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Cause of ectopic pregnancy - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2009
Answered : 636 Questions
User :   HI
Doctor :   Hi
User :   DOCTOR I HAD 2 LAPROSCOPY FOR ECTOPIC PRAGNANCY IN LAST 6 MONTHS
User :  
AND IN LATEST LAPRO MY RIGHT FALLOPIAN TUBE WAS REMOVED
Doctor :   Ok

User :   i just want to know the exact reason for the same.as no doctor is able to clear me the reason till date
Doctor :   Ok

Doctor :   Mainly the cause of ectopic right?
User :   yes
User :  
in my case specifically
Doctor :   Ok

Doctor :  
I will let you know
Doctor :  
I would request your patience for 15 mins
User :  
ok
Doctor :  
5-10 mins atleast
Doctor :  
as I am on a few other paid chats as well
User :  
ok
User :  
i will wait for your precious response
Doctor :  
Thank you
Doctor :   Yes

Doctor :  
I am still on it
User :   can we move with further dscussion

Doctor :  
5 more mins please
User :  
ok
Doctor :  
then I can oncentrate on your case
Doctor :  
with better mind
User :   ok

Doctor :  
I will close the window
Doctor :  
You start the chat again
Doctor :  
I will take it back
Doctor :  
We shall take it further then
User :   hello Dr.
Doctor :   hii
User :  
can we discuss it now
User :  
?
Doctor :  
sure
User :  
please
User :  
provide me the expected cause of this ectopic again and again
Doctor :   one reason is some anotomical defect in the uterus itself
Doctor :  
but to catogarise the reasons
User :  
this defect may be due to?
Doctor :   this defect is by birth or
Doctor :  
INFECTION OF THE PELVIS (P.I.D)
User :  
igm is also +ve in the last ectopic
Doctor :   TO START WITH THE INTRODUCTION U SHOULD KNOW ABOUT THE NORMAL ANATOMY OF UTERUS

Doctor :   uterus has has three important pats ..body of uterus,fallopiantube,cervix
Doctor :   normal implanation takes place in the body
User :   ok

Doctor :   the fertilissed ova should travel through the tube and get implanted into body
User :  
ohhh
Doctor :  
some times it may get implanted in the tube and get bursted and enters into abdomen to becomeectopic
User :  
well this is all about ectopic
Doctor :   no no thats one of the reasons
User :  
in my case i have already gone through with 2 laproscopies for the same
Doctor :   ok
User :  
and in the latest one i am digonsed with igm +ve
User :  
also in this latest lapro right fallopian tube is removed
Doctor :  
igm positive for which infection?>
User :   TB
Doctor :  
tuberculosis
Doctor :  
?
User :  
also the tube removed was having white folliciles physically present
Doctor :   as i have already told u about pelvic infection ,TB IS THE MOST COMMON CAUSE OF PID
User :  
yes Tuberclosis
Doctor :  
ok
User :  
now my current Dr. is giving the treatement for the Tb
Doctor :  
ok
User :  
i am very much scared about my future life as i m already left with one tube only
User :  
and its also infected
Doctor :   RELAX ,NOTHING TO WORRY one tube is enough to get pregnant

Doctor :  
tuberculosis is highly CURABLE
User :  
and i am not getting confidence that the treatement can give me the 100% surity for pragnancy
Doctor :  
even if ur tubes are totally removed
Doctor :  
there is a technique called
Doctor :  
GIFT
User :  
what is GIFT?
Doctor :  
in that ur ovum and husbands ovum will be collected and fertilized outside and implanted back into ur uterus
Doctor :   sorry husbands sperm
User :  
test tube baby???
Doctor :   no no

Doctor :  
in testube baby baby will be grown outside in a testube
User :  
both test tube & GIFT are different technology
User :  
?
Doctor :  
GIFT is just to aid in fertlisation and keep it in ur uterus
User :  
ok
Doctor :  
baby will grow in ur uterus only from day one
Doctor :   it is like natural pregnancy

User :   ok
User :  
so i hope this will not cause any problem in carrying that complete pregnancy period
Doctor :   and this tuberculosis is 100 percent curable ..with regylar medication
Doctor :  
yes no problem will be there
User :  
could you guide me whre this GIFT is being done in delhi/NCR
Doctor :  
sure
User :  
how much it cost?
Doctor :   can u give me 2 minutes so that i can search and let u know'
User :  
OK
Doctor :  
Centre of IVF & Human Reproduction
Department of Obstetrics and Gynaecology
Sir XXXXXXXX XXXXXXXX Hospital, New Delhi
Tel: 0000 (9:00 am - 5:00 pm)
Fax: 011-0000
Email: YYYY@YYYY
User :  
OK
User :  
how much this cost approximately?
Doctor :   Delhi IVF & Fertility Research Centre

23, Todar XXXXXXXX AAAAAAA Bengali Market
(Opp. Nathu's Sweets)
New Delhi-0000,
INDIA (Near Cannaught Place)

Email : YYYY@YYYY
YYYY@YYYY
Doctor :   Telephone (Clinic) : +91-11-0000, 0000, 0000, 0000Mobile : 0-0000-0000 /0000
Doctor :  
it will cost u atleast 0000 for that
User :  
okies
Doctor :   but
User :  
well beside this
Doctor :  
dont be in a hurry
Doctor :  
if ur infections comes down
User :  
yes i was about to ask this
Doctor :  
u may get pregnant spontaneously
User :  
that what are the chances of my normal pregnancy in the present senario
Doctor :   i cannot comment untill is know the condition of second tube
Doctor :  
but defnetly there are chances
User :  
ok
Doctor :  
if the condition of ur second tube are good ,there are more chances of getting pregnant
User :  
but as i have searched just now bout GIFT, its saying that in this procedure the sperms & female eggs are placed in fallopian tube only
Doctor :   can i know ur age?

User :  
that means it need fallopian tube again
Doctor :   nope

User :  
25 yrs
Doctor :   search for IVF
Doctor :  
INVITRO FERTILISATION
User :  
WWW.WWWW.WW Doctor :  
search for IVF
User :  
in this link its saying that "The success rate with GIFT is even somewhat higher than with standard IVF (in vitro fertilization), but GIFT can be performed only if the patient has normal fallopian tubes and adequate sperm. For cases with abnormal fallopian tubes, IVF is mandated. For cases with poor sperm, we recommend the ICSI procedure pioneered by us and our Belgian collaborators."
User :  
that means GIFT is having higher success rate than IVF
Doctor :   gift is done once ur treatment is completed

User :  
?
Doctor :  
YES
Doctor :  
but for gift ur fallo[pian tubes should be normal which will happen after infection is controlled
User :   what is the success rate in %?
Doctor :  
sucess rate in gift/ivf?
User :  
yes
Doctor :  
ivf is almost 40 percent
Doctor :  
40 percent in first shot
Doctor :  
and through repeat procedure it is 70 percent
User :  
what does this mean?
User :  
how is the success & faliure be described in this case
User :  
?
Doctor :   if once it is failure try it one or two more times
Doctor :  
then sucess is 70 percent
Doctor :  
but in ur case that is the last option i have told u about
User :  
hmmmm
Doctor :  
there are chances of u getting pregnant once ur infection comes down
Doctor :   as ur basic problem is already identified

User :  
thanks for your really precious information and consultation
User :  
yeah
Doctor :  
oonce it is rectified then ur problme will be solved
User :  
i got your point
Doctor :  
is there anything else i can help u with?
User :  
your advice now really shown me some hope for my future conception
Doctor :  
good
User :   yeah one last thing
Doctor :  
be confident
Doctor :  
yes
User :  
if that infection already comes to the uterus
Doctor :   about 90 percent infection will be only to tubes
User :  
so could it also affect the penis of my husband with the infection if intercourse is done without any precaution
Doctor :  
as uterus is always shed regularly through periods there are very less chances of getting infected
Doctor :  
no no
Doctor :  
dont worry
User :  
ok
User :  
that means its not communicable through direct contact
Doctor :   IVF and GIFT both are almost same
Doctor :   yes
User :  
yeah i got the difference in GIFT & IVF
User :  
rest i will search and explore on google
Doctor :  
it is not communicable
Doctor :   yes
User :  
thanks for your such informative guidance
Doctor :  
u are welcome
Doctor :  
Please fill the feedback form say done when done.
User :  
i have already done that
Doctor :  
thanks
User :  
thanks and have a good night
Doctor :  
bye
Doctor :  
take care
User :  
bbye
Doctor :   goodnight

User :  
i will take care
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