Fimbrial blockage causing failure in conception and fertility solutions - Online Doctor Chats
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Practicing since : 2004
Answered : 40 Questions
User : HSG shows i am having right fimbrial blockage (fallopian tube - right) , trying to conceive but failing.
Doctor : Hi Dr XXX here
Doctor : ok.
User : Hi doctor
Doctor : can you tell me your age, ?
User : I am completing 30 this december
Doctor : ok
Doctor : how long have you tring to concieve?
User : 4 yrs.
User : I had TB in 2002, little worried if this can be due to this.
Doctor : and what was the cause of the block in the fallopian tube ?
Doctor : Yes, TB of the fallopian tube -= causes PID (pelvic inflammation and as a result infertility
User : few are asking me to go for lasproscope and DN.
User : I am scared of this.
Doctor : the most useful therapy here is IVF
Doctor : invitro fertilisation
User : by doing laproscopy will the doc be able to identify if the reason?
User : by undergoing laproscopy will they be able to identify the reason for the block?
Doctor : yes, doing a laparoscopy, the doc, can confirm that there is a block
Doctor : but it cannot cure the condition, if corrective surgery is not done simultaneously
User : ok, is there any other test to identify the reason of the block?
Doctor : the best way to get pregnant, is IVF, and this gives more chances of fertility
Doctor : you can get a MRI of the pelvis, or ultrasound
User : would you suggest me any hospital , or the place where you are consulting?
User : I am in XXX
Doctor : MRI is better
Doctor : ok
Doctor : you can try XXXX hospital , in bangalore
User : ok. In MRI, will the nature of the block be identified?
Doctor : yes sure
Doctor : but 100 % the cause will be the prior history of TB
User : means?
Doctor : TB in the pelvis can cause block of fallopian tube
User : ok.
Doctor : and hence infertility
Doctor : and TB is the most common cause of PID in India
User : once this is detected, is there any corrective surgery for this so that I can get pregnant in natural way?
Doctor : it depends on the extent of blockage
Doctor : if the severity is high, then, the chances of natural pregnancy is very low,
Doctor : but, with IVF, the chances are 100 %
User : what is the name of this surgery.
Doctor : invitro fertilisation
User : I am really scared of IVF.
Doctor : its not a surgery
Doctor : its a minimial provcedure
Doctor : and very easy to do
Doctor : are u there ?
User : yes
User : I extended....
User : you are c;earing all the I doubts I have
User : clearing*
Doctor : ok
User : if the pelvic block is detected, what surgery should I undergo?
Doctor : as i said, the most best way to have a child, is IVF in your case, if the block cannot be corrected by surgery
Doctor : thats reconstructive surgery
User : ok.
Doctor : and it depends on how, severe the condition is ?
User : My husband count is also little low,
User : he is under maxoza-L daily.
Doctor : you can get a MRI OR ultrasound done, which will show the extent of blockage
Doctor : ok, since the sperm count is also low, the chances, become lower still
User : I understand, I heard IVF is not successful always .
User : I am working as a software engineer.
User : For IVF, should I be admitted in the hospital.
Doctor : but, in IVF, the sperm and the multiple ova, are fertilised and then placed in the uterus, for normal pregnancy
Doctor : no need for admission
Doctor : that can be done as a OPD procedure
User : should I be in complete rest throughout my pregnancy in this case?
Doctor : there is no major surgery or anything
User : all the 10 months?
Doctor : no need
Doctor : there is no need to rest
Doctor : you can carry on, with your regular job,
Doctor : but should have extra careful
User : ok.
Doctor : have u done any tests before ?
User : tests like?
Doctor : ultrasound , FSH, LH, thyroid etc ?
User : yes, thyriod is normal
User : untrasound is also normal
User : (uteru)
User : (uterus)
Doctor : ok
User : then they did this HSG and found that there is block in right side,
Doctor : u mean to say the hysterosalpingogram
Doctor : ?
User : since left fallopian tube is not blocked, can I try for some more months or i as I am aging I should go for IVF?
User : they passed some liquid in the uterus and took the x-ray
User : not sure abt the name of the test.
Doctor : ok
Doctor : its the hysterosalpingogram as i had said
Doctor : since its been 4 yrs, you can try for a 6 more months
Doctor : and if not sucessful then, you can go for IVF
User : ok.
User : I want to know the success rate of IVF.
Doctor : but , Getting a MRI done would be useful, to know, what extent the block is
User : yes, sure I will get it done.
Doctor : Hi Dr XXX here
Doctor : ok.
User : Hi doctor
Doctor : can you tell me your age, ?
User : I am completing 30 this december
Doctor : ok
Doctor : how long have you tring to concieve?
User : 4 yrs.
User : I had TB in 2002, little worried if this can be due to this.
Doctor : and what was the cause of the block in the fallopian tube ?
Doctor : Yes, TB of the fallopian tube -= causes PID (pelvic inflammation and as a result infertility
User : few are asking me to go for lasproscope and DN.
User : I am scared of this.
Doctor : the most useful therapy here is IVF
Doctor : invitro fertilisation
User : by doing laproscopy will the doc be able to identify if the reason?
User : by undergoing laproscopy will they be able to identify the reason for the block?
Doctor : yes, doing a laparoscopy, the doc, can confirm that there is a block
Doctor : but it cannot cure the condition, if corrective surgery is not done simultaneously
User : ok, is there any other test to identify the reason of the block?
Doctor : the best way to get pregnant, is IVF, and this gives more chances of fertility
Doctor : you can get a MRI of the pelvis, or ultrasound
User : would you suggest me any hospital , or the place where you are consulting?
User : I am in XXX
Doctor : MRI is better
Doctor : ok
Doctor : you can try XXXX hospital , in bangalore
User : ok. In MRI, will the nature of the block be identified?
Doctor : yes sure
Doctor : but 100 % the cause will be the prior history of TB
User : means?
Doctor : TB in the pelvis can cause block of fallopian tube
User : ok.
Doctor : and hence infertility
Doctor : and TB is the most common cause of PID in India
User : once this is detected, is there any corrective surgery for this so that I can get pregnant in natural way?
Doctor : it depends on the extent of blockage
Doctor : if the severity is high, then, the chances of natural pregnancy is very low,
Doctor : but, with IVF, the chances are 100 %
User : what is the name of this surgery.
Doctor : invitro fertilisation
User : I am really scared of IVF.
Doctor : its not a surgery
Doctor : its a minimial provcedure
Doctor : and very easy to do
Doctor : are u there ?
User : yes
User : I extended....
User : you are c;earing all the I doubts I have
User : clearing*
Doctor : ok
User : if the pelvic block is detected, what surgery should I undergo?
Doctor : as i said, the most best way to have a child, is IVF in your case, if the block cannot be corrected by surgery
Doctor : thats reconstructive surgery
User : ok.
Doctor : and it depends on how, severe the condition is ?
User : My husband count is also little low,
User : he is under maxoza-L daily.
Doctor : you can get a MRI OR ultrasound done, which will show the extent of blockage
Doctor : ok, since the sperm count is also low, the chances, become lower still
User : I understand, I heard IVF is not successful always .
User : I am working as a software engineer.
User : For IVF, should I be admitted in the hospital.
Doctor : but, in IVF, the sperm and the multiple ova, are fertilised and then placed in the uterus, for normal pregnancy
Doctor : no need for admission
Doctor : that can be done as a OPD procedure
User : should I be in complete rest throughout my pregnancy in this case?
Doctor : there is no major surgery or anything
User : all the 10 months?
Doctor : no need
Doctor : there is no need to rest
Doctor : you can carry on, with your regular job,
Doctor : but should have extra careful
User : ok.
Doctor : have u done any tests before ?
User : tests like?
Doctor : ultrasound , FSH, LH, thyroid etc ?
User : yes, thyriod is normal
User : untrasound is also normal
User : (uteru)
User : (uterus)
Doctor : ok
User : then they did this HSG and found that there is block in right side,
Doctor : u mean to say the hysterosalpingogram
Doctor : ?
User : since left fallopian tube is not blocked, can I try for some more months or i as I am aging I should go for IVF?
User : they passed some liquid in the uterus and took the x-ray
User : not sure abt the name of the test.
Doctor : ok
Doctor : its the hysterosalpingogram as i had said
Doctor : since its been 4 yrs, you can try for a 6 more months
Doctor : and if not sucessful then, you can go for IVF
User : ok.
User : I want to know the success rate of IVF.
Doctor : but , Getting a MRI done would be useful, to know, what extent the block is
User : yes, sure I will get it done.
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