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Many women who have blocked tubes, opt for IVF treatment. Some of these women also have a hydrosalpinx- in this there is fluid inside the blocked tube. Today, its common practice  to recommend to patients that the hydrosalpinx be removed or the blocked  tube be clipped before IVF. This is done by performing an operative laparoscopy. Take a look at why this procedure is done…

The additional procedure

The hydrosalpinx fluid is toxic and can prevent the embryos from implanting; removing the hydrosalpinx is supposed  to improve IVF pregnancy rates. Most gynecologists advise their patients to get this surgery done  before they refer the patient for IVF. One of the main reasons they suggest this is because  this becomes an additional surgical procedure  for which they are able to charge their patients.

A matter of overtreatment

The fact is  that the procedure in itself is an unnecessary one and can actually end up causing more harm than good.  The first thing to keep in mind here is that its overtreatment. Most clinics do this procedure before IVF even if the hydrosapinx is very small. The original study had selected only patients who had and a large hydrosalpinx and there is no proof that patients with a small hydrosalpinx will benefit from it.

More harm than good

Unfortunately, patients aren’t really that well informed  to actually question their doctors about it and  they very willingly sign on the dotted line. However, just as is the case with all surgical procedures, even this minimally invasive surgery carries certain risk. It can  reduce ovarian reserve and impair ovarian blood.

In fact, there is a far easier method of ensuring that the hydrosalpinx fluid won’t affect the embryos when they are being transferred. During egg collection, it’s possible to aspirate the hydrosalpinx under vaginal ultrasound guidance. It means that while the embryos are being transferred into the uterus 3-5 days down the line, the hydrosalpinx doesn’t have any toxic fluid that will harm the embryos. This is a zero-surgical, simple solution that ensures  the hydrosalpinx fluid will not affect embryo implantation or IVF success rates !

Not happy with the attention you are getting from your IVF clinic? Need more information? Please send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you!

 

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