What should I do if I have tubal blockage after a miscarriage?

Patient's question:

After a miscarriage, if there is tubal blockage and hydrosalpinx, and the sedimentation rate increases due to tuberculosis, can pregnancy still be possible?

Doctor's answer:

Fallopian tube blockage requires additional treatment based on the location of the blockage. The optimal treatment for blockages in the interstitial part and isthmus of the fallopian tube is transcatheter recanalization under X-ray, with a recanalization rate of over 90% and a postoperative pregnancy rate of 50%. For ampullary blockage, there is no effective clinical treatment, and in vitro fertilization (IVF) can be considered. For fimbrial blockage (hydrosalpinx), fimbrial ostomy can be performed, including laparoscopic ostomy and open surgery ostomy. The postoperative pregnancy rate is over 20%. In addition to medication for gynecological diseases, patients also need to pay attention to dietary aspects, such as proper diet and maintaining a positive mood. At the same time, patients should also pay attention to choosing a reputable hospital for treatment to achieve good therapeutic effects.

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