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What Does HSG Result Indicate?

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Posted on Fri, 24 Oct 2014
Question: hysterosalpingogram results: the right fallopian tube is completely normal with good free spill the left one tube does not opacify completely but was not dilate
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Answered by Dr. Aarti Abraham (0 minute later)
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Aarti Abraham (10 hours later)
Pls see attached
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Answered by Dr. Aarti Abraham (2 hours later)
Brief Answer:
NEED MORE DETAILS

Detailed Answer:
Hello
From the report it appears that the right tube is open, while the left tube has some blockage.
This can be due to various reasons - tubal spasm, adhesions, mass near the end of the tubes or ovaries etc.
HSG is not conclusive, a laparoscopy is the next best step.
However , even one open tube can lead to fertility
Since how long are you trying to conceive ?
Is your husband's semen analysis normal ?
Do you have regular cycles ?
Has ovulation been monitored in your case ?
what is your height and weight ?
Have you been pregnant before ?
Why was this HSG done, and what other tests have been done so far ?
Please write back with these details.
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Aarti Abraham (9 minutes later)
Ive been pregnant 3times, 2 which were abortions
Weve been teying to concieve for the past 4yrs with no luck, my husband has a babe with a previous partner,
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Answered by Dr. Aarti Abraham (10 hours later)
Brief Answer:
WORKUP OUTLINED

Detailed Answer:
You should be having the following workup -
1. Husband semen analysis ( even if he had a child in the past ).
2. Follicular monitoring for you, to check ovulation.
3. Hormones to check ovarian reserve ( capacity of ovaries to produce good eggs ) - FSH, LH, AMH, TSH, Prolactin.
4. If you do not conceive inspite of 3 cycles of ovulation documented by monitoring, go for laparoscopy to check the tubes again.
Take daily folic acid and exercise regularly and eat healthy.
All the best
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Answered by
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Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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What Does HSG Result Indicate?

Please upload the entire report for me to be able to comment.