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Black large hole visible in follic scan
I am 25 yr old girl. My blood reports were as under :
Amh : 1.17
Fsh : 9.5
Lh : 3.6
HPLC - N
Also in May 2020 my Tsh was 6.2 after which i started 25 mgs of tablet daily for thyronom.
I am trying to conceive since an year. So i went for follicular monitoring wherein it is observed that there is a big fluid filled gap in the right side of ovary. Though good follicules were formed and ruptured from left side.
Doctor is not sure if it is an ovarian cyst only or also a tubal blockage.
Is it possible if my one tube is blocked other may also not b functioning properly ? Do i need
to go for laparoscopy?
Please suggest. (Follicular scans attached)
Please suggest.
Answers (6)
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Dear Practo User, there are a number of issues. First is if you have hydrosalpinx, that tube is unhealthy. The fluid collected is also bad for your embryos. So this needs to be managed first. Very likely the other tube will also be damaged. Secondly, if you are just 25yrs, your AMH is quite low. With all these factors conceiving can be a problem. Please consult me at Jaypee Hospital or on DOCON app for further guidance
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Ivf is the choice
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Firstly don’t worry .
Go for a scan on day 2/3 of your period —-this will clarify if you have cyst and how many Antral follicles you have in each ovary .
Next again repeat a scan in between day 12-14 of your cycle , they will check and let you know whether you have fluid in your tube (hydrosalpinx) .yes , chances are that if one tube is damaged the other may be.
Next Steps
Do these tests and consult an infertility specialist.
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Dr. Neelam
Obstetrician
11 yrs exp
Jaipur
If u are getting difficult in conceiving than plan for diagnostic laproscopy followed by theraptic . It clear the situtation and get specimen for cultre for tuberculosis and biopsy. Hydrosalpinx shd be treated.
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Dr. Jay Desai
Obstetrics & Gynecology
7 yrs exp
Pathanamthitta
Avoid stress and anxiiety
That's the 1st step to be avoided
Hydrosalpinx needy treatment first as the fluid present in it is not good for embryo to grow!
That can be treated conservative/surgical procedure as per patient and your GYNAECOLOGIST choice
Next Steps
lifestyle modification
exercise regularly
avoid stress and anxiiety
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Dr. Nidhi Sharma
Gynecologist/Obstetrician
23 yrs exp
Chennai
Hydrosalpinx needs to be draining laparoscopically otherwise it will get infected and prevent implantation
Next Steps
Go for laparoscopic drainage and tubal disconnection if planning for ivf
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.