What Does This HSG Report Indicate?

Posted on Fri, 9 Oct 2015

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

Fri, 9 Oct 2015 Answered on

Thu, 29 Oct 2015 Last reviewed on

Question : HELLO.. i am 30 years old . i am planning for a kid since 1.5 year, my HSG report says
" uterine cavity is well opacified and normal in capcity and shape. right tube is completely opacified . .There is mild peritoneal spill on the right side. Left tube is partly opacified . there is no spill on the Left side. vanous intravasation of contrast is noted. There was a marked resistance during contrast injection.
Impression : Features suggestive of complete occlusion of the left tube and partial narrowing of right tube. "

kindly let me explain my condition and suggest further .

Answered by Dr. Sameer Kumar (-4 hours later)

Brief Answer:
bilateral tubal blockage.

Detailed Answer:
Hello,
Thanks for the query to hcm,
The report simply says that there is a complete block in the left tube so the egg cannot pass through it at all, and the right fallopian tube shows narrowing but not completely blocked. In this case when tubes are blocked, the most likely causes are either tuberculosis ( KOCHS) or endometriosis. So ideally a mantoux test and ADA levels should be checked to rule out tuberculosis and further should be followed up with Diagnostic laparoscopy to rule out any endometriosis causing the tubal blockage.
In endometriosis , chances are that you may complain of painful menses through out and painful intercourse or you may have suffered from tuberculosis in your past or have come in contact with a patient.
Nevertheless the findings on HSG are generally seen in tuberculosis , so it should be ruled out and if detected then anti-tb treatment should be started asap for next 8 months course.
Regards

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj