Trouble TTC

Tube plugged or removed?

Hi ladies,

I had my second appt with the RE yesterday to discuss the results of my blood work and pelvic ultrasounds. All blood work was normal!! And DH's S/A was normal!!  The results of the ultrasounds were not as positive. I already knew from past appointments that I have multiple polyps and fibroids. They are all small and can be removed without a major surgery.  However, I didn't receive anymore guidance on the possible tube blockage?!  So, the RE thought it would be best if I schedule my procedure to have the polyps and fibroids removed and at the same time they will do a HSG. If they find that the tube is blocked they want to either plug it or remove it at that time. So she wants me to decide before hand which one to do.  Any of you decided to have one over the other?

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~TTC#1
Began seeing RE in June 2011, not preventing since 2006
Me: 31, DH: 31
DH: SA perfect
DX: Fibroids, uterine polyps, tubal factor
5 failed clomid cycles
IUI#1 in Jan 2013 = BFN
On to IVF

Re: Tube plugged or removed?

  • After seeing the results of my HSG; that at least one tube is blocked (my RE was away when the test was done and says she doesn't find them very reliable), I am having laparoscopy and hysteroscopy in a few weeks. Until she gets in there we won't know whether it's polyps, cysts, Endo, etc, or if it will be able to be unclogged or if a tube will be removed. As scary as that is, my RE felt that the increased risk of ectopic pregnancy with a blocked tube is not worth taking a chance, and it's preferable to clean things up before trying again. I say go for the procedure. I keep telling myself that if I didn't have it done and something went wrong I wouldn't want to wonder if I could have done more. Good luck!
    TTC since 8/10.Hypothyroidism, put on Synthroid. Clomid 50 mg + IUI Oct '11 = BFN. HSG found blocked tube Nov '11. Lap + Hysteroscopy to remove tube and fix septum Dec '11. Cancelled following cycle due to lack of response to Clomid. Jan/Feb '12 Clomid 100mg + Folllitism + HSG + Vivelle Dot + IUI #2 = BFN. 3/30/12: Natural Cycle BFP - beta 59 @ 12dpo, beta 286 @ 16dpo Baby boy arrived 12/8/12!
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  • I have a completely blocked tube and did neither. The GYN felt no need to do either. The first RE I went to thought I needed a repeat lap and try to unplug tube. THe 2nd RE I went to saw no need to do either. I have done a lot of reading on it and found that trying to open up the tube can actually put you at as much risk for ectopic as just leaving it alone. 

    ETA- I would do the surgery to remove the fibroids etc and check the tubes just not sure what to tell you about removing or opening b/c I didn't do either. 

  • Sorry for just getting back to the board. I was traveling for the holidays. I truly appreciate your replies. I am thinking I will take it one step at a time. I will have the procedure to remove the fibroids and polyps first and decide later if one of my tubes is blocked what to do.

    Thanks again!!

    image Image and video hosting by TinyPic
    ~TTC#1
    Began seeing RE in June 2011, not preventing since 2006
    Me: 31, DH: 31
    DH: SA perfect
    DX: Fibroids, uterine polyps, tubal factor
    5 failed clomid cycles
    IUI#1 in Jan 2013 = BFN
    On to IVF
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