How should bilateral tubal blockage with right-sided hydrops be handled?

Patient's question:

Bilateral tubal blockage, with hydrosalpinx on the right side, thick endometrium. Should I do IVF or undergo tubal surgery?

Doctor's answer:

In your case, it is still recommended to opt for in vitro fertilization (IVF) because both fallopian tubes have issues. Even if you undergo a combined hysteroscopic and laparoscopic surgery, if the postoperative scarring is not good, it increases the risk of ectopic pregnancy. It's actually better to choose IVF, as it has a higher success rate. In fact, suffering from gynecological diseases is not something to be feared. Patients should believe in their ability to overcome the illness. As long as symptoms are detected early and treated accordingly, the chances of stabilizing the condition and recovering are very high.

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