CHENNAI: An initiative is under way to popularise catheterisation techniques for natural conception as a cost-effective alternative to In Vitro Fertilization (IVF) treatments for infertility among women.

It is a non-surgical technique called tubal recanalisation of fallopian tube procedure. It uses catheterisation techniques to remove blocks in the fallopian tubes in much the same manner as arterial blocks are addressed in Cathlab.

Occlusion

The occlusion or blockage in the fallopian tube, where fertilization takes place, is one of the most common causes of female infertility. In a majority of cases, the blockage is caused by sexually transmitted infections, Maheswari Ravi, consultant gynaecologist and director of Nu-Life Health Center told a press conference on Saturday. The essentially outpatient procedure (where sedatives instead of anaesthesia is used) to remove proximal blocks in the fallopian tubes is easy to adopt for practising gynaecologists and radiologists, she said.

In most cases, the occlusion takes place in both fallopian tubes. It is however imperative that the procedures are carried out in sterile rooms and that patients are put on regular follow-up to rule out recurrence of the block.

Periodic monitoring is also important to catch a tubal pregnancy (where a fertilized egg embeds outside the uterus and in the fallopian tube).

Once a proper patient evaluation determines the nature and extent of the block, practitioners can choose among different techniques: a simple tubal recanalisation using x-ray or resort to C-arm-guided interventions; or laparoscopic procedures if the blocks are extensive or positioned at the distal end of the fallopian tube.

The cost would be from Rs. 10,000 to Rs. 25,000 depending on the procedure as against an IVF (in vitro fertilization) that cost Rs. 50,000 or more. As part of popularising the concept, free screening and counselling camps are being held on Sunday at the Srushti Hospital, Ramavaram.

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