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tubal reanastomosis From: charlie chambers (cchamber@ic.owatonna.mn.us) Fri Dec 22 10:36:45 1995 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner: "Re: Breech (fwd)" Previous message: grunert@ICSI.Net: "Re: OB-GYN-L digest 370" Interested to see if there is any consensus of opinion as to when postoperatively to perform an HSG after a tubal reanastomosis. I would also assume that after HSG show patency that clearance to proceed with conception would be reasonable. -- ############################################################################## Charlie Chambers " No matter where you go... cchamber@ic.owatonna.mn.us there you are" Owatonna Clinic, P.A. (507) 451-1120 My personal preference is to allow the patient to conceive. The HSG, practically speaking, makes no difference. Previous studies (I can get refs if you want) show that an HSG showing occlusion 6 weeks post-op is not predictive of pregnancy potential, presumably due to edema at the anastomosis site. This fits with the finding that the majority of pregnancies following BTA occur at 3-9 months out. If she is not pregnant at 6-9 months post-op, I recommend an HSG to see if a longer period of observation is indicated, or if she should move to IVF (or consider another anastomosis, depending on remaining tubal length). Even with patency, assuming all other factors are normal, if she's not pregnant at 18 months, conception is unlikely and she should consider IVF. George M. Grunert, M.D. Director, ART Program Obstetrical & Gynecological Associates The Woman's Hospital of Texas 7550 Fannin Street Houston, TX 77054 713-797-9123 (phone) 713-792-1288 (fax) grunert@icsi.net Next message: art fougner: "Re: Breech (fwd)" Previous message: grunert@ICSI.Net: "Re: OB-GYN-L digest 370"

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