Comments on: Hysterosalpingogram (HSG) After Tubal Reversal

By: Dr. Monteith

Dr. Monteith — Thu, 26 Jan 2012 16:40:19 +0000

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.

By: Jones 1

Jones 1 — Thu, 26 Jan 2012 16:25:12 +0000

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.

By: Dr. Monteith

Dr. Monteith — Thu, 26 Jan 2012 14:58:26 +0000

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.

By: Jones 1

Jones 1 — Thu, 26 Jan 2012 09:56:38 +0000

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?

By: Dr. Berger

Dr. Berger — Wed, 11 Jan 2012 16:24:34 +0000

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

By: prasad_wants_baby

prasad_wants_baby — Wed, 11 Jan 2012 07:36:26 +0000

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?

By: Dr. Monteith

Dr. Monteith — Tue, 10 Jan 2012 01:32:59 +0000

The dye should not but any antiseptics or antibiotics used could contribute to a yeast infection.

By: April

April — Tue, 10 Jan 2012 00:55:07 +0000

Can the dye used for the HSG procedure cause a yeast infection?

By: Dr. Monteith

Dr. Monteith — Wed, 28 Dec 2011 17:02:54 +0000

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.

By: JENNIFER

JENNIFER — Wed, 28 Dec 2011 16:26:24 +0000

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?

By: Dr. Monteith

Dr. Monteith — Wed, 21 Dec 2011 00:04:02 +0000

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.

By: Alana S

Alana S — Tue, 20 Dec 2011 21:57:08 +0000

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.

By: Dr. Monteith

Dr. Monteith — Wed, 14 Dec 2011 12:20:22 +0000

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.

By: rose

rose — Wed, 14 Dec 2011 10:57:26 +0000

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.

By: Dr. Monteith

Dr. Monteith — Tue, 13 Dec 2011 14:06:45 +0000

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.

By: rose

rose — Tue, 13 Dec 2011 09:04:41 +0000

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.

By: Dr. Monteith

Dr. Monteith — Thu, 08 Dec 2011 13:42:56 +0000

Danielle
This means your tubes are open.

By: Danielle

Danielle — Thu, 08 Dec 2011 10:59:03 +0000

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?

By: Dr. Monteith

Dr. Monteith — Mon, 05 Dec 2011 11:43:21 +0000

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.

By: raju

raju — Mon, 05 Dec 2011 04:52:56 +0000

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…..

By: Dr. Monteith

Dr. Monteith — Sat, 03 Dec 2011 14:04:54 +0000

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.

By: raju

raju — Sat, 03 Dec 2011 08:47:19 +0000

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

By: Dr. Berger

Dr. Berger — Wed, 30 Nov 2011 13:57:43 +0000

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

By: Tanisha

Tanisha — Wed, 30 Nov 2011 13:52:38 +0000

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

By: Dr. Berger

Dr. Berger — Tue, 29 Nov 2011 10:15:48 +0000

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.

By: jane

jane — Tue, 29 Nov 2011 03:35:28 +0000

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!

By: Charles Monteith MD

Charles Monteith MD — Thu, 10 Nov 2011 13:19:50 +0000

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.

By: sam

sam — Thu, 10 Nov 2011 05:59:19 +0000

so it doesnt meant that i have endometriosis. will i conceive after having the tubal implantation done

By: Dr. Berger

Dr. Berger — Wed, 09 Nov 2011 22:11:08 +0000

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.

By: sam

sam — Wed, 09 Nov 2011 19:26:12 +0000

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

By: Dr. Berger

Dr. Berger — Mon, 24 Oct 2011 21:34:21 +0000

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.

By: maryam

maryam — Mon, 24 Oct 2011 20:13:59 +0000

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?

By: tanisha lee

tanisha lee — Sun, 23 Oct 2011 09:57:02 +0000

Thank You

By: Dr. Berger

Dr. Berger — Sat, 22 Oct 2011 14:31:09 +0000

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.

By: tanisha lee

tanisha lee — Sat, 22 Oct 2011 12:09:39 +0000

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

By: Charles Monteith MD

Charles Monteith MD — Thu, 13 Oct 2011 12:34:41 +0000

If your tubes are blocked by scar tissue then the hsg will not open your tubes.

By: nikki

nikki — Thu, 13 Oct 2011 03:39:12 +0000

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?

By: Charles Monteith MD

Charles Monteith MD — Wed, 12 Oct 2011 15:30:22 +0000

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

By: nikki

nikki — Wed, 12 Oct 2011 15:27:56 +0000

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?

By: Dr. Berger

Dr. Berger — Sat, 08 Oct 2011 16:43:19 +0000

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.

By: nikki

nikki — Sat, 08 Oct 2011 15:44:31 +0000

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?

By: Charles Monteith MD

Charles Monteith MD — Sat, 08 Oct 2011 03:08:10 +0000

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%.

By: nikki

nikki — Sat, 08 Oct 2011 02:54:58 +0000

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

By: Charles Monteith MD

Charles Monteith MD — Thu, 29 Sep 2011 13:54:30 +0000

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.

By: jane

jane — Thu, 29 Sep 2011 13:45:22 +0000

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

By: TaShara

TaShara — Wed, 07 Sep 2011 22:15:35 +0000

The imaging center will be mailing those out first thing tomorrow morning. Thank you.

By: Dr. Berger

Dr. Berger — Wed, 07 Sep 2011 21:34:58 +0000

TaShara – Please send us your HSG images for us to examine; then we will get back in touch with you.

By: TaShara

TaShara — Wed, 07 Sep 2011 19:14:12 +0000

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?

By: Dr. Berger

Dr. Berger — Tue, 06 Sep 2011 20:52:55 +0000

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.

By: Natasha

Natasha — Tue, 06 Sep 2011 20:32:17 +0000

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.

By: Dr. Berger

Dr. Berger — Thu, 01 Sep 2011 09:55:33 +0000

Yes, this shows that both tubes are open.

By: Nidhi

Nidhi — Thu, 01 Sep 2011 09:20:12 +0000

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??

By: Charles Monteith MD

Charles Monteith MD — Fri, 19 Aug 2011 13:56:26 +0000

Kate
An HSG is a good test to see if your only remaining tube is open or closed.

By: Kate

Kate — Fri, 19 Aug 2011 13:14:15 +0000

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.

By: Dr. Berger

Dr. Berger — Sun, 17 Jul 2011 22:01:05 +0000

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.

By: Rose

Rose — Sun, 17 Jul 2011 09:26:22 +0000

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

By: Dr. Berger

Dr. Berger — Thu, 23 Jun 2011 15:04:25 +0000

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.

By: Sarah

Sarah — Thu, 23 Jun 2011 14:56:14 +0000

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?

By: Charles Monteith MD

Charles Monteith MD — Fri, 03 Jun 2011 19:53:07 +0000

Most likely it is due to tubal spams or mcuous plugs in the tube..very often the HSG is not accurate in these cases.

By: Callie

Callie — Fri, 03 Jun 2011 13:29:04 +0000

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.

By: Dr. Berger

Dr. Berger — Sun, 03 Apr 2011 20:45:07 +0000

Anonymous – There is no weight restriction to have a hysterosalpingogram (HSG).

By: Anonymous

Anonymous — Sun, 03 Apr 2011 20:29:39 +0000

Is there a weight restriction to have a HSG?

By: Charles Monteith MD

Charles Monteith MD — Tue, 08 Feb 2011 02:20:09 +0000

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.

By: veronica

veronica — Tue, 08 Feb 2011 02:15:19 +0000

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.

By: veronica

veronica — Mon, 07 Feb 2011 04:12:53 +0000

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.

By: Charles Monteith MD

Charles Monteith MD — Mon, 07 Feb 2011 04:09:19 +0000

You will have to ask your doctor because I am uncertain of what she meant.

By: veronica

veronica — Mon, 07 Feb 2011 04:07:14 +0000

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…

By: Charles Monteith MD

Charles Monteith MD — Mon, 07 Feb 2011 03:58:08 +0000

No but many pregnancies are reported after HSG tests.

By: Charles Monteith MD

Charles Monteith MD — Mon, 07 Feb 2011 03:57:04 +0000

Some women may bleed for several days after a HSG test.

By: veronica

veronica — Mon, 07 Feb 2011 03:53:05 +0000

Is it necessary to plan for conception, the same month on which HSG test is performed?

By: veronica

veronica — Mon, 07 Feb 2011 03:51:30 +0000

How many days after HSG bleeding lasts?

By: Eissie Crim

Eissie Crim — Thu, 30 Dec 2010 22:00:19 +0000

I have very painful ovulations is this normal?

By: Charles Monteith MD

Charles Monteith MD — Sat, 18 Dec 2010 21:57:32 +0000

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.

By: Dr. Berger

Dr. Berger — Sat, 18 Dec 2010 21:56:22 +0000

In that case, a second HSG would be a good idea.

By: Eissie Crim

Eissie Crim — Sat, 18 Dec 2010 21:44:51 +0000

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.

By: Dr. Berger

Dr. Berger — Sat, 18 Dec 2010 21:29:15 +0000

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.

By: Dr. Berger

Dr. Berger — Sat, 18 Dec 2010 21:27:57 +0000

Has your husband had a semen analysis? If not, it would be a good idea. What medications have you been taking?

By: Eissie Crim

Eissie Crim — Sat, 18 Dec 2010 21:15:24 +0000

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.

By: Eissie Crim

Eissie Crim — Sat, 18 Dec 2010 21:12:18 +0000

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.

By: Charles Monteith MD

Charles Monteith MD — Tue, 30 Nov 2010 15:01:12 +0000

Jayne
This is good and means both tubes are open!

By: jayne anagor

jayne anagor — Tue, 30 Nov 2010 14:59:00 +0000

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

By: Dr. Berger

Dr. Berger — Wed, 06 Oct 2010 11:43:44 +0000

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

By: karen

karen — Wed, 06 Oct 2010 10:40:48 +0000

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.

By: Dr. Berger

Dr. Berger — Tue, 05 Oct 2010 11:29:52 +0000

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.

By: adejoke adeoye-nigeria

adejoke adeoye-nigeria — Tue, 05 Oct 2010 08:31:26 +0000

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

By: Charles Monteith MD

Charles Monteith MD — Thu, 30 Sep 2010 02:17:33 +0000

Essie
Smoking can cause problems with pregnancy and having one tube means it may take you longer to become pregnant.

By: Eissie Crim

Eissie Crim — Wed, 29 Sep 2010 22:40:01 +0000

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,

By: Charles Monteith MD

Charles Monteith MD — Fri, 17 Sep 2010 23:28:06 +0000

Tubes usually only become blocked if someone has an infection or a tubal ligation. Tubes do not usually become blocked on their own.

By: megan

megan — Fri, 17 Sep 2010 22:42:52 +0000

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?

By: Charles Monteith MD

Charles Monteith MD — Mon, 30 Aug 2010 18:04:35 +0000

Jane
It means both of your tubes are open.

By: jane benson

jane benson — Mon, 30 Aug 2010 16:57:16 +0000

Had HSG done in April and it read bilateral tubal spillage. What is the meaning please?

By: Dr. Berger

Dr. Berger — Sat, 28 Aug 2010 09:00:21 +0000

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.

By: Brandy

Brandy — Sat, 28 Aug 2010 04:53:55 +0000

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?

By: Charles Monteith MD

Charles Monteith MD — Mon, 23 Aug 2010 18:26:09 +0000

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.

By: Eissie Crim

Eissie Crim — Mon, 23 Aug 2010 14:59:37 +0000

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?

By: Charles Monteith MD

Charles Monteith MD — Tue, 17 Aug 2010 02:36:52 +0000

Selective tubal cannulation is always a good test before considering moving to IVF.

By: svelasquez

svelasquez — Mon, 16 Aug 2010 19:49:45 +0000

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?

By: Charles Monteith MD

Charles Monteith MD — Thu, 12 Aug 2010 22:50:08 +0000

It means everything is normal. You will need to talk to your doctor about your management plans.

By: Emarie McNeill

Emarie McNeill — Thu, 12 Aug 2010 18:59:32 +0000

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?

By: Charles Monteith MD

Charles Monteith MD — Thu, 12 Aug 2010 11:14:08 +0000

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.