Patient's question:
In 2004, I had an ectopic pregnancy surgery. The doctor at that time said they would try their best to reconnect my right fallopian tube. I felt so heartbroken, so I didn't dare to get pregnant again. But now I'm 30, and I want to have a child. I'd like to do some pre-pregnancy tests first. Could you please tell me what kind of tests I need to have? On October 1st, I had a hysterosalpingogram at the hospital, and it was found that my right fallopian tube is blocked, and the left one is adhesed. What should I do? Can I still have a child through artificial insemination?Doctor's answer:
Hysteroscopic therapy can be adopted, and it can be inferred to determine the degree, type, and toughness of adhesions. For membranous adhesions and fibromuscular adhesions, they can be fused under hysteroscopy or surgically removed; whereas for connective tissue-like dense adhesions, electrocoagulation fusion surgery under ultrasound guidance is required. An intrauterine device should be placed postoperatively to prevent re-adhesion, and continuous estrogen-progestogen medication should be administered to promote endometrial growth. This can help patients fully restore menstruation, and some patients may even become pregnant again.The doctor inquired: When patients face gynecological problems directly, we should actively adopt treatment measures and avoid hesitation in seeking medical attention. If gynecological conditions do not improve after prolonged treatment, it is necessary to promptly switch to an alternative treatment plan.