Patient's question:
Please check carefully. After inserting contrast agent Iodixanol through the double-lumen catheter, it is evident that the uterus is positioned to the left, the uterine cavity is not symmetrical, and the lateral fallopian tubes are not well visualized. The contrast agent is seen to enter the pelvic cavity. Re-examination of the pelvic plain film shows that the contrast agent is diffusely and unevenly distributed in the pelvic cavity. What could be the reason for this?Doctor's answer:
The key to delivery lies in whether both parties have the conditions for conception, such as mature dominant follicles being released from the ovaries, unobstructed fallopian tubes, normal quality of male sperm and semen, and good uterine and endometrial function for fertilized egg implantation and delivery. Any one of these factors reappearing with issues can lead to infertility. Considering your situation, with fallopian tubes being patent but not fully unobstructed, active treatment is necessary to prevent the recurrence of ectopic pregnancy. Currently, the most advanced treatment for fallopian tube diseases involves the three-mirror technique combining hysteroscopy, laparoscopy, and fallopianoscopy, which achieves one-time recanalization with minimal psychological trauma and excellent results, allowing for pregnancy guidance the following month.