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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can I Conceive Having Removed A Fallopian Tube?

I am 22 years old. When I was 12, I had a cyst on my ovary and had to have it removed, along with a fallopian tube. I am now married and am trying to conceive. I do not have a cycle every month, and have not had one in almost a month. I have bought over-the-counter ovulation tests, and they come out positive. Any advice?
Wed, 27 Jan 2016
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OBGYN 's  Response
Hallow Dear,

You have to consider multiple things while trying for pregnancy.

1. Even though your one tube is removed, remaining one tube is very much capable of picking up the eggs discharged from both the ovaries for conception, provided that tube is patent. I would advise you to undergo hysterosalpingography (X-ray of the uterus and tube after filling in radio-opaque dye) and/or Laparoscopy to assess then patency of the tube, normalcy of the uterine cavity (HSG) and any adhesions in the pelvis (Laparoscopy).

2. You are having irregular menstruations. Though one test by ovulation monitoring kit has indicated ovulation, may be you are not ovulating regularly every month. You may undergo regular ovulation monitoring by ultrasonography. This will guide you for the day of intercourse also. Further more it can find out the thickening of the uterine lining and size of the follicle when egg was released. Follicles between 18-21 mm size give best results.

3. Please get your husbands semen also examined for its quality.

4. If you have missed your period for one month, it is a good idea to get pregnancy test done on the overnight first morning urine sample.

I hope this should help you.

Dr. Nishikant
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Can I Conceive Having Removed A Fallopian Tube?

Hallow Dear, You have to consider multiple things while trying for pregnancy. 1. Even though your one tube is removed, remaining one tube is very much capable of picking up the eggs discharged from both the ovaries for conception, provided that tube is patent. I would advise you to undergo hysterosalpingography (X-ray of the uterus and tube after filling in radio-opaque dye) and/or Laparoscopy to assess then patency of the tube, normalcy of the uterine cavity (HSG) and any adhesions in the pelvis (Laparoscopy). 2. You are having irregular menstruations. Though one test by ovulation monitoring kit has indicated ovulation, may be you are not ovulating regularly every month. You may undergo regular ovulation monitoring by ultrasonography. This will guide you for the day of intercourse also. Further more it can find out the thickening of the uterine lining and size of the follicle when egg was released. Follicles between 18-21 mm size give best results. 3. Please get your husbands semen also examined for its quality. 4. If you have missed your period for one month, it is a good idea to get pregnancy test done on the overnight first morning urine sample. I hope this should help you. Dr. Nishikant