WOMENS-HEALTH Messages for May, 1997: Re: TUBAL SSURGERY

Re: TUBAL SSURGERY

From: D. Ashley Hill, M.D. (anonymous@obgyn.net)
Tue, 6 May 1997 21:21:26 -0500 (CDT)

Messages sorted by: [ date ][ thread ][ subject ][ author ]
Next message: BARBARA: "Re: work and pregnant"
Previous message: bri: "work+pregnant"
In reply to: Dave: "Re: TUBAL SSURGERY"

At Tue, 6 May 1997, Dave wrote:

>Yes I have had an hsg and my tubes are wide open. The gyn. I was seeing
>at that time, put me on clomid 50 mgs. I feel this is a waste and I was
>wondering if there was any other way to see if my tubes are 'functioning'
>properly. Also, if my tubes are not working, why then don't I ever get
>an ectopic pregnancy? Could you explain what damage to the inside plays
>on egg travelling? I hear they can do a laparascopy to check the insides
>of the tube? Are all cases of PID surgery failures?

Tam-

As Dr. Shanahan said, just because the tubes are open does not necessarily mean they are working. The inside of the tubes have cilia just like the throat. Smokers have about a 2 times higher chance of ectopic pregnancies, probably because the cilia inside the tube don't work right and don't move the egg and sperm "forward" towards the uterus. Other things might damage the cilia or other parts of the tube. Laparoscopy basically does what an HSG does, except if you find a problem you might be able to fix it through the 'scope. I suppose a reproductive endocrinologist could do falloscopy, and insert a tiny camera into the fallopian tube, but I have no experience with this and somehow doubt it would help much.

As to your other question, I'm sure that there are many cases of PID with tubal damage that can be repaired by tubal surgery. Unfortunately, the evaluation requires either a laparoscopy or laparotomy (usually a bikini cut) to tell the extent of damage. With the fancy new techniques of IVF (in vitro) and other assisted reproductive techniques, I wouldn't doubt it if many RE's would simply offer you one of these techniques instead of tubal surgery.

I agree with Dr. Shanahan (as usual), and believe a reproductive endocrinologist is the best choice for your type of problem. Good luck with everything.

Ashley

--
Ashley Hill
D. Ashley Hill, M.D.
Assistant Director, Department of Ob/Gyn
Florida Hospital Family Practice Residency
Orlando, FL
dahmd@gate.net

Next message: BARBARA: "Re: work and pregnant"
Previous message: bri: "work+pregnant"
In reply to: Dave: "Re: TUBAL SSURGERY"

Women's Insurance Checklist from Auto Insurance Quote

use when must restrict search to only the women's health forum...
Enter search keywords:
	Returns per screen: Require all keywords: