|Discussion in 'All Categories' started by Ajmal Abbas - Apr 20th, 2011 12:53 pm.|
|we both are absollutely ok as our blood and ureene and siemens test are clear. now dr has sujjested to do laproscopy to check the tubes. We are afraid of side effects of laproscopy because one of our family member's experience is very bed because after that they faced problem|
re: infertility by Dr Sadhana - Apr 21st, 2011 9:07 am
|Dear Ajmal Abbas
Diagnostic laparoscopy and tubal patency test is a very safe surgery in experienced hand. This procedure allows us to determine whether you will find any defects such as scar tissue, endometriosis, fibroid tumors along with other abnormalities of the uterus, fallopian tubes and ovaries. If any defects are found then they can sometimes be corrected with operative laparoscopy that involves placing instruments through ports in the scope and through additional, narrow (5 mm) ports which are usually inserted at the top of the crotch hair line within the lower abdomen. Due to the cost and invasive nature of laparoscopy it should not function as the first test within the couples diagnostic evaluation. Generally, semen analysis, hysterosalpingogram, assessment of ovarian reserve and documentation of ovulation ought to be assessed prior to consideration of laparoscopy. For instance, if the woman has a clear ovulation problem or her husband or boyfriend includes a severe sperm defect then its unlikely that laparoscopy will provide additional useful information that will assist them conceive.
Laparoscopy was part of the standard female infertility work-up until the mid 1990's. Before then most reproductive endocrinology and infertility specialists did laparoscopy just before using gonadotropins for superovulation of the ovaries like a fertility treatment. However, this tradition has been challenged as being of questionable benefit when assessed by its cost-effectiveness and invasiveness. Fertility clinics are doing much less diagnostic laparoscopy today than in the 1980's and 1990's. Much of this is a result of the major advances in IVF technologies and the resulting increases in IVF success.
Couples are carefully considering the costs of love and fertility treatments for women. They're requesting insemination treatments and in vitro fertilization, but they are not often
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