My Wife has a destroyed right Fallopian Tube (line, weeks, years)
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My wife after several months of not ovulating and getting her period was sent to get an ultrasound which revealed cysts. They put her on medication to induce her period in hopes that it would jump start her cycle again. Well it didn;t happen. She was then blood tested and it came back with a little higher than normal testosterone and low DHEA, also no progesterone which means no ovulation has been occuring.
So the typical diagnosis is Polycystic Ovarian Disease, which we figured anyway but the Dr was so sure that this was only a minor hurdle and all that she really needed was probably a fertility aid like Chlomid. So before we were going to head out he wanted to do a quick ultrasound to see if or any cysts were still around. Well that where he saw that her right fallopian tube was completely comprimised with scar tissue etc. Totally useless. he check the left tube as best as he could on the ultrasound and didnt see any blockages but they will not know for sure until they use an XRay and dye. Needless to say we were both stunned. The good news is that both ovaries, especially the left side have a ton of eggs. So if there is no blockage ont he left side, we have a good chance. If there is a blockage our only course of action is IVF.
has anyone went through a situation like this. My wife is a good person, she's a kindergarten teacher and would give the world to be a mom. That is her purpose in life and I want to be a dad. She's 28 years old.
You shouldn't have a problem if she still has one side that is healthy and open. I know of two people that have lost an ovary on one side early in life and went on to have children without intervention.
I've heard that the healthy side will ovulate each month (basically taking over for the unhealthy side), so you're still getting an egg each cycle anyway. How long have you been trying?
actually my wife hasnt gotten her period on her own for the last 7 months since coming off birth control. She hasnt been able to ovulate. The follicle isnt releasing. 0 progesterone registering when they did a targeted hormone test when she should be ovulating.
The fertility doctor before finding that comprimised fallopian tube was pretty much dancing around because he knew what the problem was and was sure it was as easy as putting her on Chlomid. Keep in mind this fertility office or center, has one of the highest success rates in the state of NJ
First of all, take a deep breath and relax. It sounds as if Mrs.Tuck is in good hands.
Diagnosing blocked tubes with ultrasound can be tricky. The dye and xray will give a lot more information. If it turns out that both tubes are completely blocked, IVF is the way to go most of the time. If even one tube is open, that is all that is needed. Sometimes, if the tubes are badly damaged, removal of the tubes is recommended. This increase the IVF success rate and decreases the risk that a pregnancy will get stuck in the tube (ectopic pregnancy).
Some other things to keep in mind.
One is that women are statistically more likely to get pregnant in the cycles right after the dye test is done. Mrs.T. might want to try a cycle of Clomid to see how she responds befrore doing the xray. If she ovulates with it, then 3 cycles of Clomid after the xray, presuming at least one tube is open, would be a good idea. That lets you take advantage of that window of opportunity.
Next, you do not mention testing for abnormalities in insulin metabolism. Some women with PCO have insulin resistance. Use of one of the oral drugs used to treat diabetes can reverse the insulin and androgen abnormalities and cause resumption of ovulation in a dramatically short time. If Mrs. T. is overweight, and PCO is frequently associated with weight gain, she should get on a good diet and try to get the weight down a bit, too. Her doctor can recommend a diet.
Finally, a little ovarian physiology lesson. For reasons that are not clearly understood, in a normal menstrual cycle one egg gets a head start on all the others and becomes the one destined to ovulate. That egg may be in the same ovary as the one that ovulated in the previous cycle or it may be in the opposite ovary. The ovaries do not alternate month to month. And it is possible to get pregnant if you ovulate from one ovary and the only open tube is on the other side.
Mrs. T. is young. That is a big factor in her favor. I am optimistic for you two having a successful pregnancy!
I have a girlfriend who had a cyst on her left ovary and it crushed it to the point it had to be removed. She has had a normal life and not had a problem getting pregnant. I'm sorry you guys are going through this but there is light at the end of the tunnel.
My wife after several months of not ovulating and getting her period was sent to get an ultrasound which revealed cysts. They put her on medication to induce her period in hopes that it would jump start her cycle again. Well it didn;t happen. She was then blood tested and it came back with a little higher than normal testosterone and low DHEA, also no progesterone which means no ovulation has been occuring.
So the typical diagnosis is Polycystic Ovarian Disease, which we figured anyway but the Dr was so sure that this was only a minor hurdle and all that she really needed was probably a fertility aid like Chlomid. So before we were going to head out he wanted to do a quick ultrasound to see if or any cysts were still around. Well that where he saw that her right fallopian tube was completely comprimised with scar tissue etc. Totally useless. he check the left tube as best as he could on the ultrasound and didnt see any blockages but they will not know for sure until they use an XRay and dye. Needless to say we were both stunned. The good news is that both ovaries, especially the left side have a ton of eggs. So if there is no blockage ont he left side, we have a good chance. If there is a blockage our only course of action is IVF.
has anyone went through a situation like this. My wife is a good person, she's a kindergarten teacher and would give the world to be a mom. That is her purpose in life and I want to be a dad. She's 28 years old.
I want to ease your mind. I was diagnosed with Stein Leventhal Syndrome (which is Polycystic Ovarian Disease) when I was 17 years old. I had a wedge resection (which cures PCOD) on my ovaries. When I was 23, I had an etopic pregancy in my right fallopian tube, which was removed.
I subsequently had two children! I didn't need to take fertility drugs. I simply accepted that it was unlikely I woudn't have children. When I was 26, I became unexpectedly pregnant with my first child. When I was 28, I became pregnant with my second child. I consider them both to be miracles, but they're really not miracles. The wedge resection surgery fixed my PCOD. My losing a fallopian tube didn't impact my ability to become pregnant.
I highly recommend asking the doctor about surgical correction of the cysts on the ovaries. This isn't done as often today, but it does cure PCDS. Read up on "ovarian wedge resection." That's what the surgery is called.
actually my wife hasnt gotten her period on her own for the last 7 months since coming off birth control. She hasnt been able to ovulate. The follicle isnt releasing. 0 progesterone registering when they did a targeted hormone test when she should be ovulating.
That's because of the PCOD. The surgery has a high success rate for correcting that.
I had the same problem as your wife---prior to my surgery, my periods were extremely rare. Then, one day, I got a period that never went away for 6 weeks. That's how I ended up at the gyne at 17 years old. They did an ultrasound, diagnosed me with PCOD, and scheduled surgery for the wedge ressection. I've had periods every month like clockwork ever since the surgery and I'm in my mid-40s now.
Quote:
Originally Posted by Tuck91NYG
The fertility doctor before finding that comprimised fallopian tube was pretty much dancing around because he knew what the problem was and was sure it was as easy as putting her on Chlomid. Keep in mind this fertility office or center, has one of the highest success rates in the state of NJ
I wouldn't bother with a fertility center yet. They aren't gyne surgeons. They don't make money referring patients to surgeons for wedge resections. They make money by dragging you along via trying different things. They make money off of your strong desire to have biological children. Their success rate might be higher, but that doesn't mean that they are doing everything that is in your best interest.
Actually, the pregnancy rates with medications for PCO are high enough that meds are the first line treatment unless there is some other reason to have surgery. Surgery is more expensive and does have more risks.
If medical treatment does not achieve a pregnancy, the preferred surgical treatment is not wedge resection but "laparoscopic ovarian drilling". One of your references mentions this, by the way. Ovarian drilling is less likely to stimulate scar tissue, something Mrs. T. does not need if there is an already existing tubal factor. And the anti-adhesion drugs mentioned in the second link do not work very well.
And fertility specialists are gynecologic surgeons, by the way. They do not refer patients needing surgery to someone else. They specialize in procedures to enhance fertility, the vast majority of which are done laparoscopically these days. When you had your wedge resection, the laparoscope was just being incorporated into gynecologic surgery, mostly for tubal sterilization and as a diagnostic procedure. It took about 20 more years for the technology to be developed to allow more complex surgical procedures to be performed.
So, Mrs. T. is right to seek out a fertility center with high pregnancy rates (and what you really want to know is the "taking home a baby" rate, not just everyone with a positive pregnancy test). And if surgery is needed, the infertility specialist will be able to do it.
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