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There are many people who contribute to your care while you are in hospital. Numerous people and services work together to provide you with successful treatment in a hospital, from medical assessments and daily treatment...
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Primary infertility and IVF treatment. When a couple is already under pressure trying for kids, it’s always a blessing to have a doctor who can guide us in the right way. Dr. Rinki Tiwari has...
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We met Dr. Rinke for consultation as I had a history of PCOS and endometriosis. What we liked was she was very thorough and clear in explaining the need for different tests, medicines and the...
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Dr. Rinkee Tiwari is the best Gynecologist Specialist in Gachibowli, Hyderabad. She is expert and specialized in the treatment of Reproductive Endocrinology, Ovulation Induction, IVF Treatment, IUI Treatment, IVM Treatment, Embryo Transfer, ICSI, PICSI, IMSI
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Today all our dreams had come true because of Dr.Rinkie madam me and my wife had consulted many doctors but no own has made our dream true but when we meet Dr.Rinkie madam for the...
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What is Tubal Disease ?
The fallopian tubes are the place for meeting of sperm and egg. If any pathology is there it will impact your chances of getting pregnant. Tubal disease contributes to 25-35 % of female infertility.
Causes of Tubal Disease
The main cause for tubal infertility is inflammation of tubes. Pelvic inflammatory disease is the most common cause for tubal disease, mostly caused by chlamydia trachomatis infection.
Blocked Fallopian Tubes
If one or both tubes are blocked they will impact your fertility greatly. Blockage of tube can be proximal and distal. Proximal blockage could be because of PID or endometriosis. Distal blockage most commonly due to hydrosalphinx
Diagnosis of Tubal Disease
HSG ( hysterosalpingography ) can help in screening of tubal blockage to women with no suspicion of co-morbidities like PID, endometriosis, hydrosaplhinx.
In women with suspected comorbidities should advise laproscopy with dye test so that any treatable tubal or pelvic pathology can be evaluated and managed at the same time. Evaluation of pelvic infection ( Chlamydia / TB ) also should be done.
Hydrosalpinx
A hydrosalpinx is a particular type of tubal blockage in which the tube is obstructed near its fimbrial end – the
open, outside end of the tube. With hydrosalpinx, the tube becomes filled with clear watery fluid.
Hydrosalphinx cause tubal blockage and the dirty fluid of hydrosalpinx can be toxic to embryo and can wash off embryo.The best method to detect hydrosalpinx is by routine 2D transvaginal scan.
The ideal management of hydrosalphinx is IVF and embryo transfer after tubal occlusion.
Treatment of Tubal Disease
Proximal tubal occlusion may get treated by hysteroscopic tubal cannulation. In case of distal tubal disease treatment depend on satge of tubal disease and involvement of endosaplhinx & tubal wall. The ideal management of hydrosalphinx is IVF and embryo transfer after tubal occlusion.
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