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Fallopian tube has Hydrosalpinx
Discussion in 'All Categories' started by Jiya - Jul 4th, 2012 10:59 am.
plz find my HSG report and suggest what is to be done
The Uterus is normal in size, shape and outline.
There is no intrinsic or extrinsic mass defect.
Both fallopian tubes are opacified.
The right tube is completely opacified. It show mild dilatation of its mid and terminal segments.
There is peritubal spill and spill of contrast into the pouch od douglas, but the tube appears fixed and rigid.
The left tube is opacified only upto its mid section and there is abrupt cut off.
It is normal in caliber and outline.
There was sever resistance to the flow of contrats on injection

IMPRESSION: Left mid tubal occlusion
Inlfamatory changes in the right fallopian tube with small hydrosalpinx
The righ tube is patent.
re: Fallopian tube has Hydrosalpinx by Dr J S Chowhan - Jul 5th, 2012 12:25 pm
Dr J S Chowhan
Dr J S Chowhan
Dear Jiya

A hysterosalpingogram (HSG) is not a very reliable test it is definitely an X-ray test that appears in the inside of the uterus and fallopian tubes and also the area surrounding them.

Many times, it is done for women who are having a difficult time becoming pregnant. Throughout a hysterosalpingogram, a dye contrast material is put through a thin tube that is subjected to the vagina and into the uterus.

Because the uterus and the fallopian tubes are hooked together, the dye will flow in to the fallopian tubes. Pictures are taken utilizing a steady beam of X-ray known as fluoroscopy because the dye passes with the uterus and fallopian tubes.

The images during HSG can display problems such as an injury or abnormal structure of the uterus or fallopian tubes, or a blockage that will prevent an egg moving via a fallopian tube towards the uterus but many times the result of HSG is confusing.

In woman who wants to become pregnant sn obstruction also could prevent sperm motionless into a fallopian tube and joining which is called fertilizing an egg.

A hysterosalpingogram may also find problems on the inside of the uterus that prevent a fertilized egg from attaching implanting to the uterine wall but because it is an indirect test so it has chance of many errors.

Diagnostic laparoscopy isa very good investigation and sometime during examination of tube if hydrosalpinx or fimbrial blockage of the tube is found the it can be corrected also by a technique known as fimbriolysis or adhesiolysis.

So, in your case now the next step should be the
diagnostic laparoscopy with tubal patency test. This procedure is performed under general anesthesia, with tubal patency checked by the transcervical injection of methylene blue dye, and remains the "gold standard" for the accurate assessment of tubal patency. Visualization of the pelvic cavity by laparoscopy is necessary to ascertain tubal patency, adnexal adhesions, and ovarian mass.

Some abnormalities in female reproductive organs detected at the time of diagnostic laparoscopy can be treated during the same procedure for example, lysis of adhesions, salpingectomy, ovarian cystectomy, cauterization or vaporization of endometriotic implants.

So in our opinion you should go for a tubal patancy test by diagnostic laparoscopy.
re: Fallopian tube has Hydrosalpinx by ada obi - May 25th, 2013 2:28 pm
ada obi
ada obi
The right fallopian tube is outlined with peritoneal spill of contrast media the left is not outline

Suggesting a non patent left fallopian tube.
re: Fallopian tube has Hydrosalpinx by Amara Daby - Sep 12th, 2013 9:11 am
Amara Daby
Amara Daby
Tnx, HSG Report.

The uterine cavity opacified and appeared elevated and inclined to the right side. The right tube opacified and appeared normal with reflex of contrast from the tube into the pelvic cavity. The left tube did not opacify.

Dear Daby

Your HSG report is normal. Many times due to spasm during HSG the dye does not show in one of tube. However, One open tube is sufficient to have child. Please consult a good infertility specialist to get your problem solved. He will also see all your hormone level as well as the follicles of the ovaries are developing correctly or not.

With regard

re: Fallopian tube has Hydrosalpinx by anna mlay - Sep 14th, 2013 6:49 pm
anna mlay
anna mlay
my problem is that i my hsg result findings show right tube hydrosalpnix and blockage at the end and left tube show pelvic adhesion ,

Dear Anna

Laparoscopic surgery is the best option for you.

re: Fallopian tube has Hydrosalpinx by nik - Sep 10th, 2014 4:47 pm
Patent right fallopian tube,but left tubal occludion..fundally sited uterine fibroid with submucosal component

Dear Nik
I feel above mentioned is the report of the Ultrasound scan. According to this report patient's left fallopian tube is blocked and she also has a submucous fibroid. She needs to undergo Diagnostic laparoscopy with Tubal Patency test and Hysteroscopic Myomectomy. You may consult any gynecologist for further advise.

Dr J S Chowhan
re: Fallopian tube has Hydrosalpinx by latha - May 8th, 2015 11:15 am
Impression: Features suggestive of blocked right fallopian tube with patent left fallopian tube with? Hydrosalpinx

Dear Latha,
Even if your one tube is open you can get pregnant.You should consult a gynecologist for further treatment. sometimes if the tube which has hydrosalpinx is better to remove by Laparoscopic Salpingectomy.

with regards
re: Fallopian tube has Hydrosalpinx by palvini - May 13th, 2015 4:03 pm
Both the Fallopian tubes are opacified by contrast but not dilated. The uterine cavities shows ballooning

Dear Palvini,
For correct diagnosis you may need laparoscopic tubal patency test and diagnostic laparoscopy.You may come for consultation at World Laparoscopy Hospital.
with regards
re: Fallopian tube has Hydrosalpinx by Lakeyshia - Oct 26th, 2015 8:29 am
Uterine cavity shows normal configuration without masses or suspicious filling defects. There is filling of the left fallopian tube which appears normal, with normal free spillage into the ileum. There is no opacification of the right fallopian tube, consistent with occlusion. What does this mean can I have a baby.

Dear Lakeyshia

There is abnormal spillage in left tube and blocked right Fallopian tube. To fully diagnose your condition and to open the blocked tube you have to get diagnostic laparoscopy and tubal patency test done. This can be done even at World Laparoscopy Hospital.
re: Fallopian tube has Hydrosalpinx by kiran - May 1st, 2016 4:05 pm
I have Normal filling of uterine cavity is seen . The uterus is anteverted with normel shape
The right tube is patent showing normal caliber and producing immediate peritoneal spill.
The left tube is opacified in entire extent with normal caliber but no free spill is seen on left side

Dear Kiran,

Fallopian tube of one side is more than sufficient to get pregnant. Sometimes HSG report is not accurate please get Diagnostic Laparoscopy and Tubal Patency test done.

With regards
re: Fallopian tube has Hydrosalpinx by suriyakala.j - Jul 10th, 2016 7:22 pm
my hsg report is mild hydrosalpinx then how to get pragant pls ans the qustion

Dear Suriyakalaj
It can be treated by the tubal corrective surgery (salpingostomy) by opening the tube and removing the adhesion. It can be done by laparotomy or laparoscopy procedure. After this you can try to conceive normally, if it does not work then you have to plan for IVF(In Vitro fertilisation)

With regards
Dr Rahul
re: Fallopian tube has Hydrosalpinx by joy schulze - Aug 10th, 2016 8:12 pm
joy schulze
joy schulze
Contrast opacification of the left fallopian tube with free intraperitoneal contrast spillage. Means what

Dear Joy
This means your tube are opened.

With regards
Dr Rahul
re: Fallopian tube has Hydrosalpinx by piyali jana - Sep 28th, 2016 8:26 pm
piyali jana
piyali jana
My report - uterine cavity is normal in size and shape. Right fallopian tube is normal in course &calibre. Left fallopian tube is not opacified. Spillage is seen into peritoneal cavity from right fallopian tubes. Means what?

Dear Piyali
The report state that your left tube is blocked, where as your right tube is fine means it is not blocked.

With Regards
Dr Rahul
re: Fallopian tube has Hydrosalpinx by deepika roy singha - Oct 15th, 2016 6:41 am
deepika roy singha
deepika roy singha
Impression is mild sided hydrosalpinx with patent fallopian tube.

Dear Deepika
Please send us your complete report.
A hydrosalpinx is a distally blocked fallopian tube filled with serous or clear fluid. The blocked tube may become substantially distended giving the tube a characteristic sausage-like or retort-like shape. The condition is often bilateral and the affected tubes may reach several centimeters in diameter. The blocked tubes cause infertility.
Salpingostomy ( Tubal corrective surgery) and if adhesion is there adhesiolysis can be done for its treatment. Unfortunately, pregnancy rates tended to be low as the infection process often had permanently damaged the tubes.
re: Fallopian tube has Hydrosalpinx by Divya - Nov 3rd, 2016 7:56 am
My wife hsg report is bilateral tube is patent and contrast spill noted bilatetally.uterine cavity size shape and contour normal.

Dear Divya

This is a normal hysterosalpingogram findings and thus you have good chances of conception.
Normal caliber and patent tubes are very important for natural conception and the normal endometrium lining is very important for proper implantation and growth of the baby.
re: Fallopian tube has Hydrosalpinx by Oga Ibitayo - Jun 24th, 2017 3:17 pm
Oga Ibitayo
Oga Ibitayo
Please doctor, what is the chance of conceiving normally. My HSG Scan reads:
uterine cavity shows:
normal uterine cavity size
normal uterine cavity site
normal uterine cavity shape
no pathological negative defect or pathological external impression seen
fallopian tubes;
right tube: patent with mild distal hydrosalphynx
left tube: patent with mild distal hydrosalphynx
peritoneal spillage:
right: normal peritoneal spill
left: normal peritoneal spill

Please kindly kindly advise way out for me to conceive.

Dear Oga

You have hydrosalpinx in your tubes. A hydrosalpinx is a distally blocked fallopian tube filled with serous or clear fluid. The blocked tube may become substantially distended giving the tube a characteristic sausage-like or retort-like shape. The condition is often bilateral and the affected tubes may reach several centimeters in diameter.
Laparoscopy Diagnostic can done with tubal patency test with an proper use antibiotic will help to get rid of the problem.

re: Fallopian tube has Hydrosalpinx by Suman rai - Jul 4th, 2017 4:51 pm
Suman rai
Suman rai
My h.s.g report is normal size and shape of uterus is seen. Rt fallopion tubes is visualised and left fallopion tubes is visualised partly some amount of spillage of contrast is seen from right side. I want to know that my tubes is open or block can I be pregnant plz reply me.

Dear Suman
The report state that spillage is seen from the left side so your right tube is ok but problem is with your left side the tube is not visualised neither it shows any spillage. So it can be blocked. But as your right tube is opened you can get pregnant.
re: Fallopian tube has Hydrosalpinx by Susan babalola - Sep 7th, 2017 2:18 am
Susan babalola
Susan babalola
Hsg report the cervical canal is evidence of peritoneal spillage is seen.both fallopian tube are not demonstrated.multiple oval shaped masses are noted intending on the uterine wall.a pedunculated uterine cavity with irregular outline is noted.features bilateral tubal blockage, multiple leiomyoma.

Dear Susan
The report stated that the tube are blocked and you also have some myoma.
For better evaluation you need to go for the Diagnostic Laparoscopy.
re: Fallopian tube has Hydrosalpinx by Peter - Sep 30th, 2017 10:56 am
Our report:
The cervical is normal. The uterine cavity is normal in shape, volume and size. There are no intracavitary filling defects. The endometrium is irregular. Both Fallopian tubes show normal course and caliber with distal kinks and loculated peritoneal spills.
What does this mean? Can we get pregnant naturally? Do we need any treatment?

Dear Peter

Your reports are normal. You can conceive naturally.
re: Fallopian tube has Hydrosalpinx by Allan - Oct 12th, 2017 5:02 pm
my wife's hsg report., uterine cavity demonstrated anteverted, deviated towards right, no sign of fibroids seen. right fallopian tube demonstrated although initially no free peritoneal spill seen from fimbrial end, little free peritoneal spill seen in delayed film from fimbrial end of right fallopian tube suggestive of right fimbrial block opened during the procedure. leftcfallopian tube demonstrated although no free peritoneal spill seen from fimbrial end. Imp; left fimbrial block. what does tht mean???? plz help.

Dear Allan
It state that your both the tube are partially blocked. laparoscopic diagnostic will give you further and proper detail of the tube and will help in opening of the tube.
re: Fallopian tube has Hydrosalpinx by Himani - Nov 6th, 2017 3:13 am
My Hsg report says both fallopian tubes are well outlined and are normal in course and calibre in its proximal part.
Distal end of both tubes are spill is seen on right side.loculated spill is seen on left side.
B/L HYDROSALPNIX with free spill on right side and loculated spill in left side.
Kindly guide me my both tubes are blocked?can i conceive naturally.

Dear Himani
The right tube is opened and its look alright but the left tube is not fully opened it seems to have some blockage in the distal part so for better evaluation you need to go for the diagnostic laparoscopic.

with regards
Dr Rahul
re: Fallopian tube has Hydrosalpinx by rituaj - Dec 15th, 2017 11:21 am
uterus is normal in size and shape.
both sides fallopian tubes seen dilated and coiled in their ends.
spill is seen on both sides.

Dear RituRaj

The tubes are opened. Both the tubes are fine. So no need to worry.
re: Fallopian tube has Hydrosalpinx by bhuwan bhaskar kumar - Jan 3rd, 2018 4:35 am
bhuwan bhaskar kumar
bhuwan bhaskar kumar
HSG shows a normal uterine cavity. Contrast seen in both fallopian tubes with mild dilation. No spill seen. Impression: Bilateral blocked fallopian tubes. It is my wife problem. Will she conceive ?

Dear Bhuwan

The condition of the tube is not good. It is totally blocked. So you need to go for the Diagnostic Laparoscopy with tubal patency test with chromopertubation test. For the further evaluation of the tube and opening of the tube.
re: Fallopian tube has Hydrosalpinx by Evely - Sep 2nd, 2018 2:34 am
My hsg results read :the uterine cavity is well opacified with a well rounded central lucency in keeping with air bubble. Uterine cavity Is normal in shape and out line. The mid and third right Fallopian tube is dilated and tortous. However there's forced spillage of contrast on the right. Conclusion :1. Normal uterine cavity. 2 Right hydroslapinx with forced spillage of contrast. 3 Non patent left Fallopian tube.

Dear Maidan/Sir
Your Right tube is partially blocked with hydrosalpinx. Right fimbrioplasty need to be done. The left tube is blocked, however Lap & Dye test should be done to confirm the patency of left tube.

Dr J S Chowhan.
re: Fallopian tube has Hydrosalpinx by Dalal - Apr 23rd, 2019 3:21 pm
HYSTEROSALPINGOGRAPHY Technique: Intramuscular injection of scopinal ampule followed by intra-cervical Findings: injection of water-soluble non-ionic contrast. A relatively long cervical canal in proportionate to the endometrial body 2:1 however no filling defects. Mildly dilated distal part of right tube, however, shows homogenous opacification with no filling defects eliciting immediate spill Mildly dilated distal part of left tube, however, shows homogenous opacification with no filling defects with delayed localized spill and persistent distended distal part with contraction in the control film taken (after 30 minutes) OPINION: Bilateral mild hydrosalpinx with left peritubal/ fimbrial adhesions. - For further evaluation.

What does this report mean? Can I conceive naturally?

Dear Maidam/Sir,
Your report shows a fimbrial blockage, it means your tubes are blocked. So you need for surgery (fimbrioplasty.

Thanking You,
Dr. J S Chowhan.

re: Fallopian tube has Hydrosalpinx by Hayl - Apr 11th, 2022 6:33 pm
Hello, I am wondering how the HSG could conclude that the left is also dilated if no spillage came through at all? Please review my results and offer insights!

"Uterine cavity is normal in contour and configuration. Both fallopian tubes show dilated distal ends. Following injection of almost 20 ccs of opaque, the right tube showed intraperitoneal spill. No intraperitoneal spill of the contrast is noted on the left".

Thank you!

Dear Sir,

HSG is not a very good investigation for tubal patency. laparoscopy was found to be a better predictor of future fertility than HSG. Also in women who are at an increased risk of having subperitoneal pathology, diagnostic laparoscopy should be offered early in the infertility work-up.
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