What should I do if I don't get pregnant after tubal anastomosis?

Patient's question:

In September 2017, I had tubal anastomosis surgery. I didn't get pregnant in the year after that. In March 2018, I had a tubal MRI contrast test, which said it was open. I got pregnant in May, but it was a miscarriage. Later, in June, I got pregnant again, but it was another ectopic pregnancy. I asked the doctor, "Didn't the contrast test say it was open? How could it be ectopic again?" The doctor said that it was "open but not fully open," which can lead to ectopic pregnancy. When I had the imaging done, they didn't mention it was "open but not fully open." It was just a bit painful on the right side during the imaging, and ectopic pregnancy is usually on the right side. Now, the right fallopian tube has (accumulated fluid), and there's something sausage-like in it. But now the left side is still ectopic. I'm currently taking Chinese medicine to terminate the pregnancy. Hello, doctor. How should I be treated?

Doctor's answer:

Ectopic pregnancy has occurred on both sides again. You currently have hydrosalpinx in your right fallopian tube, and ectopic pregnancy has developed on the left side again. During the current intensive treatment period, focus on treating the condition first, and then undergo imaging tests to assess the patency of the fallopian tubes. If the condition is still not improving, it is recommended to consider options such as culture dishes or assisted reproduction. The recurrence of ectopic pregnancy poses a serious threat to women's health. Patients need to pay attention to follow-up examinations after menstruation, maintain a light diet, and avoid spicy foods.

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