BILATERAL TUBAL BLOCK (Should one go for laparoscopy or go directly for IVF?)<br /><br />Bilateral tubal block on HSG is a report which a couple bring to the OPD after HSG. Two option are given to the couple should they undergo laparoscopy or should they directly go for IVF.<br /><br />If the couple decides for laparoscopy then –<br /><br />1. Get an accurate report whether their tube are block or open because laparoscopy gives 100%diagnosis of block or open tube. HSG only has a diagnosis of 60% if the tubes are blocked. 40% cases are false positive.<br /><br />2. It helps to open minor blocks with the help of salpingostomy or cannulation. It the block is at the opening of the fallopian tube then 60% chances are there that tubes can be opened.<br /><br />3. We can get to know the infection causing the tubal block whether it is chlamydia of TB. Treatment can be done accordingly and then the infertility treatment can go ahead.<br /><br />4. If there is hydrosalpinx then also we Can treat it and later go ahead with IVF. It will further increase the chances of IVF.<br /><br />If the couple decides to go for IVF the advantages are –<br /><br />1. The success rate of IVF is 40% to 50% and if a couple tries naturally they will take 3 to 6 months to get pregnant.<br /><br />2. There is no need for any operative procedure as we are doing the process which is done in the fallopian tube in the IVF laboratory.<br /><br />If you have blocked fallopian tube in HSG kindly go for laparoscopy then go for IVF.<br /><br />For more information contact: Dr Roshi Satija, Fertility Expert - 9958722133<br />Visit - http://www.drroshisatija.com<br /><br />You can also follow Dr. Roshi Satija on -<br />Facebook - https://www.facebook.com/DrRoshiSatija<br />Instagram- https://instagram.com/dr_roshisatija
