Suggest Treatment For Painful Periods And Optimal Fertility Levels

Posted on Sun, 20 Apr 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 20 Apr 2014 Answered on

Mon, 12 May 2014 Last reviewed on

Question : Hi,, my HSG test results showed dilatation in left tube and min spillage from rt tube. My AMH bkood test results show that I have optimal fertility levels and also LH hormone levels are ok. I akso have endometriosis nd as a resulr painful periods. I wanted to know if the HSG results impact nd how can be treated and can I concrive naturally

Answered by Dr. Shailja Puri (2 hours later)

Brief Answer: Conception can occur, left tube blocked- cause? Detailed Answer: Hello, Thanks for posting your query on HealthcareMagic. Your history suggests that you are suffering from painful periods and difficulty in conceiving. The hysterosalpingography (HSG) is done to look for patency of fallopian tubes by injecting the de in the tubes and observing its spillage. The HSG tests shows spillage from right tube. The left tube shows an obstruction and no XXXXXXX spills from it. Thus, the left tube is blocked. The cause of this blockade has to be found out. The hormones responsible for maintaining fertility are within normal limits. A focus of endometriosis is found out. Endometriosis is presence of endometrial glands and stroma st sites other than endometrium. Thus, the cause of painful periods is found out. Endometriosis is managed by hormonal treatment. You can conceive naturally since one of your tube is patent and both ovaries release ovum alternatively. You need to consult your gynecologist for look for the cause of blockage of left tube. Thanks and take care Dr Shailja P Wahal

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Shailja Puri (39 hours later)

Does that mean that blockage of tube needs to be removed before I can conceive naturally. And if so, is there any medicines for that or laproscopy is the only way out for that. Also would want to know for any of your suggestions regarding a good Gyanaec in Kolkata whom I can contact directly with my medical condition. Thanks

Answered by Dr. Shailja Puri (9 hours later)

Brief Answer: Conception possible, cause of left tube blockage? Detailed Answer: Hello and welcome to HCM, The blockage is present in only left fallopian tube. conception can take place because the right fallopian tube is patent. The two ovaries ovulate alternatively in each cycle, thus, you can conceive with one tube is patent. However, the cause of blockage in left tube needs to be known and treated. It will not be possible to suggest name of any specialist on the forum. You can consult an experienced gynecologist in your locality. Thanks and take care Dr Shailja P Wahal

Above answer was peer-reviewed by : Dr. Raju A.T