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HSG under anaesthesia
HSG done under image intensifier control and in aseptic conditions under short GA..
• Internal OS was cannulated and 10 ml of diluted contrat injected slowly under image intensifier and films taken. 10ml of saline was injected into Uterine cavity post procedure to wash away the contrast in the tubes.
Uterine cavity is well filled and is normal. No space occupying lesion is seen.
Right fallopian tube is visualised in entire extent. Fimbrial end shows peri fimbrial halo. Loculated spill of contrast is seen in the delayed scans which progressively increased on insufflation of the contrast. No definite free spill is seen.
Left fallopian tube is visualised in the entire extent and show peri fimbrial halo with mild dilation of the fimbrial end. Loculated spill of contrast is seen which increased on delayed scans on continuous insufflation of the contrast. No definite free spill of contrast is seen.
No evidence of intravasation of contrast seen.
Please correlate clinically.
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Dr. Ashwini Khadtare
Gynecologist
13 yrs exp
Solapur
It looks like fimbrial end block....you need further evaluation and considering your age,need to visit specialist as soon as possible
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Dr. Vijaya Gupta
Gynecologist
23 yrs exp
Chandigarh
This is suggestive of bilateral tubal blockage
You should proceed with laparoscopy
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Dr. Pushpa Gour
Gynecologist
32 yrs exp
Bhopal
Fimbrial end block.
Consult please
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Dr. Neha Vashisth
Obstetrician
14 yrs exp
Jaipur
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
Your report describes contrast reaching the far end of both tubes but collecting in pockets there, and it records no definite free spill on either side. The radiologist has also written "please correlate clinically", so this needs to be read alongside the rest of your fertility workup.
Next Steps
Take the report and the actual films to a fertility specialist soon. At 36, you'll want them to review it together with your ovarian reserve tests and your partner's semen analysis, so your next step is planned as a whole.
Health Tips
If you get fever, worsening pelvic pain or a foul-smelling discharge over the next few days, please see a doctor the same day.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.