Post-tubal laparoscopic surgery, a follow-up check-up is required every month for the first month to ensure overnight patency.

Patient's question:

I had a laparoscopic surgery for tubal surgery on April 8th. The doctor asked me to come back next month for a re-examination and a hydrotubation. Can I skip it? I had a hydrotubation done when I was discharged, and the doctor said it was very unobstructed. But why do they still ask me to come back next month for a re-examination? I thought doing too many hydrotubations is not good, it could lead to fluid accumulation. In my situation, can I skip the hydrotubation? I want to try to conceive in May.
Treatment history and effectiveness: I had a laparoscopic surgery for tubal surgery on April 8th, and the doctor asked me to come back next month for a re-examination and a hydrotubation. Can I skip it? I had a hydrotubation done when I was discharged, and the doctor said it was very unobstructed. But why do they still ask me to come back next month for a re-examination? I thought doing too many hydrotubations is not good, it could lead to fluid accumulation. In my situation, can I skip the hydrotubation? I want to try to conceive in May.
What kind of help do you need: I had a laparoscopic surgery for tubal surgery on April 8th.

Doctor's answer:

Hello, your situation is quite good, and it is recommended to undergo another hydrotubation. The purpose of hydrotubation after surgery is to verify that the surgery was effective and successful. The hydrotubation one month later is to understand how truly unobstructed the fallopian tubes are, because there is still a risk of adhesion after surgery, which could lead to re-obstruction. Therefore, the second hydrotubation is to understand the degree of unobstruction. Additionally, even mild adhesions can be resolved through hydrotubation, preventing long-term adhesions that could ultimately result in true obstruction. It is wise to consider pregnancy only after confirming that the tubes are unobstructed post-hydrotubation.

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