Patient's question:
Divorced for two years with infertility, I went for a hysterosalpingogram last week. The results are as follows:Imaging showed:
Pelvic plain film: No abnormal density shadows were observed in the pelvis.
Pelvic film immediately after contrast administration: Normal uterine cavity morphology and size, smooth walls. Bilateral fallopian tubes were visualized, with unnatural shapes. The left tube was positioned higher, and its terminal end was thickened.
Pelvic film 20 minutes later: Minimal pelvic iodine water diffusion. Some contrast remained in both fallopian tubes.
Imaging diagnosis: The uterine cavity showed no abnormalities. The right fallopian tube was patent but not fully unobstructed. The left fallopian tube was patent but extremely poorly unobstructed, with possible fimbrial adhesions. It is recommended to consider SSG if necessary.
Doctor, what does this report mean? Is it serious? Does surgery need to be performed?
Doctor's answer:
Through your description, both fallopian tubes have a condition of being patent but not unobstructed, so surgery is not necessary. If needed, SSG treatment can be performed. Maintain cleanliness of the external genitalia at all times and pay attention to sexual hygiene. In addition, during the treatment of gynecological diseases, in addition to timely treatment, the patient's dietary condition and psychological state are also very important. The patient must avoid excessive mental tension and worry to prevent unnecessary interference from affecting the complete recovery of the gynecological disease.