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Doctor insights on: What Does It Mean To See Bilateral Spill In My Hsg Report

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Dr. Seth Derman
218 doctors shared insights

Hysterosalpingogram (Definition)

It means a test to determine the countour of the uterine cavity and whether to tubes are open. It's part of an infertility work up, and also used to check for uterine polyps or fibroids. It's usually performed in a radiologists office wihout anesthesia. If the physician injects the dye slowly ...Read more


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What it means in HSG test results? Small restricted spill on the left side but no spill was seen on the right side.

What it means in HSG test results? 
Small restricted spill on the left side but no spill was seen on the right side.

"Left out": Your left tube is barely allowing any flow and your right Fallopian tube is closed. This scenario means you may be "left out" in attempting future pregnancy tries without IVF assistance. ...Read more

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In my hsg result it is observed that free peritoneal spill is noted on both sides.. what it exactly mean?

In my hsg result it is observed that free peritoneal spill is noted on both sides.. what it exactly mean?

It means: that your "tubes" are OPEN and eggs can pass down (to be fertilized) ! In other words..NORMAL findings!

Hope this is helpful!

Dr Z ...Read more

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My HSG reports is; I have minimal spill in left tube and mild peritoneal spills in right fillopian tube. Is it possible to remove this with medicine?

Not with medicine : It is not possible to open Fallopian tubes with medication. It sounds like your tubes are patent though. Each case needs to be evaluated individually. Ask the ordering physician to go over your results with you and discuss the next steps ...Read more

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My HSG Dr told me that my partially blocked tube with small restricted spill at the end can be treated/cured. How my tube can be treated/cured?

Many possibilities: There are multiple options. Sometimes the HSG alone will open the tubes. Some physicians will perform surgery on the tubes and others will recommend bypassing the tubes with in vitro fertilization.
I recommend you speak with your doctor specifically about what they may recommend ...Read more

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Unable to conceive. Ultrasound-possible small endometrial polyp to c/c.Hsg -right tube shows terminal hydrosalpinx, left localised spill. Please advise?

Unable to conceive. Ultrasound-possible small endometrial polyp to c/c.Hsg -right tube shows terminal hydrosalpinx, left localised spill. Please advise?

Significant problems: A polyp can be easily remove - decreases fertility rates and increases miscarriage rate. The xray shows severe tubal problems. May require ivf to get pregnant and eve surgery prikor to ivf. Would make sure you see a fertility specialist. Without ivf you have a relatively low pregnancy rate and higher ectopic pregnancy rate. ...Read more

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No free peritoneal spill /loculated spill is noted on either side means..

Type of test: It sounds like you might be referring to an HSG Xray. You did not list what time of radiology study you had done. Consider contacting the physician who ordered this test for you. They will need to go over and explain your results. ...Read more

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How can I heck for condom break/ tear and spill after use? if semen stays in -> means it's ok? why do ppl get PG even when condom doesnt break?

How can I heck for condom break/ tear and spill after use? if semen stays in -> means it's ok? why do ppl get PG even when condom doesnt break?

Condom use.: Easy check for condom leak: blow into the open end and tie off like a balloon. If it stays inflated it's OK. Pregnancy happens if condom is used incorrectly. If condom is taken off and put back on during use. Or condom is loose fitting and slips off during intercourse. Or the reservoir tip is not pinched so that semen leaks back along the base of the condom. Watch condom use videos for more info. ...Read more

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An Aquascan diagnosed bilateral tubal occlusion. But a subsequent laparoscopy showed bilateral fill and spill. Which result should I believe?

An Aquascan diagnosed bilateral tubal occlusion. But a subsequent laparoscopy showed bilateral fill and spill. Which result should I believe?

Here are some ...: Scanning is an indirect test; but still trust that to see is to believe. So, trust what being seen directly through laparoscope would be more sensible. More? Ask the laparoscopist directly; of course, interpreting what being seen may slightly vary among wide range of laparoscopists. So, ask and talk with Doc timely. Best wishes... ...Read more

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Bilateral hydrosalpinx,right tube blocked,left tube wt small restriction spill at the end.The Dr told me left tube can be treated. My question is HOW?

Bilateral hydrosalpinx,right tube blocked,left tube wt small restriction spill at the end.The Dr told me left tube can be treated. My question is HOW?

Re-canalization: The distal(far end ) of the Fallopian tube can be opened by inserting an instrument or by the use of a laser and applying a stent (tube) inside the newly opened tube ...Read more

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I have bilateral hydrosalpinx, right tube blocked, left tube with small restriction spill at the end. What is my possibility to conceive?

I have bilateral hydrosalpinx, right tube blocked, left tube with small restriction spill at the end. What is my possibility to conceive?

Low chance: You have significant bilateral tubal damage. This makes your chance of conceiving (without IVF) low, hard to give you exact numbers but probably < 20%. If you do conceive, there is a high chance for an ectopic (tubal) pregnancy which can be an emergency. IVF offers you the best chance to conceive. Your tubes will likely need to be removed first prior to IVF to give you the best chance. ...Read more

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What it means? FALLOPIAN TUBES SHOW PROGRESSIVE BALLOONING WITH INJECTED RESTRICTED SPILL ON THE LEFT SIDE but not spill was seen on the right side.

What it means?
FALLOPIAN TUBES SHOW PROGRESSIVE BALLOONING WITH INJECTED  RESTRICTED SPILL ON THE LEFT SIDE but not spill was seen on the right side.

Interpretation: After any radiologic test it is important to meet with the doctor who ordered the test to help interpret the findings in their proper clinical context. It sounds like the left tube is open but partially obstructed and the right tube was closed. Schedule follow up to confirm the results. ...Read more

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Uterine cavity is normal,bt retroverted in appearance. bilateral falopian tube visualise, no evidence of free peritoneal spill on both sides.explain m?

Uterine cavity is normal,bt retroverted in appearance. bilateral falopian tube visualise, no evidence of free peritoneal spill on both sides.explain m?

Need more info: Was this an ultrasound or a hystersalpingogram? Usually, the uterus points forward. In about 10% of women, it points backwards. This is considered a variation of normal. I would need to know what study this was to explain "free peritoneal spill" to you. Re-state your question, stating what study this was. Best wishes! ...Read more

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I just got my period and when I go to use the bathroom I can feel the blood spill out and at the bottom of the toilet there is dark red almost look black syrupy blood. I am concerned about this. What could this mean?

I just got my period and when I go to use the bathroom I can feel the blood spill out and at the bottom of the toilet there is dark red almost look black syrupy blood. I am concerned about this. What could this mean?

Usually normal: Dark blood suggest that the blood is old. The old blood probably has mucous mixed with it and this can give a syrupy appearane. This is normal. Every period is not the same in the amount of flow or the color. I suggest you see how your other periods go. This sounds normal but if you are concerned don't hesitate to cal your doctor. ...Read more

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Ovarian drilling lap and dye done. No spill through the left tube. Does that mean it's definitely blocked? And if so what are the chances of pregnancy

Ovarian drilling lap and dye done. No spill through the left tube. Does that mean it's definitely blocked? And if so what are the chances of pregnancy

Not necessarily: It's nice to see dye coming from both tubes, but it's possible that there was not enough pressure to force the dye though the left tune. So it's not definately closed. Since the right was open, I assume, that should not be an issue. The issue will be if the ovarian drilling helps you start ovulating. ...Read more