| Discussion in 'All Categories' started by Komal - Oct 19th, 2025 7:51 am. | |
Komal
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HSG study shows moderate hydrosalpinx of the left fallopian tube with fimbrial obstruction. The possibility of tubal stenosis should be considered. Possible adhesions are visible on the right side. Is Laparoscopy recommended to rule out coexistence? |
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re: Fallopian Tube
by Dr. B. S. Bhalla -
Oct 19th, 2025
7:54 am
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Dr. B. S. Bhalla
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Based on your HSG (Hysterosalpingography) report, the findings suggest moderate hydrosalpinx in the left fallopian tube with fimbrial obstruction, which means the tube is swollen and filled with fluid due to blockage at its end. The mention of possible adhesions on the right side and tubal stenosis indicates that both tubes may have some degree of damage or scarring, which can affect fertility and increase the risk of complications such as ectopic pregnancy. In such cases, diagnostic laparoscopy is indeed recommended. It is considered the gold standard procedure to directly visualize the pelvic organs, confirm the extent of tubal blockage, and assess any associated pelvic adhesions or endometriosis. During laparoscopy, the surgeon can not only diagnose but also treat the condition simultaneously—for example, by removing adhesions, draining or repairing a hydrosalpinx, or even removing a severely damaged tube if necessary to improve fertility outcomes, especially before IVF. If you are planning pregnancy, laparoscopy can help determine whether natural conception is possible or if assisted reproductive techniques (like IVF) would be more suitable. Moreover, if a hydrosalpinx is left untreated, it can reduce the success rates of IVF because the accumulated fluid may leak back into the uterus and interfere with embryo implantation. In summary, yes—laparoscopy is recommended in your situation to accurately diagnose the extent of tubal and pelvic disease, assess the health of the tubes and ovaries, and plan appropriate treatment. Please discuss with your gynecologist or fertility specialist to schedule a laparoscopic evaluation and to understand the best fertility-preserving approach tailored to your reproductive goals. |
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