not but any antiseptics or antibiotics used could contribute to a yeast infection.
January 11th, 2012 at 2:36 am
my wife did a HSG diagnosis and the comments were;
both fallopian tubes are opacified
minimal free peritoneal sill on left
no e/o free peritoneal spill on right
what doest it mean?
January 11th, 2012 at 11:24 am
Prasad_wants_baby – These results mean the left tube is open but may not be open completely and the right tube may be blocked at the end by the ovary. The only way to interpret HSG results accurately are to examine the x-ray images themselves. If you would like me to do this, your wife will need to instruct the radiologist to send me the HSG images. If she wants that, here is my address:
Gary S. Berger, M.D.
Medical Director
Chapel Hill Tubal Reversal Center
109 Conner Drive Suite 2200
Chapel Hill, NC 27514
January 26th, 2012 at 4:56 am
Had 1 baby naturally, baby girl now 7 years old. Not able to get pregnant since. Had hsg done. Results are
There is a filling defect in the interstitial portion of the Right Fallopian Tube which appears somewhat linear in more complete filling. The right tube does not completely filled. The uterus otherwise opacifies normally. The Endometrial cavity is normal in size and contour. There is normal opacification of the left fallopian tube. Intraperitoneal constrast spillage from the fallopian tubes was not visualized.
What exactly do this mean? Is both my tubes blocked? can I get pregnant natually again? Could the test be wrong?
January 26th, 2012 at 9:58 am
Either your tubes are blocked of the test was inconclusive. You should consider a repeat HSG or you can come to see us for a laparoscopy (camera to look at your tubes) and inject dye into your uterus while directly looking at your tubes. If you have any tubal blockage it can be repaired at that time.
January 26th, 2012 at 11:25 am
I asked at the time I had the HSG if they do surgery to correct the problem and was told they dont do any more because can cause more damage. They recommended IVF. What do you think? Can you tell base on the above Hsg results if my tubes are completely block? It said that the tubes filled, but know spillage. Where exactly is the tubes blocked and can it be fixed.
January 26th, 2012 at 11:40 am
No spillage means the dye did not come out of the end of the tube and usually this means your tubes are blocked. You can send us your HSG pictures and we will take a look at them for you. IVF works 36% each time you try. The cost is $10,000 for each try. Tubal surgery can be 30-50% effective at providing you with pregnancy. Tubal surgery cost $6,000 to 8,000 depending on what is done.