Re: ttc after ep

[Guest guest]

Pam,

The book I bought is " Getting Pregnant: What Couples Need to Know Right Now "

by Niels H. Lauerson and Collette Bouchez. The first author had his md and

phd so I am assuming he knows what he is talking about. It covers alot of

things. It discusses male and female infertility, some things that I think

are probably just old wives tales, charting, fertility surgery, TUBAL SURGERY

(a major reason I got the book), fertility drugs, artificial insem., ivf,

gift, and zift (these two procedures being the one's that I would prefer if I

have to go that far. There are some really interesting things and I am glad

that I chose this book. It gave me alot of info. It did not have chapters

devoted to ep but it did speak of it. You know, acknowledging that tubes get

blocked and that is a problem, whether or not something may help or may have

to be ruled out bc of ep, that kind of thing. For me, it was a really good

book and now when I go to the dr tues. I will be a little more prepared. I'm

not saying to buy it, but I think you should definitely look it over and see

if it is what you are looking for. it doesn't really say anything about

metho for treating ep. it does say that d & c can affect your fertility by

causing scarring, though. I don't know how many have had this done but with

both my ep they did d & c first to check for fetal tissue, just to make sure it

wasn't a m/c. they told me about all the surgical risks but never told me

that it could also jeopardize my fertility by causing scarring in the uterus,

now I have risked something else. anyway, i think i got a little off track

there. I would definitely suggest anyone who is looking to at least look at

the book and see if it is the kind of info they could use.

Later,

Amy

[Guest guest]

oh, yeah. i also want to say that this book is only $12.95, which is less

than alot of the other books. that was not why I decided to get this book, I

would've paid $25 if the the book gave me the info I wanted. but the fact

that it didn't cost so much gave me the opportunity to go buy another book if

I found something else that had even more info.

[Guest guest]

Dear Amy,

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Ok, that should do it! I am in the early stages of considering IVF. You said

that you would prefer GIFT or ZIFT. Can I ask why? And which one? I am

trying to get as much information about it as I can. I thought the GIFT

procedure would be a bad option for someone with tubal problems, but maybe

there is something I don't know.

Thanks for you help!

[Guest guest]

,

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Okay. The way that my book explains it is that with the gift or zift

procedures, the rate of success seems to be higher. They believe that it is

bc the egg is extracted and for gift fertilized in the tube or for zift

fertilized then placed in the tube. Big deal right. Well, with it being

inserted into the tube, it takes the natural travel time (or close to it),

therefore being more like a natural conception and giving it time to develop

to the right stage. For me, it could probably be inserted into either tube

bc my left is clear and the blockage on the rt is right next to my ovary. So

either way, it basically will start at the beginning of the tube. As far as

it working with bad tubes, the book says that is " highly likely " that the

procedure can help for a number of problems including juxtaposed tube and

ovary (meaning that the good ones are on opposite sides of each other) and

for recurring ectopic pregnancy. It is something that I will definitely

mention to my dr when I go but I don't know if they will be willing to send

me to a specialist for it or not.

I hope this helps. It is just a small example of why I like the book that I

got. it has several things in it that I plan to ask my dr about, including

the transcervical balloon tuboplasty. As far as I can tell from this it is

done similar to an hsg except w/o the dye. Somehow, the blow the balloon up

and it expands the tube thus letting blockages escape. Unfortunately, it is

unknown how long the tube remains clear for.

Anyway, I am going to talk to my dr.

I hope this info. helped. If there is anything else you wanna know just let

me know and I'll see if I can find anything about it in this book.

Amy

[Guest guest]

Amy:

I just wanted you to know that GIFT and ZIFT are not good options for women

with a history of ectopic pregnancy, since they involve the fallopian tubes.

IVF is the preferred option, since it bypasses the tubes and therefore puts

a woman (especially one with a history of ep) at greatly reduced risk of

subsequent ep. I don't know what your book has to say about this, but you

would definitely want to research it further and discuss it with your doctor

before seriously considering either of these procedures.

[Guest guest]

Scroll please....

I think I forgot to mention that this book says that you must have at

least one good tube in order for those procedures to work. With the

egg having to move entirely through the tube, that would be a HUGE

factor in whether or not it is an option. Sorry for leaving it out the

first time.

,

As with all treatments, I realize that they may not be right for all

people. Trust me, I definitely plan to talk about it. I hope that I

won't need to but I wouldn't just DECIDE that something is what I am

going to do without first consulting the dr. I actually called my

daughter's clinic to find out if she is ok to go to daycare tomorrow if

she has a fever today. I think they thought I was a little nuts and I

think I may be a little to reliant on dr's advice. But I would just

rather be safe than sorry. So, anyway, as you can see, if I'm unsure,

I consult.

Amy

amadea21-@... wrote:

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> Okay. The way that my book explains it is that with the gift or zift

> procedures, the rate of success seems to be higher. They believe

that it is

> bc the egg is extracted and for gift fertilized in the tube or for

zift

> fertilized then placed in the tube. Big deal right. Well, with it

being

> inserted into the tube, it takes the natural travel time (or close to

it),

> therefore being more like a natural conception and giving it time to

develop

> to the right stage. For me, it could probably be inserted into

either tube

> bc my left is clear and the blockage on the rt is right next to my

ovary. So

> either way, it basically will start at the beginning of the tube. As

far as

> it working with bad tubes, the book says that is " highly likely " that

the

> procedure can help for a number of problems including juxtaposed tube

and

> ovary (meaning that the good ones are on opposite sides of each

other) and

> for recurring ectopic pregnancy. It is something that I will

definitely

> mention to my dr when I go but I don't know if they will be willing

to send

> me to a specialist for it or not.

> I hope this helps. It is just a small example of why I like the book

that I

> got. it has several things in it that I plan to ask my dr about,

including

> the transcervical balloon tuboplasty. As far as I can tell from this

it is

> done similar to an hsg except w/o the dye. Somehow, the blow the

balloon up

> and it expands the tube thus letting blockages escape.

Unfortunately, it is

> unknown how long the tube remains clear for.

> Anyway, I am going to talk to my dr.

> I hope this info. helped. If there is anything else you wanna know

just let

> me know and I'll see if I can find anything about it in this book.

> Amy

[Guest guest]

Amy:

scroll please

I in no way meant to imply that I thought you were ignorant or reckless

enough to make a decision to pursue GIFT/ZIFT without consulting your

doctor. Quite the contrary, I know you to be a woman who seems to be very

meticulous in discussing things with your doctor. It simply seemed from

your previous post that this was a procedure you had read about and had

elected to look into it based on what you had read (nothing wrong with

that). I simply wanted to pass along some information I had gathered from

my study and research. That is one of the good things about this list, the

sharing of information and knowledge.

While it is true that an hsg shows a tube to be free of blockages, it cannot

show node damage or scarring, which are also factors that can cause

ectopics. My hsg shows my left tube to be clear, but it is at as much risk

for nodular damage as was the other tube that I lost - we have no way of

knowing what caused my first ectopic, and so there is still that risk with

the remaining tube. Unless your ectopic has been very definitively

diagnosed as to a cause, most doctors (that I have read opinions from

anyway) do not recommend these procedures for women with history of ep just

because of the risk involved in subsequent ectopics since they involve the

tube and do not bypass it. I believe Krista discusses this on her site as

well - I will have to go back and check that out

I look forward to hearing from you in the future about what your doctor

thinks and what plan of action the two of you develop in order to help you

conceive.

[Guest guest]

,

Scroll please

I know that you were not implying that I would do something reckless. I just

wanted to clarify that I did intend on talking with my dr. My husband read

something that I wrote to one of my friends and said it sounded rude so I

think sometimes things come out wrong. Sorry if I sounded like you know.

I've got to figure out how to fix that.

As far as my blocked tube goes, the reason is just suspected. We've gone

over all of the reasons that could cause it and there is only one that may

apply to me. It could be due to surgery or an infection during childbirth.

When I had my daughter, I had to have a caesarian (spelling?) and it is

possible that I could have developed a small infection. I was beginning to

develop a fever and so the took me to surgery before it had a chance to get

too high. So, those are the only two things that I can think of. Of course,

I will talk to this dr about that also. There is also one other thing that I

have no idea about. I have always had extremely bad pains in my rt side and

I want to find out if the two things are connected. Maybe one happens bc of

the other. So right now, a reason is not definite but I do intend to try to

find out.

So, anyway I am sorry if I sounded rude or anything. Just let me know if I

do, bc I don't mean to and I think the only way I can work on it is if

someone points it out to me.

Well, I will go now.

Amy