Patient's question:
I had a hysterosalpingogram, and the result showed that the left fallopian tube is blocked, while the right one is patent but not unobstructed. The doctor then asked me to have a hydrosalpingogram next month after my menstrual period ends. Today, I went for the hydrosalpingogram, but the medication couldn't be injected because there was resistance and it wasn't unobstructed. Why did the hydrosalpingogram become blocked today instead? Moreover, I saw online that many people say it's unnecessary to have a hydrosalpingogram after a hysterosalpingogram—is that correct?Doctor's answer:
In clinical diagnosis, 80% of infertility cases are caused by tubal factors. Tubal blockage is often caused by induced abortion, spontaneous abortion, medication-induced abortion, induced labor, unclean sexual intercourse, pelvic infection, etc., leading to adhesion, bleeding, and edema of the tubal wall, which ultimately blocks the fallopian tubes, preventing sperm and egg fusion and resulting in infertility. Currently, the three-mirror collaborative treatment is used to address blocked fallopian tubes. Multiple tubal irrigation can exacerbate tubal hydrops and lead to uterine hypertrophy. The formation of water sacs in the fallopian tubes indicates dysfunction, which further expands infertility. Additionally, tubal irrigation is highly painful, and patients sensitive to pain are prone to experiencing false blockages.