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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Would IUI Succeed Despite Fimbrial End Clumping?

Iam 28years old trying to conceive past one year. I had laprocopy last year and diagonised for endometriosis in left ovary with right ovary being normal. I had HSG test 2 weeks back, this cycle and test result says Category 2A problem with both tubes patent. The resukt said free spill seen on both tubes. The fimbiral end of both tubes are mildly clumped with mild adhesions.
My doctor has recommended for IUI for 3 cycles starting from next cycle.
My question is with the fimbrial end clumping, would IUI be successful for me? if the tubes are open but still mildly clumped, would the tubes retrieve the egg from the ovary and would fertilisation happen naturally?
Please advice.
Mon, 29 May 2017
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OBGYN 's  Response
Hello,
I have gone through your query and would like to offer my opinion. Since there is free spill on both sides in the hysterosalpingogram, it is technically possible for transport of the ovum eventhough there is mild fimbrial clumping. IUI helps to accelerate the process. Yet, monitoring should be done for a possible ectopic pregnancy should fertilization occur, for there is a slight chance that the tubal motility may be delayed due to the clumping. Hope this helps.
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Would IUI Succeed Despite Fimbrial End Clumping?

Hello, I have gone through your query and would like to offer my opinion. Since there is free spill on both sides in the hysterosalpingogram, it is technically possible for transport of the ovum eventhough there is mild fimbrial clumping. IUI helps to accelerate the process. Yet, monitoring should be done for a possible ectopic pregnancy should fertilization occur, for there is a slight chance that the tubal motility may be delayed due to the clumping. Hope this helps.