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no pregnecy after 4-5 year of marriage.
aneesh kumar: no pregnecy after 4-5 year of marriage.
Feb. 25, 2013 8:10 am
dear sir, i have married in 2008.after one year my wife was pregnant in oct. 2009.but within two month,misscarriage.after that upto 2013 there in no pregency.we have tried in many our last treatment of hsg, dr say one tube is block, he suggest us for tvs/hysteroscopy and diagnostic laparoscopy.i want to know deside this any other treatment is their or what are the charges in your hospital for it.please suggest me.
Answer no pregnecy after 4-5 year of marriage. Name Dr J S Chowhan
Feb. 27, 2013 7:17 am
Dear Aneesh Kumar

Laparoscopy is a medical procedure certainly where an telescope is inserted within the abdomen by having a small cut beneath the navel, so that the doctor can have a glance at the pelvic organs in the infertile woman. A laparoscopy can result in the diagnosis of many problems which cause infertility including damaged tubes, endometriosis, adhesions and tuberculosis.

Most infertile women require diagnostic laparoscopy in order to complete their evaluation. Generally, the operation is performed following your basic infertility tests, although the existence of pain and other problems (such as a reputation previous surgery) may signal that a laparoscopy before the all your evaluation is completed, as it is often a surgical procedure.

The laparoscope, the industry slender tube, just like a miniature telescope, will be inserted via a small incision just below the navel. During the laparoscopy a tiny probe lies through another incision as a way to slowly move the pelvic organs into clear view. A diagnostic laparoscopy is incomplete with out a "second puncture" because, without it second probe, it's not simple to visualize every one of the structures completely. Through the laparoscopy the whole pelvis is carefully scanned along with the organs inspected systematically - the uterus; the ovaries; along with the lining in the abdomen, referred to as the peritoneum. Together with searching for diseases affecting these structures, your physician also actively seeks adhesions (bands of scar tissue), endometriosis and tubercles. In case abnormalities are normally found, a doctor may try and correct them (operative laparoscopy), or sign up for components of tissue for histologic examination (biopsy) using a biopsy forceps. A blue dye (methylene blue) is then injected from the uterus and fallopian tubes to test if the tubes are open. In the event the surgery is complete, the gas is taken away and something or two stitches inserted to seal the incisions. Since incisions are extremely small, often stitches aren't needed and so they may be closed with Band-Aids. Diagnostic hysteroscopy is utilized to guage the endocervical canal, endometrial cavity, and tubal ostia. The operation is often coupled with sight-directed biopsy or then endometrial curettage to judge for endometrial pathology.

Other strategies to evaluating the feminine reproductive tract include pelvic ultrasonography without or with saline infusion in to the endometrial cavity, hysterosalpingography (HSG), and endometrial sampling. Unlike these procedures, hysteroscopy has got the unique advantage of combining a complete diagnostic procedure with treatment.

Your doctor has correctly advised and you should go for diagnostic laparoscopy.

With regards

J S Chowhan
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