WOMENS-HEALTH Messages for March, 1997: Re: infertility surgery

Re: infertility surgery

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Mon, 31 Mar 1997 20:03:52 -0600 (CST)

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Previous message: Harvey S. Marchbein, M.D.: "Re: Ovarian Cysts"
In reply to: Dave: "infertility surgery"

At Mon, 31 Mar 1997, Dave wrote: >
>It has been five years since I had a bi-lateral tuboplasty and uterine
>suspension.

It is important to know why the tuboplasty and uterine suspension was done, i.e. endometriosis, PID, hx of ruptured appendix, previous surgery with or without infection.

>I have had a good report on my H.S.G x-ray. Both tubes
>patent.

Important info but if the tubes were damaged by PID and opened with a tuboplasty, they may be open on HSG but not functionally normal, hence the reason for the tuboplasty becomes important.

>I am on my second dose of clomid at 50 mgs. and still, no
>pregnancy.

Why are you on Clomid? Inability to ovulate or did your physician feel it would help things along? The former reason seems more appropriate. The second choice can actually thicken the mucus and make pregnancy more difficult.

>Could you tell me the average out come for such surgery. No
>scar tissue, hormonal levels normal, ovulating on day fourteen, no
>problems in husband., both do not smoke or drink, take vitamins, exersize
>etc. thanks.T M

T M, I'm confused, as above why you are on Clomid at all - normal hormone levels and ovulating on day fourteen - or is that only on Clomid? The outcome of the surgery is based upon the reason as I noted above. External mild adhesions (scarring) will do better than severe internal tubal scarring from infection. By no problems with your husband, does that mean that he has had a semenanalysis and ureaplasma culture and that the post coital test is normal?

Sorry to hit you with all of these questions, but they're necessary to answer your questions appprpriately.

-- Harvey S. Marchbein, M.D. FACOG, FACS OBGYN.net U.S. Representative, New York Great Neck, New York

*Note: Opinions expressed here are for educational purpose only. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options.

Previous message: Harvey S. Marchbein, M.D.: "Re: Ovarian Cysts"
In reply to: Dave: "infertility surgery"

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