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About 20% of infertile females coming to me have problems with the functioning of fallopian tubes. A few of the reasons for blocked fallopian tubes are Pelvic infections (PID) leading to salpingitis and hydrosalpinx Ectopic pregnancy Tubal Ligation (Birth control) surgery Adhesions following abdominal surgery and Genital Tuberculosis.
Today, let me share a fruitful story of a patient with blocked fallopian tubes due to “Tubal Ligation”, which is a birth control surgery. A poor couple from Kolkata, who had lost their five years old son seven years ago due to severe infection in the brain(meningitis) and the unfortunate wife had undergone “Tubal Ligation” at the time of her delivery as the couple did not want more children in future.
But after losing her beloved son, she was under tremendous depression, and she could not forget her lost young one. So she was brought to me for counseling and to discuss future treatment options to make their dreams of parenthood real again.
Here I offered them two options, discussing the pros and cons of both treatments. The first option was to undergo tubal ligation reversal surgery. However, it is a cheaper option than test-tube baby treatment; It is painful as it is major surgery, success rates are less than 25%, chances of ectopic pregnancy if it remains undiagnosed, can prove life-threatening). As the patient was already 35, her eggs reserve was also declining rapidly, which could further reduce the success of the surgery.
So as a second option, they were offered IVF, In which after few days of hormonal injections treatment to prepare her eggs, her eggs were retrieved from ovaries with a minor procedure-known as “Ovum Pick Up”, and fertilization of her eggs and husband’s sperms were done in the laboratory by IVF-ICSI procedure. (In normal circumstances, this fertilization occurs in fallopian tubes, which was not possible in her case due to birth control surgery on her fallopian tubes) and then embryos made by this procedure were transferred to the patient’s uterus after five days, and after 14 days, her pregnancy test was positive, and nine months later, she delivered a baby boy. The couple was overwhelmed by having this bundle of joy again in their lives. According to them, their son, who they lost because of his diseases, took re-birth to make their lives meaningful.