A 40-year-old member asked:
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fallopian tube punctured during selective hsg. the dr. says it will almost always heal itself. another dr. not so sure. is this true or not?

2 doctor answers
Dr. Joshua Klein
15 years experience Fertility Medicine
Hard to know: Thankfully, this is not a common situation, so there aren't good studies available to know what the chances of healing afterward will be. Your doc might consider another (non-selective) hsg in a few months if you really want to know how your tubes healed. On the other hand, you may be better off leaving your tubes alone and just pursuing treatments to help you conceive (e.g. Iui or ivf) good luck!
Answered on Jan 12, 2016
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Dr. Michael Opsahl
42 years experience Fertility Medicine
HSGs are usually very safe. Infection after HSG uncommon but history of past infection or finding a hydrosalpinx are risk factors and deserve prophylactic antibiotics. Selective tubal cath procedures are very tricky. The opening to the tube is about the size of a pencil lead (very small), and the passageway from uterus to tube is often curved. Guess is he was not rough, complication only. IVF?
Feb 14, 2012
Dr. Andrew Silverman
48 years experience Fertility Medicine
Puncture of tube: Fallopian tube puncture is a commonly seen adverse effect of a selective hsg. If you have no signs of an infection, and your vaginal bleeding is minimal it will probably heal. You should wait 3 months before having a repeat hsg.
Answered on Oct 3, 2016

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