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

Re: Can a Lap. be done to remove fallopian tubes?Dr. William McIntosh Md

From: Linda (anonymous@obgyn.net)
Wed, 16 Dec 1998 09:34:01 -0600 (CST)

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In reply to: William D. McIntosh, MD: "Re: Can a Lap. be done to remove fallopian tubes?"

>
>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.
>Could there be problems if we choose to have my tubes removed? I was told that this operation is big by the last person that I spoke to. I do have problems with cysts on my ovaries. They are called follicle cysts but I have problems getting rid of them. Lets just say that the cysts that I have are the same ones found last year. They give me a lot of pain especially during ovulation time each month. I am only 31 years old and my chances of getting ectopic pregnancies are high. The rate described to me was 35-45% of ectopic because my tubes appeared blocked on HSG. Because I am having so much pain, I need to know if there is something wrong like a possibility of Endo. or scarring from my last emergency Lap. where I miscarried and had a ruptured cyst that made me hemmorage. Lab. reports are still not clear if it could have been ectopic that time.
>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.
>Yes I do want to get pregnant again and I am only 31 years old but if upon doing the lap. the doctor views that my tubes are beyond repair and my risk of ectopic are very high then my husband and I would like them removed like discussed with my RE, who left the country. Tell me, are there any risks involved in doing such a surgery and is it complicated? Another thing, could it be safe just to leave them there?? If trying to get pregnant is too high of a risk for IVF in case I develop Pre-eclampsia again. We would like to try it naturally first. The cost is another problem,obviously.
>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.
>
>Thank you for all the information you have given me. You helped me give the new OB/GYN a chance to show me that he could be able to help me. I still need to know some other options and be prepared to ask the questions when I meet with him in mid January 1999.
Happy Hollidays! Linda >--
>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.
>

Next message: Ann: "Re: pelvic exam"
Previous message: Mary: "menstration irregularity"
In reply to: William D. McIntosh, MD: "Re: Can a Lap. be done to remove fallopian tubes?"

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