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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Secondary Infertility. HSG Results Shows Dilated Fallopian Tubes. Normal?

I am having secondary infertility. My HSG 3 years ago was normal and i conceived our first son immediately after. I just had another as we've been trying for a second child for 15 months.

The HSG results say:
The uterine cavity appears normal. Both fallopian tubes are visualized and do not appear dilated. However no spill of contrast into the peritoneal cavity is identified on either side. Delayed imaging was obtained and no contrast is identified within the pelvis.

Given that my first HSG 3 years ago was normal, what would cause no spillage from either side 3 years later??? i have had no infections or anything medically wrong since the normal HSG.
Tue, 7 May 2013
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Infertility Specialist 's  Response
Hi,

Thanks for your query.

I read your query and I understand your concerns.

Following is my reply:

1) This HSG seems to be wrong due to spasm or incorrect technique.

2) I suggest you please repeat the HSG in another good centre.

3) If there is delayed spill or tubal block you can opt for laparoscopic tubal test.

I hope I answered your query.

Write back to me if you need more clarifications.

Regards,
Dr. Mahesh Koregol
IVF & Infertility Specialist
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Having Secondary Infertility. HSG Results Shows Dilated Fallopian Tubes. Normal?

Hi, Thanks for your query. I read your query and I understand your concerns. Following is my reply: 1) This HSG seems to be wrong due to spasm or incorrect technique. 2) I suggest you please repeat the HSG in another good centre. 3) If there is delayed spill or tubal block you can opt for laparoscopic tubal test. I hope I answered your query. Write back to me if you need more clarifications. Regards, Dr. Mahesh Koregol IVF & Infertility Specialist