### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My23yr old Granddaughter is desperate for a child..but she has been getting server pains in her stumache for a couple of years and has spent alot of time in hospital..She has been to that she has Policystic Overies and that her tubes were blocked..they have removed one overy and one fallopian tube..she has also be told that er remaining tube is blocked by fluid..she is still getting pains every month but she is frightened to go back into hopital in case they take her remaining overy and tube away.she is due to see a fertility doctor..she is frightened in case they take her down to theater again and have to remove her remaining tube..befor they harvest her eggs.she still has her womb and producing eggs...Is there a way to unblock her remaining tube with out a operation..can you give her some advice about what alternatives she has..she is supposed to be in hospital now but she wont go in as she doesn think they will do anything for her..she has been in hospital about 5 times so far..

### output:

Hi. Thanks for your query. Read the history of our granddaughter and understood the problem. The history of removal of the one ovary one tube can be due to Salpingitis and / or TO (Tubo-ovarian) mass, the commonest cause being Tuberculosis. This might have caused the blockage of the another tube. The polycystic ovaries do not cause blockage of the tubes. Tuberculosis may be the cause of pain in abdomen. I would advise first to get a proper diagnosis of the causes of all the symptoms by proper investigations and treatment. I would advise the following in such a patient:Blood, urine, stool tests. Gold Quantifier test for TBCT scan of the abdomen. Evaluate for the cause, get a treatment first on the medical basis and once the problem is solved her remaining ovary and tube can be saved. Now-a-days the treatment of tuberculosis is ambulatory, meaning there is no need for admission. Once the medical therapy is completed and the patient recovered we can always go inside the abdomen and do a small surgery to open up the blocked tube. This can very well be tried as just removing the other tube and ovary your granddaughter will never be able to have natural pregnancy. Please discuss this with your Gastroenterologist and Gynecologist. This has to be a multidisciplinary approach as it is related to life of a patient. You will certainly get the best results in a way I explained.