HI all,
I'm a jpoucher thats been trying to fall pregnant for one year now. I have just done some screens to see if my tubes and uterous look ok, and the obstetrician found that I have one damaged / inflamed fallopian tube that needs to be removed. Apparently this damage occurs following in infection, or following abdominal surgery (possibly jpouch surgery for us).
Any way the obs. has recommeded removal of the tube, as it is full of liquid, which can leach cytokines into the uterous which make a hostile environment for an embryo, hence reducing chances of falling pregnant.

I still have the left tube and ovary working, so I am wondering if anyone else has been in this situation with a JPOUCH, and what the chances of falling pregnant naturally are?

Hi. I saw that you replyed to one of my posts, thank you. I too had my left tube blocked and decided to have it removed. The right tube looked clear on the HSG. My docs attempted laproscopic surgery but had to open me up due to excessive scar tissue. They did remove part of the left tube and found that in addition my L ovary was buried in scar tissue, my R ovary is adhered to my pouch and my R tube is patent but is also tied up in scar tissue making it impossible for an egg to find it's way down. This is why IVF is our only option. I was told aws well that the fluid in my L tube would prevent any pregnancy from taking and everything I could find in the research I did seemed to support this.
Until they did the surgey and saw what the situation was we hoped that since the R tube was patent that we would be able to become pregnant naturally, you have a 50/50 chance that the "good side" will produce the egg in any given month. Unfortunately now we know that that is not a possibility, but at least we know. I would say go for the surgery just make sure they know that they may have a hard time with scar tissue. My surgey was 12 years ago so maybe that is why I had so much, I don't know. Once they are in there they will have a much better idea of what you are really dealing with. Good luck, I wish you the best!
-Lisa

Saff;
I'm sorry to hear you are going thru this. BUT...I am overjoyed for you that it is just one fallopian tube! I lost both my tubes to the exact same thing when I was 19, a year after my j-pouch surgeries. I will keep you in my thoughts and prayers that you get your wish. Looking forward to reading a pregancy announcement on here in the future!

Hi,

So sorry for your blocked tube. I'm in the same situation and have my left tube fine but my right one blocked completely. Am waiting to hear in our follow up appt what our dr is going to do about it, but if it's hydrosalpinx, I've also heard that it can be detrimental for ivf (and we've had 4 failed attempts this year). Am very nervous for the surgery as I know our jpouch complicates things. Our dr is familiar with my situation and prior to findingout my tube is blocked, was hestitant about doing laporascopic surgery for diagnositc reasons.
(Lisa, your story really scares me but I'm glad htat it worked out ok).
Good luck to you both.

Hi
Don't want to confuse you & removal of your damaged tube will definatley help your chances of IVF. But just wanted to let you know that i was heading down this route after my 1st failed IVF but i went on to do a frozen embroyo transfer even though there was fluid present in my left damaged tube and it worked to my amazement, i have a healthy 14 month old girl. So it can work but think i was extremeley lucky. Good luck to you.

Hi all,

I had this same issue earlier this year. It was also my left tube. I was given the choice of removing it or to just tie it off so that the liquid couldn't reach the uterus. After a lot of reseach... we chose to just tie it off. It is an easier surgery / recovery and studies show that removing it can actally limit the blood flow to the left overy. So just something to consider...

Also... for us the right tube is so twisted and covered with scar tissue that even though with a HSG liquid did come out staying that it was clear, the DR's don't think its possible for the egg to make it through all the way to reach my uterus. They give that a 2% chance of working.

We did one full round of IVF this year (fresh and frozen cycle) and I'm just starting our 2nd round as I type this. I'm on my 5th day of lupron and hope to start the hormones on the 19th. I'm hoping this one does the trick for us.

If your right tube is clear... then you still have a good shot without IVF. That is great news. But it is also good news that IVF is an option as well. Always good to have options!

I hope this helps.

Nicole

HI everyone, THanks for your good wishes and shared troubles. Gee it sounds like it is a common problem amongst us pouchers.

A girlfriend of mine tonight got whisked into hospital today with an ectopic pregnancy and told she had to have her tube out tonight, so at least Ive had time to consider my options.

Thanks for your support, and I look forward to hearing good news from ivf cycles!