Patient's question:
Three days after the tubal irrigation, I experienced abdominal pain in the afternoon and noticed some thin, pinkish, meat-like flakes in the evening. On the fourth day, I found some on my underwear in the morning. What could be the reason?Past treatment history and outcomes: Due to infertility, I underwent thorough examinations at the local women and children's hospital, including endocrine tests, leukorrhea tests, and antibody tests. The prolactin level was 42, and the doctor prescribed medication for a week. Additionally, two leukorrhea tests showed a slight increase in WBC, indicating some inflammation. Therefore, a tubal irrigation test was performed, which revealed "patency but not smooth." The doctor advised me to return for another irrigation on the third day, but I avoided it due to fear of pain. (Had a medication abortion in 2005).
The kind of help I seek: I want to ask if the meat-like discharge is something blocking the fallopian tubes. If so, should I undergo another irrigation to verify the effectiveness?
Doctor's answer:
The treatment principles for fallopian tube blockage involve adopting effective and appropriate methods based on the location of the blockage. The best treatment for blockages in the interstitial and isthmus parts of the fallopian tube is tubal intervention for recanalization. There is no ideal treatment for blockages in the ampulla of the fallopian tube, and in vitro fertilization (IVF) may be considered. For fallopian tube obstruction (hydrosalpinx), fimbrial ostomy can be performed, including laparoscopic ostomy and open ostomy. For patients with fallopian tube issues, in addition to standard treatment, it is also necessary to pay attention to self-care, such as maintaining hygiene during treatment and keeping the private area clean. It is strongly recommended that female patients undergo regular follow-up examinations!