Patient's question:
Patient, I had a combined gynecological and abdominal surgery in June 2009. After the surgery, the re-examination showed one side was (open), but once it was painful and not smooth. My husband's sperm viability rate is around 60%. I don't know if it's possible for us to get pregnant in this situation, and what the best treatment would be. My husband is 36 years old this year, and we are very anxious.Doctor's answer:
You can perform the following careful checks:1. Tubal hydrotubation, also known as tubal irrigation.
2. Magnetic resonance imaging (MRI) examination: MRI examination of the fallopian tubes includes routine MRI and MRI-guided tubal irrigation.
3. Hysterosalpingography (HSG) with X-ray.
4. Laparoscopic examination.
After identifying the specific location of the fallopian tube blockage, if the recurrence occurs in the interstitial or isthmus portion of the fallopian tube, the interventional recanalization of the fallopian tube using X-ray can achieve good therapeutic effects.
Surgical treatment for tubal obstruction infertility is commonly performed using tubal microscopy, hysteroscopy, or laparoscopy. Microsurgical techniques are preferable.