Patient's question:
Today, I just had a hysterosalpingography (HSG) with hydrosalpingography. The results are as follows:10ml of contrast medium was injected into the uterine cavity. The single-layer endometrial thickness was 0.25cm, the endometrium was smooth, and the uterine cavity was normal in shape.
20ml of contrast medium was introduced into the fallopian tubes. In the right fallopian tube, contrast medium was observed entering the proximal segment, but no contrast medium was seen exiting the distal segment. In the left fallopian tube, contrast medium was observed rapidly passing through the proximal segment and exiting the distal segment, with contrast medium pooling in the uterosacral cul-de-sac.
The sonohysterography (SHG) results indicate:
1. No obvious abnormalities were observed in the uterine cavity.
2. The right fallopian tube is blocked, while the left fallopian tube is patent.
The doctor recommended that I have a hysteroscopy next Tuesday. Is it necessary to have a laparoscopy as well?
Doctor's answer:
If you carefully examine and confirm that the fallopian tubes are blocked, the best approach is to undergo a minimally invasive surgery using three scopes. This method has a high success rate, quick recovery, minimal psychological trauma. If other fertility conditions are normal, pregnancy can be attempted the following month after the surgery. I wish you good health.For patients, if gynecological conditions are severe, immediate symptomatic treatment and proper medication are necessary. Otherwise, the condition may recur. Additionally, patients should pay attention to their diet and psychological care. I hope the answers to these questions can help everyone. Thank you.