Do I Need Another Hysterosalpingography After 3 Years? - Obstetrics and Gynecology

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Hello! Thank you for your question regarding the need for another hysterosalpingography (HSG) after three years. Based on your history of having undergone HSG and laparoscopy, which confirmed a single-horned uterus and patency of one fallopian tube, it is understandable that you are concerned about the current state of your reproductive health.

To address your primary question: Yes, it is possible for a previously patent fallopian tube to become obstructed over time. Factors such as pelvic inflammatory disease, endometriosis, or even scarring from previous surgeries can lead to changes in the patency of the fallopian tubes. While your previous HSG indicated that the tube was open, changes in your reproductive system could occur in the intervening years, especially if you have experienced any new symptoms or health issues.

The recommendation from your new healthcare provider to repeat the HSG is not uncommon, particularly in cases where there is a history of structural abnormalities like a single-horned uterus. The HSG can provide valuable information about the current status of your fallopian tubes and help assess whether any changes have occurred since your last examination.
Additionally, you mentioned that you had a hysteroscopy last year, which indicated that the fallopian tube was still open. While this is a positive sign, it’s important to note that hysteroscopy primarily evaluates the interior of the uterus and may not provide comprehensive information about the fallopian tubes themselves. Therefore, the suggestion to perform another HSG could be seen as a precautionary measure to ensure that there are no new blockages that could affect your fertility.

In summary, while it may seem redundant to repeat the HSG given your previous results, it can be a prudent step to ensure that your reproductive health is accurately assessed. If you have any concerns about the procedure or its necessity, I recommend discussing them further with your healthcare provider. They can provide you with more personalized advice based on your medical history and current health status.

In terms of fertility, it’s important to remember that even with a single patent fallopian tube, conception is still possible. Many women with similar conditions have successfully conceived. If you have been trying to conceive without success, it may also be beneficial to explore other fertility assessments or treatments with your healthcare provider.

I hope this information helps clarify your situation and assists you in making an informed decision regarding your reproductive health. Best wishes on your journey!