Hello doctor, I want to ask about the results of my hsg, hope the doctor can help me, thank you in advance, according to the results: canalis cervices outline good impression, no filling, abnormal widening / narrowing, large uterine cavity, normal uterine vacuum, sinistro position, retroflexion, no There is a filling narrowing or abnormal widening, the right salpinx appears widening especially in the ampulla, spillage (-), the left salpinx is only visible in the special area and the proximal infudibulum does not fill the ampulla. Conclusion occlutio tubae is accompanied by right hydrosalpinx, canalis service and patent uterine cavity. nPlease the doctor can help me to read it..thank you
HSG examination or Hysterosalpingography is an x-ray imaging technique using the help of a contrast agent to get an image of the uterus and fallopian tubes (tubes from the uterus that lead to the ovaries). This examination is usually performed on women who have fertility disorders / fertility.
From the results of your examination, the cervical canal outline is good impression there is no abnormal widening / narrowing: the cervix is the cervix, in the middle there is a tube (canalis) leading to the uterus. Sperm will enter through these channels and then fertilize the egg. Babies who are born normally will also pass through the cervical canal and into the vagina. Abnormalities in the cervical canal can be in the form of narrowing / stenosis (due to repeated infection, trauma to the cervix, congenital age, old age), dilation / dilation, or the presence of filling defects (due to tumors, polyps, irregular lining). On your examination, there were no found abnormalities in the cervical canal.
The uterine cavity is the chamber in the uterus. The normal size is about 7 cm x 8-10 cm, which can increase in size during pregnancy. The uterus that is too small can be found in people who are not menstruating. The uterus that is too large (when not pregnant) can be found in people with adenomyosis (a condition in which the endometrial lining (the inner lining facing the uterine cavity / inner wall) grows into the myometrium (the muscle wall of the uterus)] or uterine fibroids. Sinistro uterine placement and retroflexion means that your uterus is inclined to the left and bends towards the back. Most people have an anteflexed uterus (facing forward, toward the abdomen), but there are a few people who vary the position of the uterus retroflexed. In the past, the retroflexion of the uterus was thought to make it difficult for a person to get pregnant, but current research has proven that it is not.
The right Salpinx looks dilated, especially in the ampulla, spillage (-) area. Salpinx is another name for the fallopian tube. The fallopian tube is a channel from the upper left and right of the uterus that faces the left and right ovaries. The fallopian tube consists of the isthmus (the part that attaches to the uterus), the ampulla (the middle), the infundibulum (the slightly enlarged part like a funnel) and the fimbriae (the finger-like part of the infundibulum). The fallopian tube functions to catch the eggs released by the ovaries, then channel them to the uterus. Blockages in the fallopian tubes will interfere with this process. The HSG exam includes contrast to check for patency (no blockage) of this channel, which is indicated by the contrast agent filling the entire salpinx and spillage + (the contrast agent comes out of the very tip (infundibulum). In your case, the right salpinx appears to be dilated in the ampulla which is usually caused by a blockage in the proximal / previous part accompanied by a buildup of serous / clear colored fluid or known as hydrosalpinx, because of the blockage, so the contrast substance cannot come out (spillage -).
The contrast left salpinx is visible only in the isthmus area, not filling the ampulla. In the left salpinx, the contrast agent does not fill the ampulla which is probably due to a blockage in that part, so that the contrast agent appears only up to the isthmus.
Occlutio tubae in conclusion means a blockage in the fallopian tube, which in your case means both tubes (right & left). Blockages in the fallopian tubes can be caused by many things, including:
Pelvic inflammatory disease
Uterine infection after abortion
Infection of adjacent organs, such as appendicitis or infections that occur in the abdominal cavity (peritonitis)
Scar tissue after surgery eg ectopic pregnancy surgery is disturbed
The main complaint of people with occlutio tubae is infertility. Difficulty getting pregnant is because the fertilization process that usually occurs in the tube will be difficult to occur, because both the egg and sperm will have difficulty passing. Or when the egg has been fertilized by sperm, it will be difficult for the fertilization to pass through the tube. In addition, sufferers can also complain of pain in the back, pain during intercourse, pain when urinating, and lower abdominal pain.
After carrying out an HSG examination, it is best to consult directly with an obstetrician to determine the next treatment, for example by open surgery or laparoscopy to relieve tubal adhesions / blockages. However, the success is not high, because after the operation it is still possible to form scar tissue which will then again block the tubes. Another alternative to getting pregnant is by way of IVF.
That's the explanation from me, hopefully it's useful.
Dr. Saphira Evani