Hello, my spouse had one blocked tube at left side. We are trying for pregnancy since 1 yr. But unfortunately we could not get it, so finally we approached a gynecologist, she made HSG test and confirmed that Left side tube is blocked and suggested us to go for IUI. As per the suggestion we went under IUI treatment for last month (Doctor confirmed with scan that egg is being released from Right side, hence proceeded for IUI), but that was not successful. This month something repeated the egg is coming from right side so went through IUI treatment yesterday. And I have good motility and sperm count. 1.But what could be the reasons for IUI failures, what is the success rate of IUI? 2. Doctor also suggested to go through laparoscopy for clearing the block. Is that possible with laparoscopy? Does it have any side effects like causing ectopic pregnancy? 3. And also suggest us the good precautions to get it success and good food after IUI procedure. thank you.
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Laparoscopy can help in finding which tube is blocked as well as blocked can be opened if surgeon is capable of doing that, we can see other pathology if present and can be corrected also.
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Hi iui is a personal choice. Success rate is 33% approx. U must go for laparoscopy to find out the cause of block and also it may clear the block. If your wife is very thin get her checked for tb.
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HSG has an accuracy rate for diagnosis of about 85%. If the tube is found to be blocked on ultrasound; it is ideal to undergo Hysterolaparoscopy to not only diagnose the blockage but also to remove the blockage if possible. It is very common to find that when one tube is blocked then the other tube may also not be very healthy and functional even if it is found to be open on HSG. One of the causes for your IUI failure could be this. The chance of success with IUI is only about 12-16% depending on various factors. If conception does not happen in 3 cycles of IUI; it is time to move to advanced techniques like IVF/ ICSI.
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