What Does "Both The Tubes Are Blocked At Its Fimbrial End..." Mean?

Posted on Thu, 13 Mar 2014

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

Thu, 13 Mar 2014 Answered on

Wed, 2 Apr 2014 Last reviewed on

Question : I have report for HSG which states Both the tubes are blocked at its fimbrial end with no evidence of peritoneal spillage seen on either side. Would you please let me know what does it mean ?

Answered by Dr. Bhagyashree.B (6 hours later)

Brief Answer: it means tubal cause for infertility. Detailed Answer: Dear member, Thanks for writing to healthcare magic. HSG is a test to check whether the fallopian tubes are patent. Thus is done usually for patients who want to conceive and have difficulty getting pregnant. The fallopian tube connect the uterus to ovary. The sperms have to swim from the vagina through the uterus and reach the fallopian tube. The ovary releases eggs which are received by the fimbrial end of the tubes. Finally fertilization i.e egg meets sperm and a fetus(baby) is produced. If the test shows that fimbrial end is blocked then it means that the sperms have no access to the eggs. Thus there may be difficulty in conceiving. I hope I have answered your query . Please write back if you have any questions. Thanks. Dr Bhagyashree

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Bhagyashree.B (1 hour later)

Thanks Doctor for your reply but I know that common things.. I just want to know what would be now further course of action for me to get pregnant.. Thanks

Answered by Dr. Bhagyashree.B (2 hours later)

Brief Answer: consider laparoscopic evaluation and tubal surgery Detailed Answer: Dear, In cases like yours where the tubes look blocked on HSG require further analysis by diagnostic laparoscopy. This is a minor surgical procedure where under anaesthesia a laparoscope or camera is placed inside your abdomen through a small incision in umbilicus and a colour XXXXXXX is pushed through the vagina and uterus similar to HSG. The exact location of the block in your tube is better visualised in laparoscopy. Besides fimbrial adhesions which may be there in your case as seen in hsg , they can be treated so that block is released and tubes become patent. Any other minor tube pathology is easily treated. But the success rate and pregnancy depends on the damage to the fallopian tubes. If on laparoscopy the fallopian tubes have major damage, extensive blocks or infection, then IVF or invitro fertilisation is the only option as extensive tubal damage cannot be treated completely. I hope your other tests are normal as blood parameters, hormone analysis, ovarian follicle study and husbands semen analysis should be normal for you to conceive. Thanks. Dr Bhagyashree

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Bhagyashree.B (41 minutes later)

Thanks a Ton for nice answer, Can u please suggest any good hospital in Noida or Delhi for laparoscopic evaluation and tubal surgery

Answered by Dr. Bhagyashree.B (39 minutes later)

Brief Answer: XXXXXXX Hospital, Delhi IVF and fertility research Detailed Answer: Dear member, The following hospitals are what I recommend based on opinion of my colleagues. please use your discretion and advice of your family physician /gynaecologist. XXXXXXX Hospital. Delhi ivf and fertility research centre. Thanks Dr Bhagyashree

Above answer was peer-reviewed by : Dr. Yogesh D