HomeAnswersObstetrics and GynecologyhysterosalpingographyCan I conceive with fallopian tube spillage seen on hysterosalpingography?

What are the chances of conception with spillage in the fallopian tube?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At August 24, 2022
Reviewed AtJuly 3, 2023

Patient's Query

Hello doctor,

I have attached my test reports. Kindly go through it and guide me.

Answered by Dr. Natasha Bansal

Hi,

Welcome to icliniq.com.

I understand your concern.

HSG (hysterosalpingography) is done (attachment removed to protect patient's identity) mainly to know the tubes' status and to look for their patency. Also, it can tell details about the uterus and if some lesion is present inside. Both the tubes are patent as spillage is seen, but yes, as spillage was late, it may be due to either retroverted uterus or some adhesions outside the tube. Also, there is no lesion inside the uterus, which is a good sign. The main problem is when the tubes are not patent, and there is no spillage seen, then the chances of conceiving are very less. The chances of conceiving depend on your symptoms at present. For how long have you been trying to conceive? How are your and your partner’s other reports? Whether you have undergone any treatment for the same before?

Kindly revert for more queries.

Thank you.

Patient's Query

Thank you for your reply, doctor.

I was concerned when I saw the report, but now I understand better. I have no symptoms, and my period is regular. Blood hormones test are normal. My partner did not take any tests. What are the treatment options? Kindly help.

Answered by Dr. Natasha Bansal

Hi,

Welcome back to icliniq.com.

I would suggest getting your partner's semen analysis as you have mentioned that all your blood work was normal. The main causes of subfertility are the first husband factor, second ovulatory dysfunction, and thirdly tubal factor.

In your case, the tubal factor has been considered with this HSG. So get your husband's semen analysis, and I would like to know whether any ultrasound has been done for follicular monitoring and to see whether ovulation is occurring or not. If not, then an ultrasound is required. Based on these reports, further treatment can be decided.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Natasha Bansal
Dr. Natasha Bansal

Obstetrics and Gynecology

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