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Successful Pregnancy following Refusal of Laparoscopy but Acceptance of Hydrotubationonly Procedure in Woman with Bilateral Tubal Blockade

Background: Hydrotubation is the trans-cervical flushing of fluid through the fallopian tubes, commonly used in combination with laparoscopy for diagnostic purposes to determine the tubal patency in infertility investigation. Hydrotubation-only procedure can be done in women that refuse diagnostic laparoscopy.
Case Presentation: In this study, a case of 27-year-old nullipara was reported who presented to the Jeno Hospital, Enugu, Nigeria with a history of inability to conceive. Investigations done prior to presentation to this facility included a hormonal profile which was indicative of hyperprolactinaemia. She also came in with a hysterosalpingogram which showed left cornual tubal blockage. The right tube was very poorly outlined and ended blindly with no peritoneal spill. The husband’s seminalysis was well within normal limits. She refused consent for laparoscopy but not hydrotubation. Following multiple hydrotubation, she had successful pregnancy and subsequently achieved a live birth.
Conclusion: We report a case of pregnancy resulting from multiple hydrotubations. Two radiologists and a gynaecologist separately had discussed with this medical professional couple the result of the hysterosalpingography that showed bilateral tubal occlusion and they opted for hydrotubation-only with resultant live birth.


Onyinye Onyeka OKONKWO, George Uchenna ELEJE, Chijioke ASOGWA, John E.N.OKONKWO

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