What causes tubal adhesion?

Patient's question:

In October, I had tubal adhesion surgery via laparoscopy and hysteroscopy. In December, I started trying to conceive and underwent ovulation induction. On the 15th, a transvaginal ultrasound showed a dominant 18?21 follicle on the left side. That day, I received an egg retrieval shot. On the morning of the 16th and the evening of the same day, as well as the morning of the 17th, we had intercourse. On the 18th, a transvaginal ultrasound showed a 17x16 anechoic area on the left side, with thick walls and poor internal echo. Is it possible that I'm already menopausal? Why isn't there any evidence of fluid? Can I get pregnant this month?

Doctor's answer:

Hypothesis of the problem: The cause of psoriasis is relatively complex and is related to generational inheritance, contagion, metabolic disorders, immune dysfunction, and endocrine imbalance. The most direct cause is the yin deficiency and yang excess of the liver, compounded by factors such as physical weakness and immune dysfunction, leading to the recurrence and exacerbation of the disease. Maintain an optimistic mood, build confidence in overcoming the disease, and keep a calm and serene mindset. Engage in appropriate rest and physical exercise to strengthen the body and enhance immunity. Adopt a healthy diet, avoiding alcohol, smoking, spicy foods, as well as pungent and heavy foods like mutton and seafood. Psoriasis can be a severe condition, and patients are advised to seek timely treatment. It is hoped that patients can follow the advice for symptomatic treatment. At the same time, pay attention to dietary issues and avoid spicy foods to prevent worsening the condition.

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