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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Ectopic Pregnancy, Swelling In Right Tube, Ovary Infection. Want To Conceive. Recommendations?

hii,I am 31 years old n had ectopic pregnancy 2 years before.nw i n planing fr baby..in HSG test i found my right tube is lil swell n overy infection..after tht my doctor said for ESR test n MX test..ESR is 25 and Mantoux test is+ve..nw my doctor suggest me fr TB PCR...i am very scared..is everything will be allright..is it possible to conceive a child..
Tue, 19 Mar 2013
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OBGYN 's  Response
Hello
Thanks for your query.
Firstly, an old ectopic pregnancy can often affect and damage the fallopian tube.
The way in which your previous ectopic pregnancy was managed is a significant detail that you have not provided.
HSG is not always confirmatory for tubal function.
It can never comment on an ovarian infection.
ESR and Mantoux tests are least reliable to diagnose tuberculosis.
A TB PCR is the confirmatory test to diagnose genital tuberculosis, if you are having symptoms.
From the fertility point of view, it is more important to test the patency of your fallopian tubes by a laparoscopy.
Also, your ovarian reserve should be tested by relevant ovarian function tests.
Semen analysis of your partner also should be done.
I would advise you to consult an Infertility Specialist at the earliest.
Take care.
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Had Ectopic Pregnancy, Swelling In Right Tube, Ovary Infection. Want To Conceive. Recommendations?

Hello Thanks for your query. Firstly, an old ectopic pregnancy can often affect and damage the fallopian tube. The way in which your previous ectopic pregnancy was managed is a significant detail that you have not provided. HSG is not always confirmatory for tubal function. It can never comment on an ovarian infection. ESR and Mantoux tests are least reliable to diagnose tuberculosis. A TB PCR is the confirmatory test to diagnose genital tuberculosis, if you are having symptoms. From the fertility point of view, it is more important to test the patency of your fallopian tubes by a laparoscopy. Also, your ovarian reserve should be tested by relevant ovarian function tests. Semen analysis of your partner also should be done. I would advise you to consult an Infertility Specialist at the earliest. Take care.