Secondry infertility

Female patient age 25 1 miscarriage 1.5 mnth 1 yr back Mens cycle regular Fsh LH PROLACTIN TFT normal Usg normal scan Vitals Normal

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Do diagnostic hystero laproscopy with CPT..take biopsy for tuberculosis..manage accordingly..sometimes pain cause tubal spasm giving same picture in HSG.

Thank you doctor
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- HSG results Bilateral Cornual Block - Lapro-hystroscopic cannulation by expert endoscopic surgeon

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? BL .. CORNEAL .. BLOCK .. NEED.. SURGICAL INTERVENTION WITH EXPERTS OPINION ..

Tnx Dr Vipin Bihari Jain sir
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Tuboplasty as per HSG report

Thanks Dr. Deoyani Tawar, Dr. Kute Ankush, Dr. Pooja marwaha .Dr.Ved Prakash Singh. Dr. Priyanka Gupta
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Look for tuberculosis Treat with ATT if TB pathogens found.IVF is the only option left for conception after delinking the fallipian tubes at cornual end by laparoscopy.

What I s her previous obg history.Incase other female factors normal,should look for tubes,search for male factors .if all are ok except for tubal pathology,do a hydrosonosalpingogram confirm the tubal pathology&trt

Pt Wants to conceive

Hysteroscopic cannulation will provide a chance for the patient to conceive naturally.

Next step is to do a HYSTERO-LAPAROSCOPY

Thank you doctor
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She must go for lap dye for confirmation

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