WOMENS-HEALTH Messages for December, 1998: Re: Can a Lap. be done to remove fallopian tubes?

Re: Can a Lap. be done to remove fallopian tubes?

From: William D. McIntosh, MD (anonymous@obgyn.net)
Fri, 11 Dec 1998 19:22:01 -0600 (CST)

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At Fri, 11 Dec 1998, Linda wrote: >
>My husband and I would like to know, if my tubes are beon repair and
>therefore increases my risk of ectopic pregnancies. Can complete
>removal of my tubes be done during Lap.? Who would be capable of doing
>such an operation? I was being followed by a Repro.Endo., until she left
>the country and gave all her patients files to a OBGYN. I was being
>followed for infertility. One of my options were Invitro because both
>my tubes appeared blocked. My husband and I want to try the Lap.
>instead of Invitro because I got Pre-eclampsia at my last pregancy and
>we feel that if by chance the pre-eclampsia would return during another
>pregancy we are aware that we might have to terminate the pregancy.
>A gut feeling is I still should be followed with another Repro.Endo
>especially since I am considered high risk. But another side of me
>would like to know if an OBGYN could follow me in the same way?
>I am very frustrated and have no clue how to start searching for another
>doctor. On one hand, do I give a chance to the new OBGYN? or do I look
>for another doctor myself?
>Hope someone could give me some advice.
>Thank you, Linda

Any OB/GYN that is competent in laproscopic surgery should be able to perform such a proceedure, as it is quite straightforward, in fact is perfectly suited to laparoscopy. Whether or not you should have such a proceedure is another thing. I am not saying that you should not, not knowing all the details of your situation, but this is not something to be undertaken lightly.

Your other concerns are a bit confusing to me. I am sure that you realize that in vitro is by far your best option to become pregnant, but I am not sure from your message if you want to be pregnant.

If you want to be pregnant, go to see an RE, as only an RE will be able to help you with IVF. You should be aware that relatively few REs provide prenatal care or perform deliveries, and I am not aware of any that also manage truly high risk deliveries. If you were to get pregnant, you would then transfer to someone that does do deliveries.

If you do not want to be pregnant, an RE is unnesessary, a general OB/GYN would be better generally.

-- William D. McIntosh, MD Clarksville, TN

This is for educational purposes only. It is not intended to replace consultation and examination by your physician or other health care provider.

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