Texas Fertility, P.A.
 The
fallopian tubes are highly complex and very delicate organs. Tubal function can
be altered or damaged by sexually transmitted diseases, infections and
Endometriosis. Usually the first procedure that is done for this type of
patient is a hysterosalpingogram (HSG). This essentially is a x-ray of the
tubes and uterus after a dye has been injected through the cervix. This will
tell a physician whether the tubes are blocked or not.There
are many functions within the tube that we still don't understand. Just because
a tube is open doesn't mean it is functional. There are two types of treatment
commonly associated with Tubal Disease. They are tubal surgery and IVF (in
vitro fertilization). It is a judgment call as to which therapy will provide
the best option. Tubal obstruction with minimal disease may be treated with
surgery. Severe tubal disease is best treated with IVF.If
a patient wants to get pregnant and time is of the essence, then usually IVF is
recommended since pregnancy rates are very high. If a patient just wants
restoration of function in the fallopian tubes, then tubal surgery is
performed. Tubal surgery can be very successful for pregnancy, especially if
the patient has mild Tubal Disease and time on her side. Tubal surgery can only
provide the possibility of tubal anatomy restoration. The normal amount of time
it takes to become pregnant needs to take place. This can be up to one year
before additional therapy is considered. If the tube is damaged, surgery may
help achieve a pregnancy, but there may be a significant risk of tubal
pregnancy. |
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