A patient having infertility is found to have bilateral cornual block on investigations. Best treatment that can be offered to her would be:
Ans. A. In vitro fertilizationInvitro Fertilization is offered to those women who have irreparable / failed tubal damage.a. Depending on site of block, Tuboplasty is performed with successful pregnancy rate of 27% for fimbrial & 50% for isthmic.b. Thus, Transvaginal tubal catheterization or hysteroscopy and Tuboplasty have less success rate than IVF, hence IVF would be the best treatment option for her.c. Proximal tubal occlusions may be approached employing several different therapeutic approaches. In vitro fertilization techniques and microsurgical oviduct reconstruction with reimplantation techniques are two established modalities. Transcervical fallopian tube recanalization techniques now offer a third therapeutic alternative.d. Few disadvantages of IVF (In vitro fertilization): It has contributed to the increased incidence of ectopic pregnancy. One possible mechanism is accidental transfer of the embryo into the fallopian tubes. It is an expensive therapy, which only a few can afford.
In vitro fertilization
Tuboplasty
Hydrotubation
Laparoscopy & hysteroscopy
Ecotopic Pregnancy