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Hydrosalphinx
Hello doctor, I went through HSG test and my doctor said there is some water in my left tube.. uterus and right tube are fine.. before HSG, they did transvaginal ultrasound scan for the whole abdomen. This ultrasound report did not mention anything about the water in fallopian tube. My question is whether I need not bother about the hydrosalpinx since it was not found in TVS? And the water in left tube which was found in HSG x-ray could be a misinterpretation?
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Dear Practo user, Hydrosalpinx will be visible on the USG only if the fluid content is very high. HSG  will seldom diagnose hydrosalpinx correctly. So in all probabilities you have a hydrosalpinx. This will reduce your chances of conception be half since there is only one healthy tube. Hydrosalpinx also interferes with your embryo sticking to the uteruss and thus decreases your chances of pregnancy. Please visit your gynecologist for further plan of management
Next Steps
In case you do not conceive in next two months, plan a laparoscopic evaluation of the tubes and proceed accordingly
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You can go for diagnostic laproscopy,that will give more information. Your one tube is normal chances of conception are there so nothing to worry.
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Hi. Tubes are not seen in TVS unless they are diseased . HSG is accurate to see the tubes . Still you have 50 % chances of conceiving from the normal side .
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Ultrasound pelvis is not a good test for Fallopian tubes
Next Steps
HSG gives the correct picture of Fallopian tubes Hydrosalpinges need a course of antibiotics Please take partner treatment also to avoid ping pong infection
Health Tips
Take Tablet Ceftum 500 mg twice a day for 7 days for both man and wife Cansoft CL vaginum pessary for 6 days at bedtime when not having periods Take Tablet Fertisure F once a day for 30 days for wife and Fertisure M once a day for 30 days for Man
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.