Patient's Query
Hi doctor,
I am a 29-year-old and trying to conceive. I did an HSG. There is no opacification of the distal two-thirds. There is no peritoneal spillage from the left fallopian tube. The right fallopian tube does not opacify in keeping with a cornual occlusion. The impression is cornual occlusion of the right fallopian tube. Selective salpinography and recanalization are advised. There is a stenosis of the left fallopian tube. What does stenosis of the left fallopian tube mean? Please help.
Thank you.
Hi,
Welcome to icliniq.com.
I understand your concern.
The most common cause of secondary infertility is tubal problems. The most common problem is infection. This could be any of the vaginal organisms which can ascend into the uterus & later into the tubes. They usually damage both tubes at a time. The sexually transmitted diseases which affect the uterus can also affect the tubes. Among these, Chlamydia is a common one that is not very symptomatic but causes much damage. When they heal, the walls of the tube stick together and block. These tubes are about one to three millimeters, so even mild infection can block them.
To get pregnant, you have two options:
1. As suggested, get laparoscopy, salpingoscopy, and open the block. But it depends on the type of adhesions. There is a risk that the block may not be fully open. Physically tube may open but may not be functional. So you will have the risk of tubal pregnancy, which has to be discussed with a doctor. Early scans in pregnancy are needed.
2. IVF (In-vitro fertilization) is a better option. In this, you are stimulated with hormone injections, and you will produce 11 to 18 eggs or so, which are aspirated under scan guidance. The same day your partner's semen is collected. Every egg is injected with one sperm to form a baby or embryo. They are kept through the cervix directly into the uterus. You would not need the tube.
After you have the first baby, the next can be kept a few years later. The tubal problem is not an issue.
I hope this information will help.
Thank you.
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Answered byDr. Balakrishnan. R
Medically reviewed byiCliniq medical review team
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