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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do You Mean By Bilateral Spill Seen And Peritubal Adhension On Left Side As Per HSG Report?

hi my name is samina 38 years old. I got married in 2002. I have one baby girl born in 2006. After that I had 3 Ectopic pregnencies. Now my HSG suggest
- Bilateral spill seen
- Peritubal adhension on left side

My question is what does that mean? Am i fit for pregnency?
Tue, 8 Apr 2014
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OBGYN,  's  Response
Hi,
Thanks for the query.
Bilateral spill indicates patency of two fallopian tubes.
But it is difficult to comment about of peritubal adhesions in hysterosalpingography.
Peritubal adhesions may increase the risk of ectopic pregnancy.
For more details: http://srsree.blogspot.com/2012/02/ectopic-pregnancy-types-diagnosis-and.html
So, as you had three ectopic pregnancies after delivery, better to undergo diagnostic laparoscopy.
This will help in confirming the patency of the tubes.
And also in case of presence of peritubal adhesions, those can be released in the same sitting.
Take care.
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What Do You Mean By Bilateral Spill Seen And Peritubal Adhension On Left Side As Per HSG Report?

Hi, Thanks for the query. Bilateral spill indicates patency of two fallopian tubes. But it is difficult to comment about of peritubal adhesions in hysterosalpingography. Peritubal adhesions may increase the risk of ectopic pregnancy. For more details: http://srsree.blogspot.com/2012/02/ectopic-pregnancy-types-diagnosis-and.html So, as you had three ectopic pregnancies after delivery, better to undergo diagnostic laparoscopy. This will help in confirming the patency of the tubes. And also in case of presence of peritubal adhesions, those can be released in the same sitting. Take care.