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Laparoscopy and Fertility: Understanding Your Chances & Ovulation Support


Question
QUESTION: I WANT TO KNOW IF THERE IS ANY HOPE AFTER LAPAROSCOPY HAS BEEN DONE.I WANT TO ALSO FIND OUT IF I CAN BE TAKING ANY DRUG FOR OVULATION.

ANSWER: Hello Nafisa from Nigeria,

Laparoscopy can often be an adequate treatment for some causes of infertility such as mild scar tissue or minimal or mild endometriosis.  Patients will often become pregnant after laparoscopy in these cases.  I have had many.

In terms of ovulation, that is what fertility medications do.  These are medications such as Clomid, Femara, and the injectable medications (gonal-f, follistim, bravelle, etc.)  Their function is to induce the ovaries to grow and ovulate eggs.  Whether or not you need to use them depends on what the problems are.  Fertility treatments need to be tailored to the specific problems.  That is, the treatment has to treat the problems.  For example, no fertility drug will be effective and result in a pregnancy in a woman who has blocked tubes.  The drugs can get the ovary to ovulate and give off the eggs, but the eggs won't be able to go anywhere and the sperm can't get to the egg because the tubes are blocked.  In that case, IVF is the only appropriate treatment option.

I hope that answers your questions.

Good Luck,

Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com

Monterey, California, U.S.A.

for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf, and follow me on Facebook at http://bit.ly/9Iw9oV

---------- FOLLOW-UP ----------

QUESTION: PLEASE CAN SOMEONE BE PREGNANT IF SHE HAS ONE TUBE BLOCKED.

Answer
Hello Again,

YES, one can get pregnant with only one tube but the statistical chances are lower.  The reason is that most causes for tubal blockage affect BOTH tubes, it is just that one tube was affected more than the other.  But patients do get pregnant despite this.

Sincerely,

Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com

Monterey, California, U.S.A.

for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf, and follow me on Facebook at http://bit.ly/9Iw9oV