Fix The Tubes or Lose The Tubes

The American Society of Reproductive Medicine has just issued it's new Committee on the role of tubal surgery now that we also have in vitro fertilization (IVF). Women who have had prior PID, prior endometriosis, prior pelvic surgery, previous tubal ligation, or other chronic vaginal infections may have blocked fallopian tubes as the reason for their infertility. For many years we only had the ability to perform open surgeries to correct these problems and help women with tubal blockage have a child. Then for many years physicians were erring on the side of IVF because the pregnancy rate per cycle is slightly better than say putting cut tubes back together. But tubal surgeries can be very cost effective and fixing the tubes, if it works, will allow women to be fertile for the years going forward, not just that one cycle of IVf. So the committee has weighed in on a number of issues, first they have said that a firm diagnosis of the problem should be achieved. And if there is blockage on the x-ray or ultrasound, consider repeating the test, sometimes they will show openings in a second round. Also the committee has indicated that a tube damaged beyond repair should be removed. Tubes that only have a bit of scaring at their end should be opened surgically to try to correct fertility issues. Some women with prior tubal ligations should try to have their tubes reconnected not just have IVF. Some women with blockage at the point where the tube implants could have a type of drilling procedure that is done under ultrasound, x-ray or with the hysteroscope (operating within the uterus) that just reopens the blocked portion. So the committee reminded women that some tubes can be fixed, others you may need to lose by surgical removal to improve your chance at fertility.

Comments

Passing Your Uterine Lining, Menstrual Period Norms

Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously. It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you

Endocervial polyps

2 cm Endometrial Polyp After Removal Polyps in the cervix are almost never cancerous, but can bleed or get infected and should be removed. The are not directly related to an endometrial or uterine polyp (which is a precancerous condition), but your gyno may want to make sure these two conditions do not co-exist.

Irregular Periods can Be the Sign of Other Medical Conditions

Heavy menstrual Bleeding Menstrual Period Norms The menstrual period's normal physiologic function to shed the lining and then prepare the lining for a pregnancy. Thus a sample of the lining under the microsope looks like it has glands within tissue. It’s hard to know if this is a heavy period, or one that is really so heavy that you need treatment without really checking completely with your gyno! Experts have used a number of definitions to determine if the period you are having is too heavy. Your perception is important. The actual amount of blood lost is important, but that can be determined by collecting each pad and weighing them before and after blood collection. So gynos have struggled with how to determine the formal definition of heavy bleeding. A basic check up, and a basic blood count, is not going to really make your version of heavy periods fit the typical “FDA” approved definition because that is defined by the exact amount of blood lost, which is los

GynoFiles

Search This Blog