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Dr. Andrew Rynne

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Exp 50 years

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What is tubal patency test ?

Hi I m 32 yrs-female,wt-60kgs,ht-5.2.I had no infertility problem. I conceived in the first chance thru IUI in may 2010 and after 2 mnths of pregnancy i had a missed abortion which showed trisomy by the FISH test.since jan 2011 i have been trying to conceive naturally-3 mnths and thru IUIs-2 mnths,with full medical intervention,but unfortunately i hav not conceived yet.All these 5 months follicle monitoring was done which showed good ovulation and endometrium .my husbands sperm count and motility is also good as per the doc.For the last 5 mnths due to stress i have become prediabetic with slightly raised fasting sugars which were taken care of with per the doc now since every thing is in good shape and inspite of two IUIs i have not conceived, she is of the opinion to get my tubal patency tests done. i need to know whether this is the right decision to get the tubal tests done. since I have already conceived once,are there chances of tubal blockages now.what is the best procedure for these tests without any effect on the uterus and ovary .I am planning to have the tests done this mnth after my periods by 18-19th may advise. im toooo confused.I m a science postgraduate. I am fully aware of the human body.i need the answer on priority basis to to be able to take a decision.thanx
Thu, 12 Jan 2012
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OBGYN 's  Response
if you had curettage done when you had missed abortion that can sometimes cause adhesions making tubal patency test necessary.tubal block can occur after any episode of pelvic can get tested either by hystero laprascopy which will even show any other pathologies as well as treatment can be done in same sitting.otherwise hysterosalphingography which is like an X ray can be done
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doctor1 MD

Good day doctor, I got married may 2015. I was pregnant but unfortunately evacuated it due to blighted ovum. Since then I have been trying to conceive, my doc asked me to for HSG test and the result stated that is Bilateral tubal patency, and features of uterine adhesions. Please what are my chances. Thanks

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Hi doctor, I recently got my HSG test done. Could you please help me understand the report? Here are the report details: Uterine cavity appears normal No filling defect is noted No uterine anomaly noted Uterus is deviated towards left side Both fallopian tubes are welll opacified and appear normal in caliber No hydrosalpinx noted either side Free peritoneal spill noted on the either side Impression: Bilateral free spillage of contrast, suggestive of tubal patency Uterus is normal in shape, no e/o irregularity/ filling defect is seen Many Thanks

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I just got my hsg result and it reads as follows: the right Fallopian tube is outlined with free peritoneal spillage of contrast confirming patency and the left tube is not clearly outline, there is spillage of contrast on the left to suggest tubal patency. Kindly explain

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