DEAR MADAM / SIR,

MY SISTER HAS BEEN MARRIED FOR THE LAST 12 YEARS AND IS YET TO HAVE A BABY. SHE HAS A RATHER LONG MEDICAL HISTORY WHICH GOES ON AS GIVEN BELOW:

SHE WAS DIAGNOSED AS A CASE OF ILEO-CAECAL TUBERCULOSIS 15 YEARS AGO, BUT RECEIVED IREGULAR AND INCOMPLETE TREATMENT REGARDING THE SAME. AFTER MARRIAGE 12 YEARS AGO, SHE CONCEIVED ONCE, BUT WAS DIAGNOSED AS A CASE OF ECTOPIC PREGNANCY AND LEFT SALPINGECTOMY WAS DONE. SINCE THEN SHE HAS BEEN UNABLE TO CONCEIVE. TUBOPLASTY (RIGHT) WAS PERFORMED IN 2003, AND IUI WAS DONE ONCE IN 2003, BUT THEY WERE OF NO AVAIL. I WOULD BE OBLIGED IF YOU COULD ADVISE REGARDING FURTHER MANAGEMENT OF THE CONDITION AND OBLIGE.

THANKING YOU,

SINCERELY YOURS,

MRS. R.