HSG Test?

Hi,

I unfortunately had surgery to remove my right fallopian tube roughly 4 weeks ago. I have received no aftercare from the hospital. I have been doing some reading and wondering if I should be getting an HSG test to check if my other tube is blocked/scarred etc?

The surgeon said my left tube “looks fine” however surely this is only looking at the tube externally and not internally?

My worry is starting to try again not knowing the condition of my other tube & potentially experiencing the same again.

Thanks.

Dear Glambi,

I am so sorry to hear of your ectopic pregnancy loss and that you weren’t offered any aftercare or support. Please feel free to lean on us for as long as you need and we also have a wealth of information on our website https://ectopic.org.uk/

Sadly there are no tests that can guarantee we won’t experience an ectopic pregnancy again, but the chances of a further ectopic after a first in UK is 10%. So that’s 90% chance of the embryo being in right place next time.

While generally it is possible to conceive after an ectopic pregnancy, the amount of time it takes varies from couple to couple. Factors include age, general health, reproductive health and how often you have sex, among other things. It may be comforting to know that 65% of women are successfully pregnant within 18 months of experiencing an ectopic pregnancy and some studies suggest this rises to around 85% after two years.

Testing post ectopic pregnancy isn’t common practice in the UK as unfortunately, tubal patency tests cannot provide complete peace of mind. Even if a tubal patency test shows an open Fallopian tube, it does not show whether it will work – only a normally located pregnancy can show that at least one Fallopian tube worked.

The test is not 100% accurate as the Fallopian tubes can go into spasm during the test and can appear blocked even though this is not the case. This can cause unnecessary anxiety if the Fallopian tube is affected by spasm but in fact is actually working normally. The test cannot determine what the internal villi of the Fallopian tube look like.

It is important to remember to wait for 3 months before trying to conceive and as soon as you know you are pregnant, contact your local EPU to inform them and book in for an early scan at around six weeks. Remind them of your previous ectopic pregnancy. This self refer route is the best route in our view. Hopefully you will have some comfort to know you are under the radar of medical professionals right away.

Sending much love,

Karen x

The Ectopic Pregnancy Trust

Registered Charity Number: 1071811

The EPT is awarded the PIF TICK as a Trusted Information Creator, the UK-wide quality mark for healthcare information


If the information provided here or through the EPT website has helped you, you can donate towards our support services, volunteer, or fundraise to raise awareness.

Further information is available on our website.

Email us: ept@ectopic.org.uk

We provide a call-back support line: 020 7733 2653. We are able to provide support in multiple languages including British Sign Language.

Take a look at our newsletters and subscribe to our mailing list.

Detailed medical information can be found on our website. Please remember online medical information is NO SUBSTITUTE for expert medical advice from your own health care team


Thank you for the reply Karen.

This website & forum has brought great comfort to me the past few weeks x