HSG performed with catheter and water-solube iodine containing contrast medium.
there is smooth indentation on the fundus with normal sized uterine cavity, no persistent filling defect is seen in uternie cavity.
right fallopian tube is not visualized with no spill ipsilaterally. however, left fallopian tube is normally opacified with loculated spill on left side.
arcuate uterus with normal sized uterine cavity (notmal variant).
left fallopian tube is patent with loculated spill on left side moth likely due to underlying infective process.
right fallopian tube not visualized (post slapingectomy
It appears from this report that there is some scar tissue around the left fallopian tube.
This may have resulted from a previous infection or surgery.
The tube itself seems to be normal.
If you were my patient, I would recommend considering diagnostic/operative laparoscopy to remove scar tissue from around the left tube. This might very well restore fertility since the tube appears normal. I would also probably use a barrier such as Interceed in hopes of preventing new scar tissue from forming.
One to two months later, I would repeat the HSG to see how things looked. If there was still no free spill from the left tube, I would proceed to In Vitro.
But how are scar tissue formed? Like me, I have never had any infection except for yeast infection. Could that cause scar tissue? I have been trying to conceive for over 7 months with no luck. I did a progesterone test and the results came back normal and I'm scheduled to do a hsg this saturday.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.