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Suggest Treatment For Blocked Left Fallopian Tube And Abnormal Right Tube

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Posted on Mon, 9 Nov 2015
Question: hi doctor i have a question about blocked fallopian tube
doctor
Answered by Dr. Nidhi Setia (35 minutes later)
Brief Answer:
Impairs the chances of pregnancy.

Detailed Answer:
Hello
Welcome to HCM.

You have mentioned that you have blocked left fallopian tube and abnormal right tube.

This impairs the chances of pregnancy.

In my opinion, this would need surgical repair tuboplasty.

I would be able to guide you better if you can ask your query in some more details.

Hope to hear from you soon.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Nidhi Setia (19 minutes later)
Hi Doctor, I went to the hospital to get my tube checked because I have been trying to have a baby for some time now. I have a son which I had in 2011, then a miscarries in 2013. since then have not had another baby. so the doctor,s result after HSG is ,the appear to be some filling of the fallopian tube on the right and there is some spillage of contract to the peritoneal cavity noted on the right as well. Normal appearance of the right fallopian tube is not well-defined . The tube may in fact be abnormal.|The left tube was never seen filled with contrast and is presumable occluded. There is some leakage of contrast from the endometrial cavity to the uterine interstitium,draining by uterine veins.
doctor
Answered by Dr. Nidhi Setia (21 hours later)
Brief Answer:
repeat HSG

Detailed Answer:
I have gone through your details.

First, I doubt the accuracy of the HSG report.
The tubes should not be abnormal as you have conceived twice in past.

Spillage of contrast on right side suggest that right fallopian tube is patent.

The normal appearance if tubes is not well defined. It can be due to spasms also.

I would recommend a repeat HSG after taking antispasmodic drugs.

There is also some leaking of contrast into uterine interstitium.
Have you undergone any procedures like dilatation and curettage(D & C)?
Did you have any uterine/pelvic infections?

As you want to conceive again, are the causes of miscarriage determined? Hormonal evaluation like thyroid, LH, FSH, Prolactin?

To sum up, I would suggest a repeat HSG and hormonal evaluation for you.

Kindly discuss this with your doctor.

Hope this helps.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Nidhi Setia (15 hours later)
Hi doctor, yes I have do undergone any procedures like dilatation and curettage(D & C)? does it affect ?
doctor
Answered by Dr. Nidhi Setia (10 hours later)
Brief Answer:
This could have caused leaking of contrast.

Detailed Answer:
Hi again.
This could have caused leaking of contrast into uterine interstitium.

But that should not affect the chances of conception.

Hioe this helps.
Thanks.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
Answered by
Dr.
Dr. Nidhi Setia

OBGYN

Practicing since :2009

Answered : 761 Questions

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Suggest Treatment For Blocked Left Fallopian Tube And Abnormal Right Tube

Brief Answer: Impairs the chances of pregnancy. Detailed Answer: Hello Welcome to HCM. You have mentioned that you have blocked left fallopian tube and abnormal right tube. This impairs the chances of pregnancy. In my opinion, this would need surgical repair tuboplasty. I would be able to guide you better if you can ask your query in some more details. Hope to hear from you soon. Regards.