**Question:** Beaded feel of fallopian tube on hsg is seen in.,

A. Endometriosis
B. Ovarian cysts
C. Tubal adhesions
D. Tubal occlusion

**Core Concept:** The hysterosalpingogram (HSG) is an imaging test used to visualize the uterus, fallopian tubes, and ovaries. It involves injecting a contrast medium into the cervix and assessing the radiographic appearance of the reproductive structures. The beaded appearance of the fallopian tubes suggests abnormalities that may impact fertility.

**Why the Correct Answer is Right:** The beaded feel on HSG is indicative of tubal adhesions, which are bands of fibrous tissue that form between the walls of the fallopian tubes. These adhesions can obstruct the tubes, impairing the passage of the ova and sperm, ultimately affecting fertility.

**Why Each Wrong Option is Incorrect:**

A. Endometriosis: This condition involves the presence of endometrial tissue outside the uterus, typically affecting the ovaries and pelvic peritoneum. Endometriosis does not cause a beaded feel on HSG.

B. Ovarian cysts: Although ovarian cysts can be observed on HSG, they do not result in a beaded feel, as they are cystic structures separate from the fallopian tubes.

C. Tubal occlusion: This option is partially correct but does not fully explain the beaded feel. Tubal occlusion is a result of tubal adhesions, which are responsible for the beaded appearance on HSG.

**Clinical Pearl:** The beaded feel on HSG indicates tubal adhesions, which are a common cause of tubal occlusion and reduced fertility. Such patients may benefit from fertility preservation techniques or surgical intervention, depending on the severity and patient's desire for fertility.