HSG or hysterosalpingography is a procedure that uses X-rays to view the uterus and fallopian tubes. It is used to see if the fallopian tubes are completely or partially blocked, which might be a cause of infertility. It is also done to see if the tubes are completely blocked after tubal sterilization.
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I had a laparotomic myomectomy and missed two periods after that. Why?
Query: Hello doctor. Please assist with my below question. I am 34-year-old and I recently had a laparotomic myomectomy five years ago due to presenting primary infertility and a multi-fibroid uterus and the operation went well. There was no mitotic activity observed, no atypia, and no areas of necrosis. ... Read Full »
Answer: Hello, Welcome to icliniq.com. You had a myomectomy and laparotomy for multi fibroid uterus five years ago have been treated for infertility and were advised to reduce weight as well. Postoperatively you had irregular or no periods and some allergic or asthmatic attacks as well for that had sympto... Read Full »
I am trying to conceive my second child and have a thin endometrium lining. What should I do?
Query: Hello doctor, I am a 34-year-old woman currently trying to conceive my second child. With my first child, I got pregnant on the first try; however, I have been trying for more than six months for my second, and no result. I went to an infertility specialist who did a transvaginal ultrasound, and eve... Read Full »
Answer: Hello, Welcome to icliniq.com. Hysterosonosalpingography is better than a hysterosalpingogram (HSG) as HSG involves the insertion of radio-opaque contrast, which can cause pain during the procedure and sometimes an anaphylaxis reaction. Hysterosonosalpingography involves the insertion of saline an... Read Full »
Will IUI treatment work for me?
Query: Hello doctor, I am a 27-year-old female. Please evaluate my HSG reports and let us know if there are any complications. Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your history and reports and understand your concerns (attachment removed to protect patient identity). In your report, the right side tube is patent and the left side tube is blocked. So, you have to get your treatment for the same. Please let ... Read Full »
Had sex from 13th to 18th day of my cycle. Will I get pregnant?
Query: Hi doctor, I got married before three and a half years and before three months decided to have baby. Last month I consulted a gynecologist. She did some test both for me and my husband. Everything is normal except that I am hypothyroid. Doctor prescribed me Thyronorm tablets for three months. Again ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your problem. You should be aware that chance of pregnancy is there in every cycle, but in which cycle you will be pregnant is not predictable. The more desperate you become, the stress will cause more delay and so relax. You have mentioned that all tests we... Read Full »
What is the treatment for submucosal fibroid?
Query: Hi doctor, I have had submucosal fibroid for over ten years. Now for the past three months, I have been facing irregular bleeding. My urine does not flow in a straight line when the volume is less. Also, I have a small cyst in the clitoris, which creates occasional itching once or twice a month. I ... Read Full »
Answer: Hi, Welcome to icliniq.com. For submucosal fibroid, you can opt for hysteroscopic removal or arterial embolization, or MRI (magnetic resonance imaging) guided focused ultrasound therapy. Because at 30 years, I do not think you would like to go for open surgery. Urine may not come out in a s... Read Full »
Which test should I undergo for irregular periods?
Query: Hello doctor,I had a one-day period during my last menstrual cycle. After 14 days, I had pink spotting for three days. Then it turned to a brown discharge and then a normal bleeding like my menstruation. All this went on for 10 days. Today, the bleeding is very light. I am trying to conceive. My gyn... Read Full »
Answer: Hello, Welcome to icliniq.com. Yes, once the bleeding has completely stopped, you can go for the hysterosalpingography test. So, please wait until then. Once the period gets over, immediately on the next day, you can go for the test. However, if you have a doubt, get back to me. Take care. For f... Read Full »
How to interpret my HSG result?
Query: Hello doctor, My HSG test report is as follows. Impression: Contrast spill into the peritoneal cavity was not visualized on the left side, however faintly probably seen on the right side. Clinical correlation is suggested for further management. What does this mean? Read Full »
Answer: Hi, Welcome to icliniq.com. I have read and understood your problem. (attachment removed to protect patient identity) However, I would like you to answer a few questions so that I can help you better. Did you get a pelvic ultrasound scan done? Your HSG report says tubes visualized and no dilatati... Read Full »
My fallopian tubes are blocked. What can be done?
Query: Hello doctor, I need a second opinion on my HSG report. Read Full »
Answer: Hello, Welcome to icliniq.com. Usually, at least two radiographic films are shot during the HSG (hysterosalpingogram) procedure, one during filling of the cavity and the second showing the spill of the dye from the tubes. In some cases, three films are shot. I would like to see the other film as an... Read Full »
My HSG report says I have bilateral hydrosalpinx. Will this cause trouble for conceiving?
Query: Hi doctor, My HSG report says bilateral hydrosalpinx noted with a free peritoneal spill on the left side. What does this mean? Can I conceive normally? If yes, then how? I have hypothyroidism, which is under control. I take Eltroxin 100 mcg and 75 mcg on alternate days. Please help. Read Full »
Answer: Hi, Welcome to icliniq.com. How are you doing? I have seen your report (attachment removed to protect patient identity). In HSG (hysterosalpingogram), only the right tube looks dilated showing no spill of dye. But the left tube is tortuous and shows the spill of dye very well. Let me explain, the t... Read Full »
After I started trying for pregnancy, my menstrual cycle has become long. Why?
Query: Hi doctor, I am a 25 year old female, and we are trying to conceive from the last six months, but so far no luck. But, I have noticed a change in my menstrual cycle, it used to be very regular and last for 28 days. But, since we started trying for a baby, my menstrual cycle has gotten longer (35 to... Read Full »
Answer: Hi, Welcome to icliniq.com. Let me start on a positive note, a young lady of 25 years, whose gynecologist says there is no problem, means she has very high chances of pregnancy. The right time for pregnancy is from 19 to 35 years. Kindly see if the following checklist of investigations has been done... Read Full »