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Treatment other than laproscopy for Bilateral distal tubal block

Hello Dr, My HSG report says I have Bilateral distal tubal block and the scan report says Bilateral polycystic ovaries . I m 30 years old and trying for a baby for around an year(Since from my marriage, Jan 2010). My husband is not having any problem and for me the Uterus and cervics are normal. I m adviced to go for a Laproscopic surgery which will treat for both the problems. Is it good to go for laproscopy? Will it completely cure the problem? What are the risks in it? Is there any alternative treatment for this? Please advice me.
Asked On : Thu, 7 Apr 2011
Answers:  2 Views:  529
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Infertility Specialist 's  Response
Welcome to HealthcareMagic
With bilateral tubal block you have 2 options..1) to go for laparoscopic surgery and 2) to go directly for IVF. Both the treatments have their own positives and negatives. With laparoscopy, as said by dr mahesh it requires lot expertise. Even at good hands chances of tubal pregnancy are quite high after treatment. Positives are it is less expensive than IVF for sure, minimally invasive, and it can treat other associated problems if found during operation. If you are lucky you ll get pregnant after laparoscopy. IVF is expensive but it is the treatment of choice in patients with bilateral tubal block. It gives very good success rates. First of all get your hormonal evaluation like FSH,LH,Estrogen, prolactin and TSH done to rule out other associated factors which may also contribute to infertility. All the best.
Answered: Wed, 29 Jun 2011
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General & Family Physician Dr. P. Mahesh's  Response
Welcome to HCM.
Bilateral tubal block is difficult to treat. It may require recanalisation, which needs a very high degree of expertise.
Polycystic ovaries can be managed with medicines.
Laparoscopy is one of the procedures done in the investigation for infertility, and does not carry significant risk. It is most useful in case of adhesions due to endometriosis, in which relieving the adhesions itself may clear the block of tubes by straightening them and removing kinks causing block.
Answered: Wed, 29 Jun 2011
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