Free Medical Advice Related to Laparoscopic Surgery

hydrosalpinx and ectopic pregnancy
Discussion in 'All Categories' started by mathew - Jul 24th, 2012 1:41 am.
mathew
mathew
In 2008 i underwent a c-section for central placenta previa to deliver my first child.After 6 months i had a copper-t placed which was removed 3 years later in 2011.After a month we started trying to conceive.Seven months later i was pregnant but usg revealed an ectopic pregnancy in left adnexa.Laproscopy was performed to remove the left fallopian tube.The surgeon later told me that my right fallopian tube was seen as a hydrosalpinx and that they have released the fluid.My concern now is will i be able to conceive naturally?Will i have another ectopic pregnancy?Can the affected right tube heal?How long must i wait before trying to conceive?Will an iud cause an infection in me?
re: hydrosalpinx and ectopic pregnancy by Dr M C Gupta - Jul 24th, 2012 1:35 pm
#1
Dr M C Gupta
Dr M C Gupta
Dear Mathew

In your case you should go for a tubal petancy test to know the status of your tube. In many circumstances after puncturing and releasing the fluid hydrosalpinx will cure but in another group of patient there may be stricture of tube and if both the tubes are block you have to go for hydrosalpinx.

About 30% of cases of infertility are due to the girl tubes being blocked. This will happen from previous pelvic infections, previous ectopic pregnancy or previous surgery. Tubal blockage prevents the egg from meeting the sperm, so conception cannot occur. If your doctor really wants to test whether your tubes are working, there are several different alternatives of tests available.

In tubal patency test doctor introduces a speculum into the vagina. It feels as though a Pap smear. Then he/she will slip a skinny tube in to the cervical canal and inflate a little balloon around the end to keep it in position. The speculum is removed and replaced through the trans-vaginal ultrasound transducer.

A solution of saline is used to outline the endometrial cavity and then the special Levovist contrast agent is injected. The Levovist shows up as white sparkly fluid on ultrasound exam. Its path is accompanied in to the uterus and then (hopefully) out with the Fallopian tubes on each side. We can also employ colour Doppler imaging to demonstrate the presence of the contrast agent within the Fallopian tubes and spilling out within the ovaries on both sides.

If one or both tubes aren't open than the becomes obvious throughout the examination.

With regards
M C Gupta
re: hydrosalpinx and ectopic pregnancy by Jero - Aug 7th, 2012 7:49 am
#2
Jero
Jero
It sounds like nalarulty, you are more likely to be infertile since both sides are affected, though it's not impossible for the other ovary; it's just less likely, which is why the doctors are suggesting medications to help repair the endometriosis and potentially other problems. Ask your docs for a more easily understandable explanation of your particular chances and do what you feel is best for you healthwise. This should not affect your marriage as long as you communicate openly with your partner, and also sex should not be an issue once you are recovered. The site below may answer more questions, but mainly I would ask the doc for a detailed explanation of what is happening and why they are making the suggestions they are. Good luck, and my best wishes for your family's future.
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