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Hi all,

 

After a long time of trying to conceive, I finally had an HSG.  It showed blocked distal fallopian tubes bilaterally with adhesions causing loculations of the dye or possible hydrosalpinx (on the right).  My doctor suggested doing laparoscopy, but said it was likely we would have to do IVF after that.  I am wondering if it is reasonable to skip the laparoscopy and go straight to IVF?  I don't want to waste any more time trying to conceive naturally if the odds of it working are low.  Does anyone know anything about success rates for laparoscopy either in helping with spontaneous conception or IVF conception?  Any personal experiences?  All thoughts and advice welcome!  Thank you!

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I'm a lousy example but...I had my 1st HSG at 20...was trying to conceive for 18months since my marriage...they found a hemi-uterus (could not tell me if it was from birth or a surgical complication from pushing everything around in there), both tube blocked...informed me that I would never conceive.

The HSG unblocked one of the tube...I ended up conceiving a number of times (I could never hold the pregnancy more than a few months so miscarried each time but I did manage to conceive!).

I would give it time. I know that you feel the sand running through the hour glass and do not want to waste any time but stop and breath...give the Lap surgery a chance then move on...if you have to.

Good luck

Sharon

 

Hello Bee26840,

 

I'm going through something similar. My husband and I have been trying to conceive for over a year with no luck. I just had an HSG on 11/13 and it showed that both my tubes have Hydrosalpinx and are blocked. The only way I can conceive is through IVF. Here is some information I found: 

Hydrosalpinx and IVF

  • Studies have shown that success rates with IVF are reduced on the average with hydros present compared to cases that had hydros surgically removed prior to IVF.
  • Because hydros have a negative impact on IVF outcome women are usually given the option of having surgery to correct the hydrosalpinx problem.
  • The surgery is usually done by either removing the tube or transecting it close to the junction with the uterus.

Sounds like the best option is to have the  laparoscopy and the tube removed to increase your chance of the IVF working. How are you dealing with the results? To be honest, I'm quite devastated and feel pretty numb right now. I knew I might have a more difficult time trying to conceive, but I never imagined that IVF would be my only option. My husband is in take charge mode and looking into IVF options, but the reality is it's very expensive. I made an appt. with a fertility clinic, but they couldn't get me in until February! I really want to start the process as soon as possible, especially since I need to have my tubes removed first. 

 

Please let me know if you would like to chat more about what you're going through.  

 

 

 

 

 

 

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