Re: Dr. Wang: Re: Is hydrosalpinx the only reason for dialated fellopin tube?
From: j wang, M.D. (anonymous@obgyn.net)
Mon, 30 Oct 2000 19:09:37 -0600 (CST)
I don't believe the the tube should interfere with IVF - that procedure
is designed to bypass the tubes. One doesn't need tubes for IVF.
The tube can be thickened from scarring from previous infection or maybe
endo. It could be a vessel, or just a changing variant of normal.
If the HSG shows your tubes are open, then it can't be hydro, since they
aren't blocked.
The thickend tube is a new finding since you had the previous
laparoscopy. It might be worth another look before deciding which
treatment to pursue next.
At Mon, 30 Oct 2000, hozumi wrote:
>
>Thank you for your attention Dr. Wang.
>
>I wanted to clarify your point below:
>
>>Your history is a bit confusing - I don't understand why you would have
>>HSG's if you are already going through IVF. I don't know why you would
>>have 3 HSG's. You should have had laparoscopy so that the doc could get
>>a direct view of your tubes and pelvis and treat things if possible.
>
>I started infertility work in 96. I had HSG and Lap that year, both
>came back clear. At the end of 96, I got pg with clomid/IUI cycle which
>I misscarried at 11 week.
>
>Did some more Clomid/IUI and on my first injectable/IUI cycle, RN found
>unusual view (dialated tube?) during ultrasound. Had HSG which came
>back clear.
>My FSH by them was 11 and we decided to move to the different RE to do
>IVF. Had 3 unsuccessful cycles.
>
>Before starting 4th IVF cycle, a resident found possible dialated tube
>during ultrasound. My RE did HSG to make sure. My tubes are clear. He
>concluded that it culd be an enlarged vein (we did not do any doppler).
>Had 2 more unsccessful IVF(I did have more morer than 3 quality embryos
>returned).
>
>Right now, I am on the process of doing Clomid challenge test with a
>ObGyn Dr. During the ultrasound, RN again found this enlarged tube(?).
>She said that she would disscuss this with Dr to see if we need to worry
>about it or not.
>I am doing CCT to decide that I should be moving on to Donor Egg or not.
>However, if this enlarged tube has something to do with my unsuccessful
>IVF cycles. I will face the same result.
>
>You mentioned that "the thickened tube shouldn't be related to the
>hydro. " Does that mean one can have a thickened tube without having
>hydro?
>If so, would that be something needs medical attention especially in
>order to achieve pregnancy?
>What other possibility youo would see in the situation like this?
>
>I really appreciate your input.
>
>--
>Hozumi
>
--
James Wang, M.D
Assitant Clinical Prof.
Tufts University School of Medicine
**Note: Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.
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