X-posted to 3T: possible great news at RE today but would like your opinions!

jencity9

I had my consult today regarding a lap to remove a hydro before IVF. However, after reviewing everything, my RE said that the hydro is mild and isn't completely blocked... That the dye is going out the other end slowly. So because of that, he would be perfectly okay going straight to IVF. He said the lap (and also hysteroscopy) would be if I wanted to do more IUIs which I don't. I'd want to do IVF either way. So this sounds like great news.. But have any of you heard of that? I realllly don't want surgery if I don't have to and I feel confident in my RE, but on the other hand he didn't mention IVF until I had asked if we should still go pursue that as well.. Then he was like oh if you want to do IVF we can go straight to that!

katib77

Since tubes are not needed for IVF, it sounds like it makes sense- that you only need to do it if doing IUIs, not if your plan was to move on to IVF

Sha259

Tubes are not needed for IVF, but they can adversely effect your outcome if there is fluid on your tubes (hydrosalpinx). 

I don't want to be one to throw cold water on your excitement, because I definitely understand not wanting to have the lap (I've had 2). So, if your RE is confident that what you have is, indeed, not hydrosalpinx, and feels confident with moving on to IVF with your tubes current condition, I say go for it.

Are you OOP, are you doing a shared risk program? At this point I would also be looking into options if you end up with failed cycles and it turns out that you did have fluid on your tubes. IVF is alot of money!!

I seriously hope that your tubes wont give you problems and that IVF will be successful for you!!

pblge

Like @Sha259, I would worry about the potential hydrosalpinx. If your RE is right, then you're golden to go ahead. If there is a possibility of hydrosalpinx, then IVF might not work. I think weighing your options, and possibly a second opinion might be worthwhile, depending on what and how much you have to pay for. IFinTN is on a Bump break, but she had a possible hydrosalpinx, then a doctor said she was fine, then a better doctor said she needed them out.

I hope it really is as good as it sounds, but IVF is a lot to go through if there's something fundamental that would prevent it from working!

jencity9

Well I guess the main difference between what he's saying now and what he said before is that the reasons hydros are dangerous is solely because they back up fluid into the uterus... He doesn't believe in this case that it will do that because it's not completely blocked and it does go through, just slowly.

He said if I were going to wait a few months for IVF then he'd recommend another HSG first to see how it is.

I guess my thought is to do IVF, after $1000 more we just have to pay 20% and if it doesn't work then reevaluate then?

przemosbabe

I hope you don't mind if I answer. I have no experience with this, but I have always read stuff online about TTC even when I was not trying to get pregnant. I when it wasn't happening I started reading about every fertility problem under the sun. I have seen it being said that if you have hydro, its best to remove the tubes because the fluid inside the hydro can be toxic and it can leak out into your uterus which is harmful to little babies trying to implant. I'm not professional, I'm just throwing out what I have read in hopes that it is helpful to you.