Patient's question:
The follow-up test showed that the baby continued for 5 months, but still didn't go to the hospital for a detailed examination. The ultrasound revealed: the uterus cross-section was 544635, normal shape, basal echo was uniform. The right ovary was 3118, and the left ovary was 3218. Under MRI surveillance, tubal catheterization: after injecting the medication, strong echoes of the medication were clearly visible in the proximal area of the left fallopian tube; no obvious strong echoes of the medication were seen in the right fallopian tube area. MRI findings: bilateral fallopian tubes are not unobstructed. What should I do? I don't have a child yet. I cried.Doctor's answer:
Post-abortion infertility accounts for a certain proportion of infertility cases and shows an increasing trend. The causes of infertility after abortion are mainly two: one is abnormal tubal patency (obstruction, suboptimal patency), and the other is uterine adhesion. The treatment for tubal patency can be comprehensively evaluated using the following methods: oral administration of papain for Western medicine, intramuscular injection of trypsin; oral administration of Chinese medicine for activating blood circulation, resolving stagnation, clearing heat, and detoxifying, as well as enema and internal abdominal administration. Additionally, tubal perfusion, tubal irrigation, and physical therapy can be performed, achieving good therapeutic effects. In recent years, a very small number of hospitals in China have used hysteroscopic catheter irrigation to treat abnormal tubal patency, achieving satisfactory results.