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Dr. Selvi Mahalakshmi

Gynaecologist, Chennai

100 at clinic
Dr. Selvi Mahalakshmi Gynaecologist, Chennai
100 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Selvi Mahalakshmi
Dr. Selvi Mahalakshmi is one of the best Gynaecologists in Thiruvottiyur, Chennai. You can consult Dr. Selvi Mahalakshmi at SSS Hospital in Thiruvottiyur, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Selvi Mahalakshmi on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 40 years of experience on Lybrate.com. You can find Gynaecologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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No 924, T H Road, Tiruvottiyur. Landmark: Near Ellaiamman Koil Street, ChennaiChennai Get Directions
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I had my periods on march 28; 29:30. And on april 3rd I had unprotected sex (withdrawal method) with my partner. After having sex I had bleeding and it continued to next day on april 4. Im I pregnant. Till date I haven't got my periods back. Im scared. Im still studying. I dnt want any baby. Is there any measures to prevent pregnancy. Without consulting doctor. please help me. Save me.

MBBS
General Physician, Cuttack
I had my periods on march 28; 29:30. And
on april 3rd I had unprotected sex (withdrawal method) with my partner. Afte...
Chance of pregnancy is less since you had sex during the 1stweek of menstrual cycle which is considered to be a safe period. However do a pregnancy test 10 days after missed period and consult doctor for advice and treatment.
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Please help me. I m 7 week pregnent with pcod. And my hcg level is 850. Is it risky?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
BHCG 850 means you are pregnancy but you have to do the test regularly until we can visualise pregnancy by USG. SO, right now we cannot say if it' s risky or not.
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Is it okay to take contraceptive pill aftr having unprotected sex Within 24 hours fo 20 age Girl .is it safe ya i'll face problem Please rply early.

MBBS, DGO
Obstetrician, Mumbai
Is it okay to take contraceptive pill aftr having unprotected sex Within 24 hours fo 20 age Girl .is it safe ya i'll ...
yes it is okay.but morning after unprotected pill is a emergency contraceptive.should not be used as a routine contraceptive.after it is a hormonal medication can disturb the body hormones.
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What is the recommended advice for vomiting at the starting age of baby in pregnancy and feeling uneasiness, unconsciousness feeling?

M.D.(HOMOEOPATHY), C.S.D.(MUMBAI), BHMS
Homeopath, Bareilly
What is the recommended advice for vomiting at the starting age of baby in pregnancy and feeling uneasiness, unconsci...
The patient you are talked about is sensitive mentally as well as physically. She is an introverted lady and her emotions leads to mental restlessness. She keeps on thinking about her pregnancy and some other things. If the above statement I made about her is true then make it a point do not go for any medication for vomiting only two things are helpful for her 1. Couselling 2. Homoeopathic medication.
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Hi, My sister is married. Before 2 years ago she get married. But up to now haven't get child. She is suffering from uterine tumors. Give solution pls?

BHMS, Master of Science in Pharmaceutical Medicine
Homeopath,
She should take homoeopathic treatment before any investigation and other line of treatment. Homoeopathy is safe and cost effective science.
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Sir mere dost ne sex kiya tha bina kisi nirodh ke par wo bta rha tha ki uska safed pani ladki m ni gya tha to kya ye ho sakta h ki ladki pregnant ho jayegi sir jawab de detail ke sath please bataye solution.

BHMS
Homeopath, Sindhudurg
Sir mere dost ne sex kiya tha bina kisi nirodh ke par wo bta rha tha ki uska safed pani ladki m ni gya tha to kya ye ...
pre cum also contains sperms and 1 sperm is enough for conceiving so there are chances of pregnancy
4 people found this helpful
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Hii .I m married for 7yrs.Bt due to ovarian cyst i got irregulR periods.Nw i m havng period for 1month continue.I wanna get pregnant .But m.Not able to get pregnant.And here one local doctr told me to do open surgry.As my cyst size is bigger than orange.Duno wat to do morovr am working woman.My weight is increasing .M already bit faty.Pls help me.So that i can get pregnant

Vaidya Visharad
Sexologist, Narnaul
Dear, Obesity in ayurveda is known as Medorog and is defined excessive body fat accumulation in body. Medo roga specially found predominantly pitta body type constitution. The disturbed ?Pitta-the digestive fire? is disturbed leading to improper digestion and assimilation of fats. Being overweight can put you at risk for hypertension, diabetes, arthritis, back pain, coronary heart disease, and sleep problems. We have specialised medicine prepared for weight loss . No Exercise , No Dieting, No side Effect ,Kindly Attach your cholestrol and thyroid report. For better result and shape body use our medicine and see result within 15 days for order with your test reports details. Visit us at www.Malhotraayurveda.Com
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I'm 21 years old and I'm having pco I started using elestra tablet recommended by one of doctor but after using my breast increased a bit and now recently I'm having discharge from my nipples when pressed please tell me is it some danger signal.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
I'm 21 years old and I'm having pco I started using elestra tablet recommended by one of doctor but after using my br...
its not a danger. stop elestra. consult your doctor again. also , for PCO treatment it is vital that your weight should be under optimal limits. so if you are overweight , work on reducing the weight
1 person found this helpful
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Hi 6 weeks got chicken pox, adviced tab acyclovir, she had taken for 2 days. Should she continue with pregnancy or adviced termination of pregnancy.

B.H.M.S.
Homeopath,
Hello mam, just ask her to take rhus. Tox 200three hrly till get 60% relief, than inform me we will add some other remedy if needed, but start as above she n her baby will be benefitted no doubt, thnks.
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Hi last month on 12 th Nov .within 24 hrs of sex. I had taken I pill. My period should come on 5 th December. I am having slight bleeding from 4th December. I am not getting what it is? Please help.

DHMS (Hons.)
Homeopath, Patna
Hi last month on 12 th Nov .within 24 hrs of sex. I had taken I pill. My period should come on 5 th December. I am ha...
Hello, safer recourse be to get HPT done to assess the exact position in this regards * Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body.  * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress, improving Oxygen volume in blood in order, to establish your smooth flow, improving haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. •TK, Apple,carrots, cheese,milk, banana,papaya, pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. • Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ Pulsatilla 200-6 pills, thrice. @ Sepia200 -6 pills, thrice. * Ensure, sound sleep in d night for at least 7 hrs. •Avoid, caffiene,junkfood, dust,smoke, exertion •Your feedback will highly b appreciated for further, follow up.•Tk, care,
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Cholesterol: Good and Bad of It

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
Cholesterol: Good and Bad of It

Over the last few decades, the word cholesterol has assumed a different connotation. It has come to be known as a silent killer that spells doom for health. However, what we need to realize is that a certain amount of cholesterol is essential for the proper functioning of the body. The liver produces about 85% of the cholesterol that is required by the body normally. The ever changing food habits have introduced a lot of processed foods that are loaded with saturated fats. Along with this, reduced physical activity has led to accumulation of cholesterol in the blood.

The types of cholesterol are based on the density and we have 2 types of density that is Low Density Lipoprotein (LDL) and High Density Lipoprotein (HDL). LDL is more dangerous than HDL, called as bad and good cholesterol respectively. In addition, the triglycerides and lipoprotein are also critical indicators of overall cholesterol levels. Depending on a person's age, height and weight, normal levels are derived for each of these four.

Because of their density of the cholesterol molecules, as they are circulating in the blood stream, they tend to get sluggish and settle down along the walls of the blood vessels, referred to as plaque. This plaque attracts more and more cholesterol from the blood and the layer gets gradually thicker. This reduces the thickness of the blood vessels and in severe cases even completely blocks blood flow to important organs like the brain and heart, leading to severe conditions like stroke and heart attack respectively.

However, it is not always that all cholesterol is bad. It is one of the essential things for the proper body functions with the main functions listed below:

  1. Each cell in the body requires it to form the cell membrane, the protective layer around the cells
  2. Synthesis of vitamin D is done with the help of cholesterol, which is very essential for skin health
  3. It also helps in hormone formation. In addition to steroids, other hormones like testosterone, estrogen, cortisol require cholesterol as a main ingredient
  4. Formation of neurotransmitters and overall nerve function requires cholesterol. This ensures optimal neurological functioning.

So, as noted above, there are, both good and bad aspects to cholesterol. It is not all that dangerous a thing that it is made out to be. The trick is to maintain a good level of cholesterol so that the body's requirements are met, and at the same time, the harmful effects are kept at bay. Some important parameters to manage, include the percentage of bad cholesterol in the blood and the ratio of triglycerides to HDL in the blood. These are considered fair indicators of heart health and if need be, lifestyle changes and/or medications can be undertaken to manage overall health and reduce risk of heart disease and stroke.

4474 people found this helpful

Fallopian Tube Block In Infertility - What Can You Do?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Fallopian Tube Block In Infertility - What Can You Do?

When couples get married, they often view parenthood as the next stage in their family life. They want to have a child, they want to be “mom” and “dad”, they cannot imagine that this may be hard to achieve or may not be a natural process. When several trials to conceive fail, they are shocked. Their basic expectation about family life gets shattered. Most of the couples are desperately looking for medical therapy that will end into a misery. Clearly this is not a struggle to survive; it is a struggle to fulfill a dream, to achieve what they view as a “full life”.

What is needed for pregnancy?

In the male partner, sperms are normally produced in the testes after puberty (after attainment of characters like growth of beard, moustache etc). From the testes, they are carried through the sperm conducting ducts (epididymis, vas, seminal vesicle and prostate gland). Then during sexual stimulation, after proper erection and ejaculation, they come out through penis. During sexual intercourse, these sperms, present in semen, are deposited inside the vagina.

In female partner, the deposited sperms must travel from vagina through the cervix (the mouth of the uterus). The cervix acts as gate-keeper, a it prevents entry of dead and abnormal sperms as well as bacteria present in semen, in the uterus. From uterus, sperms reach the Fallopian tubes (the tubes that are attached to the both sides of the uterus) where the sperms must meet the egg (ovum). The eggs are produced only before birth and so, there are fixed number of eggs inside the ovary. The ovum released from the ovary, into the abdomen at the time of ovulation (rupture of the surface of ovary to release the ovum). That ovum must be taken by the tube and thus inside the tube an embryo (earliest form of the baby) is formed, by meeting of the egg and the sperm.

It should be mentioned that out of nearly 200-300 million sperms, in average, deposited in vagina, hardly 500- 800 sperms can reach near the eggs and only one will succeed to form the embryo. The embryo then travels through the tube into the uterus and the uterus attaches the embryo firmly with it and thus the pregnancy starts. So, if there is defect in any one of them there will be difficulty in achieving pregnancy.

Thus, to summarise, pregnancy requires:

1.Production of healthy (“Normal Morphology”) and movable (“Normal Motility”) sperms in adequate number (“Normal Count”) in the testes

2.Transport of these sperms through the sperm conducting ducts from testes to penis

3.Successful Erection and Ejaculation during Intercourse to deposit adequate number of these sperms in the vagina

4.Transport of these sperms from vagina through cervix to the uterus and the tubes

5.Presence of sufficient number of eggs inside the ovary and ability to release the eggs from the ovaries

6.Pick up of the eggs by the tubes

7.Approximation of eggs and the sperms to form the embryo

8.Transport of embryo from the tubes into the uterus

9.Acceptance of the embryo by the uterus and its growth

What is Infertility?

Literally, the word “Infertility” means inability to conceive. But in reality, there are very few couples, who have no chance of natural conception and are called “Absolutely Infertile”. In fact, in many couples who present to infertility clinics, pregnancy may be the matter of time, thus the chance factor.

It should be kept in mind that, if there is factors to question fertility of either male or female or the female is of age less than 35 years; after one cycle (one month) of regular frequent intercourse, the chance of conception in human being is only 15%. That means, out of 100 couples trying for conception, only 15 will be able to succeed after one month of trying. The word “Regular” and “Frequent” are important; because to achieve pregnancy, couples are advised to keep intimate relationships for at least 2-3 times a week and this should be increased particularly around the time of ovulation (Middle of the menstrual cycle). Thus chance of pregnancy after 6 months, 12 months and 24 months of regular trying are respectively 60%, 80% and 100%.

The word, “Subfertility” seems better and more scientific than “Infertility”, to describe the couples who have reduced chance of conception, due to any cause. However, the word “Infertility”, seems more popular, although it puts pressure on the couples. In most cases, usually we advise to investigate after one year of regular and frequent intercourse, when the couples fail to conceive. However, if there are factors to question fertility; for example female with age more than 35 years, or with previous surgery in tubes/ ovaries/ uterus or known diseases like PCOS or endometriosis; or male partner having surgery in scrotum or groin or any hormonal problems or sexual dysfunctions- the wait period is usually reduced and couples can be investigated, even soon after marriage.

What causes Infertility?

Please look at the point “Thus, to summarise, pregnancy requires” where 9 points have been mentioned.

Thus the common causes may be

1.Problems in male- total absence of production of sperms, less than adequate number of sperms, problems in morphology and motility of sperms (most sperms not healthy or movable), blockage in transport of sperms and inability to deposit sperms in the vagina (sexual dysfunction- Erectile Dysfunction or less commonly, Ejaculatory Dysfunction). Examples include hormonal problems (Testosterone, thyroid, prolactin), diabetes, liver problems, causes present since birth, chromosomal abnormalities, surgery, infection, sexually transmitted diseases, smoking, exposure of scrotum to high temperature, some medicines or psychological causes.

2.Problems in female- total absence of less than adequate number of eggs in the ovaries, problems in ovulation, problems in picking of eggs by the tubes, blockage of tubes, problems in conduction of sperms or embryo by the uterus, problems in accepting the embryos by the uterus. Examples include causes present since birth, chromosomal abnormalities, polycystic ovarian syndrome (PCOS), old age, increased weight, fibroid, endometriosis, pelvic inflammatory diseases (PID), tuberculosis (TB), infections, smoking, surgery, some medicines, hormonal problems (thyroid, prolactin) or excessive stress.

3.Unknown causes- Despite thorough investigations, 25-30% causes of infertility remain unknown. This is called “Unexplained Infertility”. The reason may be mere chance factors or there may be some causes which, still medical science has yet to discover. But this should be kept in mind while treating infertility. That means, even with correction of the possible factors (like improving sperm counts or thyroid problems etc) or with proper treatment (IUI, IVF or ICSI), unfortunately the treatment can fail and the exact reason, why the treatment failed, is sometimes difficult to find out.

In general, what are the treatment options for infertility?

To start with, please remember there is no hard and fast rules for infertility treatment. Often medical science fails to understand why couples with very severe form of infertility conceive sooner than those who are having all tests normal. That means, whatever treatment is offered, it’s very important to continue regular sexual intercourse, as the chance of natural pregnancy is usually there in almost all couples. Your doctor will present the facts to you, without pressurizing you on a particular option. After coming to know all pros and cons of different treatment options, you can take decision. Do not hurry. It’s quite natural that you might be in stress.

In general, after the initial tests, a few periods of natural trying is allowed. After that, ovulation induction (giving medicines to release eggs from the ovaries) is offered, failing which IUI and finally IVF is offered. What will be the preferred treatment for you, will depend on your age, duration of marriage, male and female factors and of course, your age. For example, a woman with both tubes blocked or a male with very low sperm count, IVF would be the first line of treatment.

What is Fallopian Tube(s)?

Fallopian tubes (commonly called “the tubes”) are the structures that are connected to the both sides of the uterus, as mentioned above. Each tube is of 10 cm length. The part attached to the uterus is called the “cornu” and the part remaining free is called the “fimbria”. It’s the fimbria, that is present near the ovary and picks up the ovum and transports it inside the tube. The cornu received the sperms from the uterus and passes it inside. Inside the tube, the sperms and the egg meet to form the embryo, which then travels down the tubes into the uterus and then the pregnancy starts.

What happens if tubes are blocked?

If both the tubes are blocked completely, anywhere along the length (cornu, fimbria or the middle), pregnancy is not possible. This is quite obvious, because either the sperm cannot enter or the egg is not picked up or they cannot meet.

However, if any of the tubes are partially blocked, then the sperms and egg can pass and meet but the embryo cannot come down into the uterus. As a result, the pregnancy continues inside the tube, which is called “Ectopic pregnancy” that is life-threatening for the mother. It’s important to remember that ectopic pregnancy can happen even if both the tubes are open.

What are the reasons for tubal blockage?

Often, the exact cause is not known. Infection is the commonest cause. The infections may be due to sexually transmitted infection (STI), particularly Chlamydia infection or infection from bowel or appendix. Tuberculosis is very common in our country and can affect the tubes, silently, without affecting any other parts (not even the lungs) of the body. Endometriosis is also a common reason for tubal blockage. Any pelvic surgery (surgery in ovaries, tubes, uterus, even appendix) can block the tubes by “adhesion”. This means the tube may be open but attached to the bowel or rotated on itself, so that the tube cannot pick up the eggs from the ovaries. Sometimes fibroid of uterus can compress the tube and cause blockage. Women, with previous history of ectopic pregnancy, are at risk. Uncommonly, some abnormalities, present since birth can block the tubes.

What are the types of tubal blockage?

Tubal block may be one sided or both sided. It may involve only a particular part of a tube or multiple parts of a tube. The site of the block may be the cornu, the fimbria or the middle portion.

Hydrosalpinx, is a thing that you must know. In this condition, the tube is blocked but the mid-portion is dilated and contains some fluid (often infected). This tube is not functional. And the problem is even if there is pregnancy by IVF inside the uterus, this fluid from the tube may trickle down, coming in contact with the embryo and can potentially kill the embryo!

How can I understand that the tubes are blocked?

Unfortunately, very few women have signs or symptoms indicating tubal block. However, if you had previous infections in pelvis, tuberculosis in any part of the body, appendicectomy or other gynaecological surgery, there is chance of tubal block. Patients with fibroid and endometriosis are also at risk of tubal block. If you feel severe pain during periods or during intercourse, there is a chance that the tubes may be blocked.

When the tubes should be tested?

As mentioned earlier, the routine investigation of infertility includes testing for the ‘open-ness’ of the tubes- “Tubal patency tests”. That means if pregnancy does not come within 12 months of regular intercourse, then we usually advise the tests. Sometimes, tests are needed, after 6 months of trying (see above). However, in some women, with low risk of tubal block (no risk factors as mentioned above), it may be appropriate to start treatment and continue it for few cycles and if no response, then tubes should be tested.

How the tubes are tested?

The method of tubal patency test depends on your risk of having blocked tubes and also your wishes, availability of resources, other fertility factors and of course the affordability.

Routine ultrasound (like TVS) cannot detect tubal patency. However, it can detect the hydrosalpinx in most of the cases.

If you do not have any risk factors (like pain during periods, endometriosis, previous infections or surgery), you can choose either HSG or SIS. These are done in out-door basis, without any need of anesthesia.

HSG (Hystero-salingogram) is a method by which, your tubes will be seen under Xray. After visualizing your cervix (mouth of the uterus) by a speculum (instrument inserted in the vagina) a small screw will be inserted inside the cervix and a contrast material (which can be seen by the X ray) will be given through it. If tubes are open, the Xray will show that the contrast material will be going through the tubes into the abdomen.

The advantage of HSG is that, a test showing open tube has good correlation with tubal patency (if HSG shows the tubes are open, it’s likely that tubes are open). It is widely available and also cheaper.

However, the problem is that most of the women feel it painful, although they are given pain-killers for it. In addition, there is small risk of infection, for which antibiotics are prescribed. The contrast material can rarely give rise to allergy in some sensitive women and it may be life-threatening in very rare cases. Another problem is the false positive result. That means if tubes are found to be blocked in HSG, in 50% cases, they will be found to be open subsequently in laparoscopy. This is mainly because of some spasm of the muscles of the tube during the test.

SIS (Saline infusion sonography) or HyCoSy (Hystero-Contrast-Sonography) is the method by which tubal patency is checked by ultrasound (TVS) along with water like material inserted inside the uterus through a small tube. If tubes are open, the passage of water can be seen going into the abdomen through the tubes, in the ultrasound.

The advantage of HyCoSy is that it’s much less painful than HSG, although mild discomfort may be there. Pain-killers and antibiotics are prescribed usually. Additionally, problems inside the uterus can be better visualized, even better than normal TVS. In addition, the false positive result is much lower, only 7%. That means if HyCoSy suggests that the tubes are blocked, in most cases, the tubes will be found to be blocked at laparoscopy.

The problem with HyCoSy is mainly the cost and it’s not available everywhere.

An important merit of doing the tubal test is that, sometimes the water or the contrast material used in these tests can open the “mild” block. That’s why we often find patients who conceive spontaneously with pregnancy inside the uterus, after apparently “blocked” tubes in HSG or HyCoSy.

Now, laparoscopy is reserved for those, who are at high risk of tubal block. This includes women with risk factors (pain, surgery, infection etc) o women having “blocked” tube in HSG or HyCoSy. Clearly, it’s done after hospitalization under general anaesthesia inside the OT. Two or three small opening (key-hole surgery) will be put inside the abdomen and through vagina a coloured material (“dye”) will be given inside the uterus. If the tubes are open, the laparoscopic camera will show that dyes coming out of the tubes inside the abdomen.

The advantage is that it’s a definitive test, can help you to make final decision. It also provides the options of treatment. If there is corneal block in HSG, we can make attempt to open the tubes using laparoscopy (see below). In addition, if there is hydrosalpinx, where the tube serves no function, the tubes can be removed (salpingectomy) or clipped (we put clips to block the tubes) to improve the chance of pregnancy if IVF is the only option left for you. In addition, laparoscopy helps us to see whether there is any other diseases that have been missed by routine tests and that may account for infertility. We can treat the cysts of PCOS (by applying current to destroy some cysts), remove any large cysts, remove any adhesion, treat endometriosis etc.

The disadvantage of laparoscopy is of course, the need of anaesthesia and associated surgical and anaesthetic risks, although in modern era, the serious complications are uncommon.

What are my options if tubes are found to be blocked in HSG?

There are simply two options. It depends on your age, fertility factors and affordability. Number one is directly, you can go for IVF. In that case, you can save time and cost. It may be a preferred option, if you are aged or have some other fertility factors (low sperm count, endometriosis etc). The chance of pregnancy per cycle of IVF is usually 40%.

Another option is that you can confirm the block by other tests, keeping in mind that you may need IVF if the tubes are found blocked ultimately. We usually advise to have laparoscopy. However, some women want to give a trial with HyCoSy, because if HyCoSy shows the tubes are open, then you can avoid laparoscopy and you can try different fertility treatment options.

In laparoscopy, first we see if tubes are open or not. If open, there is no need of further treatment in laparoscopy. However, if tubes are found blocked, especially if the block is in cornu, we can try “hysteroscopic tubal cannulation”, where we put a small catheter through hysteroscope (a telescope, like endoscope, put inside the uterus through vagina so that we can see inside the uterus using a camera) to open the tubes. If tubes can be opened, you have all options for fertility treatment open. However, if we fail to open the tubes, the only option left is IVF. In addition, if there is fimbrial block, it can be released and new opening in the fimbria can be made. The treatment of hydrosalpinx by laparoscopy has already been discussed (see above).

Having said that, there are some group of women, who conceive while waiting for IVF or laparoscopy after a blocked tube found in HSG.

What can I do if tubes are blocked in Hycosy?

In this case also, there is choice between the two- laparoscopy first and IVF directly.

What can I do if laparoscopy suggests tubal block?

Unfortunately, in that case, the only option left is IVF. As mentioned before, if hydrosalpinx is found it must be treated before IVF. However, sometimes we find hydrosalpinx in laparoscopy but cannot cut the tube of clip it, simply because you did not give consent to us for doing so. In that case, we can suck out (“aspirate”) the fluid from the hydrosalpinx under ultrasound guidance (no need of further laparoscopy) using the needle.

How tubal block is dealt in your particular centre?

We believe in patient’s autonomy. So we want to give time on discussion and presentation of facts and figures to the couples. We encourage questions from the couples and take utmost care so that no question remains unanswered.

We do not take decisions and impose it on the couples. We advise the couples to take time before taking decision on a particular treatment. If the couple decides, we respect and support their decision.

We prefer to have SIS or Hycosy, rather than HSG, to reduce the pain to the women. We discuss all the options if tubes are found blocked.

Conclusion:

Tubal factor can account for 20-25% cases of female infertility. It’s more common in secondary infertility (women who conceived earlier- whatever be the fate of the pregnancy). Tubal test is a part of infertility investigation. The choice between HSG and HyCoCy is open to you. If tubes are found blocked, the options are IVF directly or confirming the block by laparoscopy.​

10 people found this helpful

Im 6 weeks pregnant but from last 4 days im having little bit bleeding .so I went to the doctor & did the sonogram. They said there is only gestational sac & no fetal pole nor yolk sac found. Im unable to know that if I had miscarriage?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Im 6 weeks pregnant but from last 4 days im having little bit bleeding .so I went to the doctor & did the sonogram. T...
Seek the help of a local gynaecologist who will give you hormonal tablets to support your pregnancy. Although let me tell you frankly that chances of continuation of pregnancy are only 50% if bleeding occurs during pregnancy. Get your repeat ultrasound after 10 days. If the fetal pole and yolk sac and fetal heart beat, then it is a good sign and your pregnancy will do well. All the best.
1 person found this helpful
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I have noticed a whitish vaginal discharge and vulvak itching. Clobetasol cream alleviates the itching, but there is pain during sexual intercourse and I cannot reach an orgasm. What are these symptoms of?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Seems you are having fungal infection, bcz of which you are having itching, advise you take a treatment in form of antibiotics orally and antifungal vaginal tabs, and may be a mild pain killer, if still symptoms persists you may get back to us for further advice on this.
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I'm 27 years old. I had a C section before 3 months and I had a gall bladder surgery (not laparoscopy ) before a month. When can I start my workouts? I want to do tummy exercises in sit up bench. It's a heavy strain exercise.

Diploma in Obstetrics & Gynaecology
Gynaecologist, Junagadh
I'm 27 years old. I had a C section before 3 months and I had a gall bladder surgery (not laparoscopy ) before a mont...
After three months of surgery you start work out but gall bladder before month so wait for one to two mtgs.
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I am married 25 years my marriage on 5/5/2011 due to my study I stay in hostel and come to only holiday every saturday bt didn't want baby my study was 4 yrs in holiday tm by mistake I conceived three tm every year and took medicine unwanted pill now I still stay at home and try to conceive but no effect and have regular sex one tm nd some time two tm bt first april is my lmp but no result I m worried please help.

Advanced Aesthetics
Ayurveda, Gulbarga
A number of factors can cause this problem, such as eating disorders, significant weight loss or gain, anemia, menopause, thyroid disorders, hormonal imbalance, liver disease, tuberculosis, irritable bowel syndrome, diabetes, recent birth or miscarriage, polycystic ovarian syndrome, uterine abnormalities, and other health conditions. Lifestyle triggers like increased exercise, smoking, alcohol abuse, caffeine, travel, stress, and certain medications and birth control pills can also contribute to this problem these i-pill side effects more queries consult privately and your husband age inform me.
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My wife always feel pain while having sex and also she has no orgasm. She also has no desire or urge to sex. What will be the possible reason?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
My wife always feel pain while having sex and also she has no orgasm. She also has no desire or urge to sex. What wil...
Hormonal level imbalance, stress, social strains, professional or homely chorus may cause it. Our nutritive, rejuvenative, antidepressant, adaotogenic pakage of herbal combo elevates the mood, improves sexual desire and interest and performance as well as corrects hormonal balance.
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