HSG, FALLOPIAN TUBE BLOCKAGE, AND INFERTILITY
HSG, FALLOPIAN TUBE BLOCKAGE, AND INFERTILITY
Some few months ago, an anxious female patient visited our clinic , she has not had any child nor pregnancy for 6 years. Her husband , and her husband’s family were putting serious pressure on her.
She came over to us to have her fallopian tubes checked out by the ‘’MIRACLE TEST’’ called HSG [Hysterosalpingography].
Some two months after the HSG test was done, she got pregnant, now she is eight months pregnant, heavy and getting ready to deliver her first baby after 6 years in marriage.
TUBAL FACTOR INFERTILITY
Tubal factor infertility accounts for about 20-25% of all cases of infertility. This category includes cases in which the woman has completely blocked fallopian tubes and also women who have either one blocked tube or no tubal blockage but tubal scarring or other tubal damage.
Tubal factor infertility is usually caused by either pelvic infection, such as pelvic inflammatory disease (PID) or pelvic endometriosis . Sometimes it can be caused by scar tissue that forms after pelvic surgery.
In cases of relatively minor tubal damage it can be difficult to be certain that the infertility problem is solely due to the tubal damage. There may be other significant contributing causes that are resulting in the problem conceiving.
In general, the standard infertility testing is performed on all couples and if no other cause of infertility is found, the presumptive diagnosis can be tubal factor. However, if the degree of tubal scarring is very minimal, a diagnosis of unexplained infertility could be warranted.
PELVIC INFLAMMATORY DISEASE [PID], AND TUBAL FACTOR INFERTILITY
Pelvic inflammatory disease is usually caused by invasion of either staphylococcus , gonorrhea or chlamydia from the cervix up to the uterus and tubes. The infection in these tissues causes an intense inflammatory response. Bacteria, white blood cells and other fluids (pus) fill the tubes as the body combats the infection.
Eventually, the body wins and the bacteria are controlled and destroyed. However, during the healing process the delicate inner lining of the tubes (tubal mucosa) is permanently scarred. The end of the tube by the ovaries may become partially or completely blocked, and scar tissue often forms on the outside of the tubes and ovaries.
All of these factors can impact ovarian or tubal function and the chances for conception in the future. If pelvic inflammatory disease is treated very early and aggressively with IV antibiotics, the tubal damage might be minimized, and fertility maintained.
Another problem seen after PID is tubal ectopic pregnancy. The rate of ectopic pregnancy in women with previous known PID is increased 6-10 times higher than in women with no previous history of PID.
A published study of 745 women with one or more episodes of PID that attempted to conceive showed that 16% of the women were infertile from tubal occlusion. Of those that conceived, 6.4% had ectopic pregnancies.
TESTING FOR TUBAL FACTOR INFERTILITY
A hysterosalpingogram, or HSG is an important test of female fertility potential.
The HSG test is a radiology procedure usually done in the radiology department of a hospital (or outpatient radiology facility). Radiographic contrast (dye) is injected into the uterine cavity through the vagina and cervix. The uterine cavity fills with dye and if the fallopian tubes are open the dye will fill the tubes and spill into the abdominal cavity.
This determines if the fallopian tubes are open or blocked and whether the blockage is located at the junction of the tube and uterus (proximal) or whether it is at the other end of the fallopian tube (distal). These are the areas where the tube is most commonly blocked. Very successful treatment for tubal factor infertility is available.
There are other things that potentially can be seen on a hysterosalpingogram other that whether the tubes are open or blocked. The uterine cavity is evaluated for the presence of congenital uterine anomalies, polyps, fibroid tumors or uterine scar tissue. The fallopian tubes are also examined for defects within them, for suggestion of partial blockage, and for evidence of pelvic scar tissue in the abdominal cavity near the tubes.
DOES HSG IMPROVE THE CHANCE FOR GETTING PREGNANT?
Pregnancy rates in several studies have been reported to be very slightly increased in the first months following a hysterosalpingogram. This may be due to the fact that the flushing of the tubes with the contrast could open a minor blockage or clean out some debris that may be a factor that is preventing the couple from conceiving.
JOAS MEDICAL DIAGNOSTIX, Ikotun Lagos Nigeria, offer comprehensive infertility screening tests for both couples like Transvaginal Scan for uterine and ovarian functions,Ovulation/follicular tracking, HSG to evaluate the fallopian tubes, blood tests for hormone check, semen analysis etc. We also offer a simple assisted reproductive procedure like INTRAUTERINE INSEMINATION [IUI].
For accurate assessment of your fertility situation, contact us at JOAS MEDICAL DIAGNOSTIX, Ikotun Lagos Nigeria.
For FREE Consultation and FREE Counseling. Also for Quality and Accurate Medical Diagnostic Tests Contact
JOAS MEDICAL DIAGNOSTIX
JOAS MEDICAL DIAGNOSTIX——-WE ARE AN ULTRAMODERN MEDICAL IMAGING CENTER. WE ARE EXPERTS IN ULTRASOUND SCAN SERVICES, 3D/4D COLOUR DOPPLER SCAN SERVICES, X-RAY/RADIOLOGY SERVICES, ECG SERVICES, INFERTILITY SERVICES, HSG SERVICES, LABORATORY SERVICES,BLOOD BANKING SERVICES , DNA SERVICES, AND HEALTH CONSULTANCY/COUNSELLING SERVICES.
We are located at
JOAS HOUSE, 2, Okesuna Street,
Opposite The Synagogue Church Busstop,
Bolorunpelu, Ikotun, Lagos
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How much is hsg at joas?
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