In Vitro Fertilization (IVF) Questions and Answers Archive

Jul
1999

Q&A: Why do I need a hysterosalpingogram in order to have in vitro fertilization?

Question:

My husband and I are thinking about trying the process of In Vitro Fertilization. My husband has a known chromosome translocation, which is why we need medical assistance. Prior to the history on my Husband, I was pregnant 3 times naturally. My question is, the specialist who wants to perform the in-vitro, wants me to have a hysterosalpingogram. What is this? and, why do I need this procedure? I am a 36 year old white healthy female.

Answer:

 Daniel Potter, MD, FACOG - LocateADoc.com

It is an x-ray and dye study of the uterus and fallopian tubes and is needed evaluate your uterine cavity prior to treatment. I am concerned that you are proceding with IVF with a husband with a chromosomal disorder. THis can doom any pregnancy that occurs to miscarriage and you can also transmit this translocation to your offspring. Make sure that you have spoken to a genetics specialist prior to beginning treatment.

-- Daniel Potter, MD, FACOG
Fullerton, California



Jun
1999

Q&A: Where can I get a tubal ligation reversal done and how much will it cost?

Question:

where can i get a tubal ligation reversal done and for how much $

- Heather

Answer:

Daniel Potter, MD, FACOG - LocateADoc.com

Tubal reversals usually performed by fertility specialist (reproductive endocrinologists). Some general OB/GYNs may also have special training in microsurgery and be qualified to do this type of work.Insurance almost never covers this procedure. In my practice, a tubal reversal is $6500 including the surgeons fee, hospital (up to 23 hours) and anesthesia. The price may vary in different parts of the country. In vitro fertilization (IVF) is also an option. IVF is the same cost or slightly less expensive. You should consult a fertility specialist (RE) to determine which of these procedures is most appropriate for you.

--Daniel Potter, MD, FACOG
Fullerton, California



Mar
1999

Q&A: What can I do to get pregnant if I had an eptopic pregnancy and now I am not getting pregnant?

Question:

I'm 25 yrs. old and when I was 18 yrs. old I had an ectopic pregnancy that burst and I had emergancy surgery to remove my tube. I haven't been able to get pregnant since. What can be preventing me from becoming pregnant? My doctor told me at the time that I should have no problems becoming pregnant again. Any advice will be greatly appreciated. Thank you.

- Christie

Answer:

Daniel Potter, MD, FACOG - LocateADoc.com

It is likely that your remaining fallopian tube is blocked. Ectopic pregnancy usually occurs in tubes damaged by previous infection (chlamydia or gonorrhea). The infection would have occured in both tubes. You should have a hysterosalpingogram (x-ray and dye study of uterus and fallopian tubes) to determine whether your remaining tube is open. If your remaining tube is damaged you will require in vitro fertilization to conceive.

--Daniel Potter, MD, FACOG
Fullerton, California