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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Infertility Inspite Of Having Ulcertive Colitis

I have questions regarding possible infertility. I have ulcertive colitis and have several surgeries and now have not been able to get pregnant. I'm seeing a specialist now and they are worried about scar tissue around my tubes. What can help with this?
Tue, 27 May 2014
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General Surgeon,  's  Response
Hi,

Thanks for writing to HCM.

If a patient with similar complaints come to me I usually suggest to undergo diagnostic laparoscopy . By this adhesions can be visualised properly and also distribution of it. In same setting if adhesions are diagnosed then they can be released.

It is unlikely for adhesions to release with drugs. I also suggest to continue folic acid supplement which helps in producing healthy eggs. I suggest to get tubal patency done. If tubes are open then it is unlikely to cause problem in fertility and don't worry about adhesions outside.

If tubes are blocked due to compression from adhesion then the option left are tubal recanalisation or IVF. I suggest to go for IVF instead of tubal surgery . IVF has better results.

Hope I have been helpful.

Regards

Dr. Ashish Verma
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Suggest Treatment For Infertility Inspite Of Having Ulcertive Colitis

Hi, Thanks for writing to HCM. If a patient with similar complaints come to me I usually suggest to undergo diagnostic laparoscopy . By this adhesions can be visualised properly and also distribution of it. In same setting if adhesions are diagnosed then they can be released. It is unlikely for adhesions to release with drugs. I also suggest to continue folic acid supplement which helps in producing healthy eggs. I suggest to get tubal patency done. If tubes are open then it is unlikely to cause problem in fertility and don t worry about adhesions outside. If tubes are blocked due to compression from adhesion then the option left are tubal recanalisation or IVF. I suggest to go for IVF instead of tubal surgery . IVF has better results. Hope I have been helpful. Regards Dr. Ashish Verma