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  1. Joey
  2. Infertility Discussion
  3. Thursday, 24 October 2013
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Hi doc,

If tubal conditions are uncertain with very minimal dye actually seen in both tubes with no spillage per hsg, what should be done next? Is laparoscopy the best idea? Would it be ok to go straight to fertility treatments at this time? Is it still worth a try with iui despite tubal conditions are inconclusive and no further study (as insurance cover iui only)?

Thank you :)
Responses (1)
DrNorian Accepted Answer Pending Moderation
Hi,

IVF would give you the shortest time to pregnancy and is indicated if both tubes are blocked. Now, given your unique situation of having minimal filling and no spillage of dye on the HSG, I would conclude that the tubes are blocked and would recommend IVF. Given that you have coverage for IUI's it may make sense to do a laparoscopy with the dye test (chromopertubation) to determine once and for all if the tubes are open or not and this there is endometriosis or scarring or other conditions. If you are over 33 to 35 years of age, we would like to get you pregnant sooner than later because of the impact of time upon female fertility. IVF would be the best option as it is our most effective treatment.

Hope this helps and good luck!

John Norian
  1. more than a month ago
  2. Infertility Discussion
  3. # 1
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