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Question
Dear Doctor,
15 years ago at the age of 22 I was diagnosed with having an ovarian cyst. The gynaecologist operated and removed a large cyst plus my left falopian tube and ovary.
I have been trying for 2 years for a child. I recently had a laparoscopy and dye test. They said I had some adhesions causing the tube and ovary to be slightly stuck but the tube proved to be patent. Can you tell me how likely it is that I will fall pregant naturally with one tube. My partner is 45 years old. He is a heavy drinker and smokes about 10 cigarettes a day.
Thank you for any help you can give.
Regards.
Susan Smith
Hi Susan,
Smoking and drinking may have an adverse effect on your partner's sperm. You should consider having his semen analyzed.
There are MANY factors affecting your fertility -- not just the fact that you may be working off of one side. Further, you may be at an increased risk for having an ectopic pregnancy (but I'm sure the doc who did your laparoscopy told you this). Did the doctor clear up the adhesions at the time of surgery? I sure hope he/she tried....
At your age, you really should consider seeing a qualified reproductive endocrinologist for a rapid fertility workup and possible treatment. Age can make a HUGE difference in who gets pregnant and who doesn't, as can the specialization of the fertility doctor you see.
Dr. Roseff - WECARE in NJ
Visit us at www.reproendo.com today!
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Answers by Expert:
Scott Roseff, MD, FACOG
Expertise
I can answer questions relating to ALL aspects of female infertility.
Experience
I am Board Certified in Reproductive Endocrinology/Infertility.
Organizations
Medical Advisory Board, Serono Labs, Inc.
Speaker's Bureau, TAP Pharmaceuticals, Inc.
The American Society for Reproductive Medicine
American Association of Gynecologic Laparoscopists
The International Society for Gynecologic Endoscopy
The Society of Laparoendoscopic Surgeons
The International Federation of Gynaecologic Endoscopists
U.S. International Foundation for Studies in Human Reproduction, Inc.
The Endometriosis Association
Fellow, The American College of Obstetricians & Gynecologists
American Medical Association
The Academy of Medicine of NJ
NJ Obstetrical & Gynecological Society
The NY Reproductive Medicine Society (Steering Committee)
The Society of Reproductive Endocrinologists
Resolve - National Chapter
Resolve - New Jersey - Executive Board
Publications
Please be so kind as to see my CV at: www.reproendo.com
Education/Credentials
Postgraduate Fellowship training in Reproductive Endocrinology & Infertility was done at The University of California, San Diego, School of Medicine.
Awards and Honors
Mellon Fellow in Reproductive Endocrinology and Infertility, 1988, awarded for academic excellence in the Reproductive Sciences, for research efforts aimed at development of novel contraceptives.
Wyeth Service Award for Physician Education and Training in Norplant Contraceptive Implants.
Certificates of Service and Appreciation from Our Lady of Mercy Medical Clinic, Guadalajara, Jalisco, México, 1978-1982.
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