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 very upset, so I didn't dare to get pregnant. But now I'm 30, and I want to have a child. I'd like to do some pre-pregnancy tests first. What kind of tests do you need to have? On October 1, I had a hysterosalpingogram at the hospital, and it was found that my right fallopian tube is blocked, and the left one has adhesions. What should I do? Can I still have a baby through in vitro fertilization?Doctor's answer:
Laparoscopic therapy can be adopted, and it can be inferred to determine the extent, type, and toughness of adhesions. For membranous adhesions and fibromuscular adhesions, they can be fused under laparoscopy 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 allows patients to fully restore menstruation, and some patients may even become pregnant again.The doctor inquired: When patients face gynecological troubles directly, we should actively adopt treatment measures and avoid avoiding medical visits. If gynecological conditions do not improve after prolonged treatment, it is necessary to promptly switch treatment plans.