I am 32 years old and have been trying to conceive for over two years, having experienced a miscarriage in May. My recent HSG report shows that my right fallopian tube is unhealthy and the left tube has hydrosalpinx. Additionally, my TVS report indicates that I have polycystic ovaries. Although my periods are regular, my cycle length varies between 35 to 40 days. I would like to understand my chances of conceiving naturally or through IUI given these findings, and whether laparoscopic surgery is mandatory to improve my fertility outcomes.

Answered by 1 Apollo Doctors

Dr Rohinipriyanka Pondugula

General Practitioner

MBBS
9+ Yrs

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Blocked tube and PCOS reduce chances of natural conception. IUI may not work well with hydrosalpinx. Consult a fertility specialist to evaluate IVF or laparoscopy. Hormone profile and ultrasound may be needed. Surgical consultation may be required to treat hydrosalpinx.

Dr. Rohinipriyanka Suggests...

Take a FSH,LH & Prolactin, Serum Test or Take a Progesterone Test Test

Book FSH,LH & Prolactin, Serum Test Book Progesterone Test Test

Answered 02/09/2025

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Hi, my report shows multiple immature follicles ranging from 3 to 5 mm in the right ovary and a few in the left ovary. There is no pelvic mass or collection seen. It mentions almost resolved polycystic ovaries. The right ovary measures 31x21x35 mm and the left ovary 38x16x41 mm. Kindly advise me accordingly?

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