My local monitoring dr has me confused so I'm coming here for info.

I had ivf and an ectopic last fall. I had methotrexate, and a week afterwards, I had agonizing pain on the right side. No surgery.

I want to get ready for FET. RE and I agree that I need hsg. I need to know if I have hydrosalpinx or other blockage that could either create a toxic uterine environment or increase risk of another ectopic.

Monitoring dr doesn't agree -- he says the condition of my tubes doesn't matter for FET. Is this true? It doesn't square with what my friends and I have read.

if you have a hydrosalpinx leaking toxic fluid into the uterus, it certainly WILL effect the outcome of an FET - wth is your monitoring dr thinking??

Also, there is the same risk of an ectopic with an FET as there is with a fresh transfer - which is higher than with a natural pregnancy. Sounds like your monitoring doc needs a refresher course or three!

Kay

" Some people built castles in the air. She constructed hers from mashed potatoes, which kept down demolition costs." Sarah Sloane, Borrowing Priviledges

He doesn't do ivf, so maybe that's why he's saying this. I found more studies supporting your position and mine, so I'm sticking to my guns. Thanks.

I had an HSG which actually showed both tubes clear. One successful pg, then fastforward through two more DE losses following a c-section, and I had scar tissue blocking one tube and kinking the other (theory being scar tissue from the C and infection that followed, spread to the tubes). We found that when I finally did a hysteroscopy and lap. I had my tubes removed and then had success. Tubes DEFINITELY matter. A hydrosalpinx - or even a KINKED tube that is still open (like one of mine) - can definitely cause failure to implant or early mc like I had. GL Kekona!! Best wishes,
Kenny

A hydrosalpinx leaking into the uterus would ruin a natural pregnancy as well - that in itself has nothing to do with IVF, and I'd be very concerned that this monitoring doc doesnt even know that much about possible dangers to a pregnancy!!

and trust me things may have changed in the last couple years is that although you do not need your tubes with DE/IVF it can create a hostile uterine environment. I will be watching for your upcoming FET and cheering you on.

The tubes absolutely matter. You could end up with another ectopic or they could be leaking fluid that would make the uterine environment toxic to the embryos. Talk to Pearl about this. It ruined an FET and fresh cycle for her.

I just wanted to say welcome back to the boards, and good luck with this cycle! You do what you feel is right, maybe switching monitoring Docs? or try calling DR.Kiltz, he may know more and be able to give you advice, he is so nice. good luck!