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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Ectopic Pregnancy. Treatment For Normal Conception?

My HSG report post ectopic pregnancy: "Fallopian tube is visualized on the right side without peritoneal spill of contrast, s/o block at fimbrial end. Left fallopian tube is outlined in its proximal extent. Venous extravasation of contrast is noted without peritoneal spill". My question is, how can this be treated so that normal conception can take place.
Wed, 25 Sep 2013
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OBGYN 's  Response
Hi,
If milking was done to treat the prior ectopic pregnancy, chances of retaining tubal function are very good. Laparoscopic release of any adhesions and restoration of the patency of the tubes can be done. Natural conception can then be tried, but with caution in view of the past history and the tubal blocks that developed. Tubal reconstructive surgery under skilled hands may be needed when there is damage to part of the tube. Hope you find this information useful. Wish you good health.
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Ectopic Pregnancy. Treatment For Normal Conception?

Hi, If milking was done to treat the prior ectopic pregnancy, chances of retaining tubal function are very good. Laparoscopic release of any adhesions and restoration of the patency of the tubes can be done. Natural conception can then be tried, but with caution in view of the past history and the tubal blocks that developed. Tubal reconstructive surgery under skilled hands may be needed when there is damage to part of the tube. Hope you find this information useful. Wish you good health.