I think I remember you posting that you have blocked tubes or at least 1 blocked tube secondary to scar tissue. I have this same issue and my reproductive endocrinologist also told me that because of the blockage and past surgery I have inflamation/hydrosapalinx of my tubes. The fluid in the tubes can wash into the uterus and decrease the chances of an embryo implanting by 50%-basically taking your IVF success rates from 40% down to 20%. He suggested I have a tubal litigation or Essure placement prior to trying IVF-not that I couldn't do IVF without it, but having those procedures would double my chances of implantation.
I'm thinking this is not an issue for you or you have already dealt with this, but I just thought I would mention it as my OBGYN who did my HSG and initial fertility testing for 2 years NEVER said anything about hydrosapalinx. She didn't even diagnosis me with it, so I know that this is somthing that doctors can miss!!
Best of luck to you!!!!

I just had my HSG yesterday and found my left tube is blocked and I have 2 hydrosapalinx (he now thinks) and now we are going to have to talk about pinching off my tubes next week. But not tieing my tubes...I don't know much now but he didn't say it would be major surgery just laprasopic...so we'll see. Good luck!

Hey Beth156,
The doctor I went to addressed the hydrosapalinx but he stated that just taking a high dose of antibiotics after retrieval would keep the fluid out. Now I am thinking that is what the problem was with the implantation.
I have read a lot online in the last couple days and just like you said the hydro can decrease the chances of implantation by 50%, that is a big deal to me and I don't understand why he would just suggest antibiotics. Again definitely a lot of questions to ask the next doctor.

Hey commandz,
That sounds like something that could defintely help, especially if it's not major surgery. None of us want to here about major surgery I know after all the colon stuff we have had to go through. That is really what I have been thinking about the last couple days now.
If they can do a small procedure to tie off or close the tubes I am ok with that but I don't really want them going in there trying to take the tubes out. Just doesn't sound like a good idea with 14 years of scar tissue in there.

My doctor said that the fluid is permanent and the way he explained it, it was a result of PAST inflamation, so at least to my understanding he didn't sound like he thought somthing like antibiotics would help at all... He suggested Essure placement as an alternative to surgically removing the tubes. This is a way to block the end of the tubes that goes into the uterus and effectively stop the hydrosapalinx. It is marketed as a premanent birth control option, but there are several studies on using it to treat hydrosaplinx for IVF. If you search arabella's posts, she just had this done and has included a couple links to studies regarding essure placement. I'm actually going to have mine placed later this month!

Hi Beth156 I have definitely been looking into all of this. I have a consult appointment on Oct 4th with a new RE so I will have plenty of questions for him. Please let me know how it goes after you get the Essure placed.
How long did they say you have to wait to do IVF after they place it?

MsSterl-I'm actually getting the Essure placed tomorrow morning... YIKES!! for 95% of people it takes 3 months before you can have IVF. YOu need to wait for enough scar tissue to form to block off the tubes. They verify that you are ready for IVF via an HSG test. If after 3 months, some dye still leaks though, you need to wait another 3 months.

My specialist said he has done about 30 essure placements for hydrosapalinx and all of them except for 1 person were good to go after 3 months, and that other 1 person was ready after 6 months.

I will keep you updated how the essure goes and if I find out any further information!

My doctor talked to the chief of surgery about me and was telling him about my total collectomy and wanting to take my tubes out and he said that we shouldn't do it laprascopically because they would have to go in around the small bowels and since that is all I have and have been doing well they don't want to mess with that. So I don't think that we are going to do anything and try without blocking anything and do IVF. I can see either side on making my decision but I don't want to be cut anymore and even if they do block the tubes with essure or take them out IVF still might not work. Next time I want to be cut is for giving birth...

Not the same situation but last December I needed to have a complete hysterectomy and my gyn. surgeon really wanted to do it laprascopically. My colorectal surgeon said it wouldn't work because I had alot of adhesions. Still the gyn surgeon was determined. Up to the minute they put me under I repeatedly told the surgeon I would not be in the least bit disappointed if he had to open me up. Well, he had to for the reasons mentioned above and he did so along the same scar as the original proctocolectomy. It was the easiest surgery I've ever experienced! Fast healing and no discomfort!