RATIONALE OF DOING IUI WITH ONE PATENT TUBE

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RATIONALE OF DOING IUI WITH ONE PATENT TUBE

• Prashanth Fertility Research Center is fast
  growing into a preferred destination for
  infertility treatment especially IUI treatment in
  Chennai and it helps to share the clinical
  experience and causes of such infertility
  problems with our patients.
• There are many causes of infertility. One of the
  predominant and wide spread cause is the tubal
  factor.

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• Open and functional fallopian tubes are necessary
  for conception. The common causes of tubal block
  include infection and endometriosis.
• Women with only one fallopian tube are not
  condemned to infertility. There is more than one
  way to increase fertility with only one fallopian
  tube and conceive.

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Tubal Damage

• It is pertinent to know that patent (open) tubes
  are necessary for conceiving but we should
  understand that the tubes are not just pipes
  through which sperm, egg and embryo must pass to
  achieve intrauterine pregnancy.

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• They are vital and sophisticated organs that
  serve intricate functions in the reproductive
  process.
• The tubes transport sperm in the direction of the
  ovary, while at the same time, the fimbriae
  (petal like extrusion) apply themselves to the
  ovary from which the egg is ovulating in order to
  pick up the egg and carry it back down the tube
  into the uterus.
• It is on the way that the egg encounters the
  sperm and fertilization occurs. Thereafter the
  embryo is transported to the uterine cavity to be
  implanted there.

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Tubal Factor and IUI

• Even if one fallopian tube is patent, then
  ovulation induction and IUI may be a positive
  option.
• However if the tubes are blocked, laparoscopy may
  be advised to assess the degree of tubal damage.
• If the tubes are found to be scarred or damaged
  then surgical intervention will be required.
• Though some tubal problems are corrected by
  surgery, women with severely damaged tubes are
  unlikely to get pregnant.

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• Then IVF or invitro fertilization is an option.
  At times removal of the tubes prior to IVF may be
  required.
• If there is fluid collection in the tubes, the
  condition is called Hydrosalpinx.

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Ovarian Stimulation

• The first step in IUI for women with single
  patent tube is to commence ovarian stimulation
  (OS).
• In patients with single patent tube who start an
  OS cycle the chances of proceeding to IUI is
  greater though it should be understood that cycle
  cancellation rates are significantly higher in
  patients with single patent tube.

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• Most of the time it is due to absence of follicle
  on the side of patent tube.
• In such patients we ask them to try normally.
• We have come across patients who got conceived
  even though the follicle developed is not on the
  side of patent tubes. Pregnancy rate were found
  to be high after the IUI procedure.

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