WOMENS-HEALTH Messages for October, 2008: Re: FIBROIDS: Hydrosalpinx

Re: FIBROIDS: Hydrosalpinx

From: anonymous@obgyn.net
Mon, 20 Oct 2008 11:18:50 -0500 (CDT)

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In reply to: NurseKelli: "FIBROIDS: Hydrosalpinx"

Hydrosalpinx often results in destruction of the tubal mucosa and therefore pregnancy rates are quite low after repair. Tubal oscopy can help to dtermine if the mucosal cells cn be rescued. Even if you wish to persure IVV, the best results occurr after the hydrosalinx is removed. This should all be accomlished via the laparoscope.

At Mon, 20 Oct 2008, NurseKelli wrote: >
>After 17 months of trying to conceive we decided to go to a reproductive
>specialist. I am 31 yrs old about 75 lbs over weight ( no other health
>problems)and my husband is 27 and healthy.
>
>After labs, ultrasounds and an HSG, the doc diagnosed me with
>Hydrosalpinx and said the only option is IVF. I am ovulating, and there
>are no other problems. I am torn between this. I really want to get my
>tubes cleared per surgery and try that way before jumping right into
>IVF. I feel I am young enough and in good enough health that this could
>be possible. I know the success rate of a tubal pregnancy is high, but
>I'm willing to take that chance to conceive naturally.
>I am now on a strict diet to lose at LEAST 50 lbs before I decide what I
>do.
>
>What are your suggestions with this?
>
>Thanks
>
>Kelli

Hysterectomy is not s msndstedf procedure for this condition. Yes there is an increased risk of endometrial cancer but I would suggest a thorough curettage and if the tissue is not atypical I would use megace for three months and then repeat the evaluation. I have treated many women for this condition in this manner and have never been sorry.

Next message: NurseKelli: "Re: FIBROIDS: Hydrosalpinx"
Previous message: Professor Galal Lotfi: "Re: FIBROIDS: Hydrosalpinx"
In reply to: NurseKelli: "FIBROIDS: Hydrosalpinx"

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