I recently completed a infertility work-up (bloodwork, HSG, pelvic ultrasound, and hysteroscopy). After all, my dr. concluded that my blocked left tube and partially blocked right is probably the problem of my not conceiving. I was given two options, try clomid for a few months or go straight to IVF. Of course I'd would love to do the IVF but costs may be a problem.
Has anyone been in a similar situation and tried clomid? Mr. dr. suggested clomid only because during the HSG testing, the dye went thru my right tube, dialated, then eventally spilled out after a few seconds.
Results 1 to 10 of 12
04-02-2008, 08:30 PM #1annie76Registered Userhas no status.
Blocked Tubes and Clomid
04-06-2008, 10:12 AM #2hydrogalRegistered Userhas no status.
Do you know if your tubes are blocked near the uterus (proximal) or near the ovary (distal end)? Did your dr say anything about fluid in your tubes? I was diagnosed with a blocked right tube called a hydrosalpinx (blocked at distal end with fluid in tube) and an normal open right tube. My ob/gyn prescribed Clomid for 3-6 months, but after 3 months of it without any success (and almost a total of 12 month ttc) I started seeing an RE (reproductive specialist). Apparently if there is fluid in your tube (caused by a blocked distal end) that fluid is thought to drain down and either mechanically disrupt implantaion, or creates a toxic environment that prevents implantation. I just had my right tube removed in December, and found out in March that we are now finally pregnant (after about 2 years of ttc with bad tube). My biggest recommendation to you is, if you are still seeing an ob/gyn, switch to an RE immediately. Ob/gyn are great drs if you don't have these kinds of tubal issues, but from my experience (and others on this board) they are not the best providers for patients with our kinds of problems).
Hope that helps!
04-07-2008, 11:52 AM #3QueenValerieRegistered Userhas no status.
Hello*!!! I have done many many rounds of clomid in my past...I have also done a couple rounds of femera...my honest opinion is I like femera a lot better...works in a similar mannor , but with little to no side effects like clomid has.
I have a blocked left tube and a dialated right tube that has histroy of ectopics.
I agree with hydrogal get as much info as possible and if not already with a RE set an appt with one asap*!!!Valerie (34) Ken (36) Married 10/07/06 Officially TTC 8/06
DX'd with lazy tubes and MTHFR
~~back trying again~~
**~TTC'd with EX for 6+ years...4 losses...2 ectopics and 2 m/c's~**
04-07-2008, 12:35 PM #4annie76Registered Userhas no status.
Thanks for the reply, QueenValerie & Hydrogal!
I'm working on finding a RE since I don't have one as of yet. I've decided to try the femera rather than the clomid. I've been researching the side effects of the two and feel that femera would be less invasive.
I'm gonna keep my hopes up and pray that someday my dream to have a baby will come true. Baby dust to you too! Thanks for the input, it is greatly appreciated!
04-07-2008, 06:41 PM #5BayouMommyRegistered Useris preparing for IVF #2
The best thing if you have blocked tubes is to obviously do IVF as the purpose of clomid will only enable you to ovulate but its still going to go thru the normal process of natural conception which requires a good tube. Since you stated that dye eventually went through the right tube the best thing to do is discuss with an RE about doing a wire canalization. You will be under general anesthesia and what they will do is place a thin wire thru your vagina to your fallopian tube and gently try to remove any debris, scar tissue thru that tube. If that isn't an option than have them try a laproscopy which they will make a small incision in the belly button and at the bikini line and try to open the tube up and remove any scar tissue by that means to make IUI a more suitable method for you. Good luck to you.
My right tube is open and the left is blocked due to hydrosalpinx, however it was not removed instead it was cauterized and clamped off.
04-08-2008, 06:22 PM #6CalleyDRegistered Userhas no status.
I hope I am not intruding but I am noticing some familiarity here with my case. After 7 years TTC (6 with ex hubby and 1 with DH) I finally went to see about infertility. My OB recommended the HSG test and found one tube blocked and the other was spilling fluid. My OB is wonderful but not an expert. She thought the one spilling fluid would be okay and to keep trying for about 6 more months and see what happens. Well, time wasted because she then suggested me to see an RE after she admitted she was at a standstill on a prognosis. The RE took one look at the films and, as I told DH, she punched me in the stomach (or so it felt like it). She was blunt and said...not going to happen with these tubes. The blocked one was obviously not working well because my gals and his guys were probably getting lost up there (it was severely dialated - almost sausage sized). The other tube was spilling the fluid she felt was potentially toxic.
Needless to say, with DH being a paramedic, we opted to remove the tubes after all other tests came back showing I was a good candidate. It was a good thing too because while my OB was removing my tubes, she saw my appendix was in the process of rupturing so we had that removed too. I am starting my first round of IVF this month. Just started Lupron shots on Sunday and IVF is to happen at the end of this month. I am keeping my fingers crossed that with us checking out on everything but the tubes, that all will be well.
Good luck to you...
04-27-2008, 06:49 PM #7mloRegistered Userhas no status.
Do not waste time and money when you have blocked tubes on anything other than IVF. Make certain that if there is a hydro, it is taken care of before the IVF - the fluid will kill embryos.
Really, OB/GYNs are practically useless when it comes to IF.
04-28-2008, 02:19 PM #8
mlo - its interesting you say that. It appears to be very common in the US to only treat tubal infertility by proceeding straight to ivf (perhaps ivf is a more lucrative business than surgery?).
In certain cases, with a skilled surgeon, micro surgery can be performed to repair the tubes. In fact, before ivf, this would be the only option for ladies like us. I'm in the UK and, if surgery is a viable option, it is always offered before moving to ivf. Of course it depends on a lot of factors, including the age of the patient, but if the tubes are repaired - they may remain repaired. This may be preferable to some ladies to whom removal of their tubes seems drastic (and very final once the patient has gone through several rounds of ivf).
I had a left hydrosalpinx, right tube was blocked with scar tissue (both at the distal ends) and I had micro surgery last November to repair the tubes. The surgery was 'sucessful' in that my tubes are still open. However I won't know if its truly successful unless I am lucky enought to get that elusive bfp. For me this route was definitely more attrative than the finality of ivf.
04-28-2008, 02:36 PM #9mloRegistered Userhas no status.
All the studies I ran across comparing tubal repair vs. IVF pretty much indicated a very poor outcome for tubal repair. Especially if there is a hydrosalpinx involved.
Tubal repair surgery also has a much, much greater risk of ectopic pregnancy than almost any other fertility procedure.
From what I looked at, the two procedures are comparable cost-wise, but the IVF option has a much higher success rate.
04-28-2008, 02:48 PM #10
There was a very recent study done in Northern Europe comparing the two methods, with some very interesting findings. As I said - sucess depends very much on the patient, age, type and extent of damge - as well as the skill of the surgeon.
This study only compared mirco-surgery with ivf, rather than the more convential (and much clumsier) methods of surgery. Micro surgeons are more qualified and skilful and if you can find one who has a history of successes, you then know its possible.
Its a decision that might be right for some people, and not for others. Its a choice to be made by the individual, with advice from their consultant, rather than being dismissed as a waste of time and money.
Just my opinion - I like to look at all the options and am an information junkie. Thats why I like these discussion boards so much.
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