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infertility
Discussion in 'All Categories' started by gurmeet kaur - Apr 14th, 2012 3:18 pm.
gurmeet kaur
gurmeet kaur
I want to learn about HSG and Tubal patency test
re: infertility by Dr M. K. Gupta - Apr 15th, 2012 3:00 am
#1
Dr M. K. Gupta
Dr M. K. Gupta
Dear Gurmeet Kaur

Dear Mrs Gurmeet Kaur

Tubal factor infertility accounts for about 20-25 percent of all cases of infertility. It offers cases of completely blocked fallopian tubes as well as cases with either 1 blocked tube or no blockage but tubal scarring or other damage.

Tubal factor infertility is usually caused by pelvic infection, such as pelvic inflammatory disease PID, or endometriosis, or scarring that forms after pelvic surgery.

In cases of relatively minor tubal damage it can be hard to make sure that the infertility problem is solely due to the tubal damage. There might be other significant contributing causes that are inducing the problem conceiving.

In general, the standard infertility tests are performed on all couples and if no other reason for infertility is found, the presumptive diagnosis could be tubal factor. However, if the degree of tubal scarring is very minimal, a diagnosis of unexplained infertility might be warranted.

As IVF success rates have improved dramatically over the last 20 years, IVF is just about the mainstay for treating tubal infertility. Additional information about in vitro fertilization benefits and drawbacks for tubal problems are below on this page.

Detecting tubal factor infertility is initially investigated generally having a hysterosalpingogram. It is really an x ray examination performed in a radiology department in which contrast material dye is injected through the cervix to the uterine cavity. When the fallopian tubes are open the dye flows in to the tubes and then spills out to the abdominal cavity. This is documented with x ray pictures throughout the procedure.

However, just because the fallopian tubes are located to become open with this plumbing test this does not mean that tubal function is normal. The inside lining of the fallopian tube can be severely damaged even though the tube is open and dye spills into the abdominal cavity around the hysterosalpingogram.

Open but scarred tubes may not be capable of singing the necessary functions to lead to establishment of the normal pregnancy. Proper tubal function allows egg pickup and transport, fertilization, and embryo transport in the fallopian tube into the uterus where the embryo implants.

If egg pickup, transport, and fertilization occur properly, but the tubal damage does not allow proper transport from the embryo to the uterus, implantation may occur in the tube resulting in a tubal pregnancy.

Laparoscopy can be performed to identify tubal damage other than complete tubal blockage.

Tubal catheterization employing a special scope can be done to assess the status of the mucosal lining from the within the tubes. This is very rarely done.

The choice to have one of these therapies for tubal infertility should be based on several factors which your reproductive endocrinologist fertility specialist should discuss with you.

The most important issues are success, the quality of tubal damage, age the female, and whether other infertility factors man or woman can be found.

Health care insurance issues, other economic considerations and procedure related discomfort and time off work with various treatment approaches are also important.


With regards
M.K. Gupta

re: infertility by gurmeet kaur - Apr 16th, 2012 1:56 pm
#2
gurmeet kaur
gurmeet kaur
both fallopian tubes are normally in course and calibre.Evidence of tubal peritoneal spill seen on the left side which,however appears localised.No evidence of tubal peritoneal spill seen on right side. Mild intravenous extravasation of contrast is also noted on the side. it is my hsg test report. please suggest
re: infertility by ahmad - Jul 9th, 2012 10:42 pm
#3
ahmad
ahmad
Hi,My name is Tracy and I just read your tubal reversal story. I'm also 39 years old also. Your story is very enrcnoagiug. My husband, whom is 35, had alot of doubt at first. We were supposed to have the reversal done about 3 years ago. But he had doubt it would work. I tried everything I could to convince him that it was worth the try. I was reading my Bible and came across the passage of Abraham an Sara. I stood on that passage. I have no doubt in my mind that God will bless my husband and I with our child. My operation is set for July 10th. Which is 1 week away. I'm so nervous. My husband is nervous also. He's finally believing that it wil happen. I have 3 children from my previous marriage. Their ages are 19, 21 and 23. My husband has 1 child from a previous marriage. Her age is 18. So we're excited about havinga child together. This will be a new experience for us since our children are all adults. We've already gone to the store and purchased blankets. Our children are excited also. Our daugthers are already telling me they will make me walk alot just like I made them walk during labor (lol).I can't wait to put our testimony on Dr. Bergeron's website.I will keep you posted.Congratulations to you and your family for both of your bundles of joy they are so precious.
re: infertility by asra - Dec 30th, 2015 7:44 pm
#4
asra
asra
No peritoneal spill is seen on both sides in hsg test what does that means..?

Dear Asra

If no peritineal spill is there that means Tubes are blocked. However, Diagnostic Laparoscopy and Tubal Patency Test is required to confirm the tubal block.

With regard

Dr Nidhi
re: infertility by Suman rai - Jun 15th, 2017 10:47 pm
#5
Suman rai
Suman rai
My h.s.g report is normal size and shape of uterus. Rt fallopion tubes is visualised and left fallopion tubes is visualised partly some amount of spillage 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 right side means the right tube is opened but you have not mention anything about the left tube so can't comment on that but if your only one tube is opened their is chance that you can get pregnant.
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