Discussion in 'All Categories' started by SADIQ - Nov 12th, 2011 1:04 pm. | |
![]() SADIQ
|
my cousin got married 3 yrs before . till not yet form baby. dr's advised , to go to laparscopy treatment. pls advise. sadiq |
re: not yet form baby
by Dr JS Chauhan -
Nov 17th, 2011
8:48 pm
#1
|
|
![]() Dr JS Chauhan
|
Dear Mr Sadiq Your patient need tubal patancy test by laparoscopic approach to make out the cause of real infirtility. Tubal patency tests are undertaken once the doctors suspect there are blockages or pelvic adhesions within the fallopian tubes. Healthy fallopian tubes are an important pre-requisite for conception to happen. If the tubes are completely blocked, the sperm cannot get to the egg to fertilize it. You can definitely, the tubes are damaged and never completely blocked, the sperm might be able to reach the egg, however the early embryo is much more likely to be trapped in the distorted tube - a dangerous condition known as an ectopic pregnancy. As a result it isn't enough the sperm have access to the egg. It's also needed that the egg ought not to be prevented from reaching outdoors end from the tube. When the ovaries are surrounded by adhesions, there is a major barrier between egg and sperm. The primary reason for tubal obstruction and pelvic adhesions is infection. Infection can be brought on by peritonitis from acute appendicitis, or it may have arisen within the uterus itself as a complication of a previous termination of pregnancy, miscarriage or difficult delivery. In addition, there are a variety of ladies who have chosen sterilization as a way of permanent contraception and alter their marbles for a number of reasons. About 15 percent of women attending an infertility clinic will have a tubal problem. A perusal from the medical history of half of these women can have no past record of any probable cause of their damaged tubes. In such cases it is possible that a viral infection, even one caught in early childhood, continues to be responsible for the damage. If there aren't any indications in your history the tubes may be blocked, you'll in all likelihood be given the benefit of the doubt initially while other causes of infertility are investigated. If, however, there is a definite past record indicating possible tubal obstruction, a test of tubal patency is going to be carried out in a relatively initial phase. Ways of tubal patancy test 1. Gas Insufflation This is the oldest method of assessing tubal patency and is also known as "blowing the tubes". It's a simple test to handle and does not need a general anaesthetic. An instrument is inserted in to the canal from the cervix and co2 gas is "blown" into the cavity from the uterus. The machine manipulating the flow of co2 also records pressure from the gas as it accumulates within the uterus. There will be a rise in pressure from the gas inside the uterus if the tubes are blocked. If the tubes are open, the first rise in pressure is followed by an abrupt reduction because the gas escapes along the tubes and in to the abdominal cavity. However, the outcomes of this test can be challenging to interpret and the test can be unreliable. Furthermore, when the tubes are blocked, the exam gives no details about the location or nature from the obstruction. The inaccuracy of the test has led it to be largely superseded by the following two procedures. 2. Hysterosalpingography (H.S.G.) A hysterosalpingogram is definitely an X-ray of the uterus and fallopian tubes. An instrument is gently passed in to the canal of the cervix along with a special radio-opaque dye is carefully injected into the cavity of the uterus. The test is performed within the X-ray department and normally doesn't need any kind of general anaesthetic. It can, however, cause you to experience an average amount of discomfort rather like period pains. The dye shows up on an X-ray screen and also the doctor could see the fluid filling the uterus after which passing along both tubes to go in the cavity of the abdomen. When the dye fails to enter the tubes this might indicate a blockage in the junction between the uterus and also the tubes or just a temporary spasm from the tubes at this site. Sometimes the dye can be seen to go in the tubes, which then become distended owing to an obstruction at their outer ends. H.S.G. can pinpoint the site of any tubal obstruction and may also show the presence of any irregularity the same shape as the cavity from the uterus. However, this test cannot identify the presence of pelvic adhesions, which may be enveloping the ovaries and preventing eggs from accessing the tubes. 3. Laparoscopy This is a a lot more complex procedure than the previous two tests. It is performed within general anaesthesia and can require your admission to hospital. A little incision is created at the lower border of the umbilicus. The abdominal cavity is then distended with carbon dioxide gas to create more space to accurately view the pelvic organs. A slim telescope called a laparoscope will be inserted in to the abdominal cavity and also the uterus, tubes and ovaries are thoroughly inspected. The presence of adhesions either round the tubes or tethering the ovaries can be simply detected, and their significance assessed. Other pelvic problems for example endometriosis and fibroids will also be revealed. Tubal patency is tested by injecting methylene blue dye into the uterus through the cervix. If the tubes are healthy, the dye is visible passing along them and escaping with the outer openings from the tubes. The great benefit of laparoscopy over H.S.G. is it allows the surgeon to possess a direct look at the pelvic organs and thereby permits a much more accurate assessment of tubal patency and then any tubal or ovarian problems. The requirement for further surgery can be established without having to turn to major abdominal surgery in those days. Nearly all patients can leave hospital the following day. The little operation scar is eventually virtually invisible. |
Accessing Expertise Anywhere: Free Online Medical Advice by World Laparoscopy Hospital
In an age where information is at our fingertips, the World Laparoscopy Hospital is taking the concept of accessibility and expertise to a whole new level. This renowned medical institution is offering a valuable service that transcends geographical boundaries - free online medical advice.
The Power of Digital Health
The digital revolution has significantly transformed the way we access healthcare information and connect with medical professionals. World Laparoscopy Hospital has harnessed this power to provide a platform where individuals from around the world can seek medical guidance from top-notch experts without leaving their homes.
The Importance of Medical Advice
Medical advice is a fundamental aspect of healthcare. It serves as a bridge between patients and the knowledge and experience of healthcare professionals. Timely and accurate medical advice can be a lifeline, offering reassurance, guidance, and potentially life-saving information.
World Laparoscopy Hospital: A Beacon of Medical Excellence
World Laparoscopy Hospital is globally recognized for its excellence in Minimal Access Surgery and surgical training. The institution's commitment to innovation, research, and patient care is evident in its mission to extend free online medical advice to those in need.
Key Features of World Laparoscopy Hospital's Online Medical Advice Service:
-
Expertise Across Specialties: The hospital boasts a roster of expert physicians, surgeons, gynecologists, urologists, and pediatric surgeons. This diverse range of specialists ensures that individuals can receive advice on a wide spectrum of medical issues.
-
Accessibility: The online platform breaks down geographical barriers. Patients from any corner of the world can access this service, making it especially beneficial for those in remote or underserved areas.
-
Convenience: Online medical advice is available 24/7, providing the convenience of seeking guidance at any time, day or night. This accessibility is particularly crucial for urgent medical queries.
-
Privacy: World Laparoscopy Hospital maintains strict patient confidentiality, ensuring that sensitive medical information remains secure.
-
Multilingual Support: Recognizing the global nature of its audience, the hospital offers support in multiple languages, enhancing accessibility for non-English speakers.
-
Holistic Guidance: The hospital's expert physicians provide comprehensive advice, addressing not only immediate concerns but also offering insights into long-term health and well-being.
Empowering Patients
The provision of free online medical advice aligns with World Laparoscopy Hospital's mission to empower patients and enhance healthcare outcomes. It allows individuals to take an active role in managing their health and seeking expert guidance when needed.
A Source of Reassurance and Knowledge
In times of uncertainty, illness, or when facing medical questions, World Laparoscopy Hospital's free online medical advice offers a ray of hope. It's a source of reassurance, a font of knowledge, and a testament to the potential of digital health in improving lives.
World Laparoscopy Hospital's commitment to providing free online medical advice represents a significant step towards democratizing healthcare. It brings the expertise of world-class medical professionals to anyone with an internet connection, offering guidance, hope, and the promise of better health. In an era defined by connectivity, this institution stands as a beacon of medical excellence in the digital landscape.
If you have a surgical concern and can’t reach a doctor right away, or you’re not sure where else to ask a qualified laparoscopic surgeon, you can get our Medical Help through this Forum of World Laparoscopy Hospital which is available 24 hours a day, Just fill-up the form given and within few our the answer of your question will be posted on this forum. Please keep in mind we answer the question only related to laparoscopic surgery. You can also search and browse thousands of answer already posted on this forum
Using Free Medical Advice Related to Laparoscopic Surgery Service, you can send your questions to our Laparoscopic Surgeon and the Doctor will reply within few hour. It’s as if you are having an email exchange with your very own private surgeon! As soon as you post your question, a qualified laparoscopic surgeon will start answering it. Our expert can help you learn more about the treatment and procedure options available to you for different health problems and diseases.They’ll also give you information to discuss with your doctor when deciding what kind of surgical treatment is best for you.
The Doctor will provide you with the all the medical information you need, and will guide you as you choose a course of action, all from the comfort of your home or office. No more sitting in the waiting room for hours just to get some basic information from your laparoscopic surgeon; no more self-diagnosis after reading pages and pages of confusing and contradictory Online information.
World Laparoscopy Hospital gives you the personalized health information you need to decide on the right treatment for you. The information that you provide will be seen by every person for education and information purpose so please not write your real name.