Patient's question:
After a ectopic pregnancy 15 years ago, I haven't been able to get pregnant again. I'm 32 now, and I'm very anxious to get pregnant. At the beginning of this year, I had a thorough check-up at the hospital, which said my prolactin level was high at 315, and there was fluid accumulation in the right fallopian tube. The doctor said my chances of getting pregnant were 50%, but when I asked other doctors, some told me that surgery was necessary, fearing that the other side might also become blocked if it took too long. I'm really unsure of what to do, so I've been dragging it on until now...Does one blocked fallopian tube really interfere with the other? Is surgery the best solution for my current situation?
Doctor's answer:
Some cases of hydrosalpinx are caused by inflammation, which may spread to the pelvic and abdominal cavities, potentially leading to pelvic inflammatory disease and abdominal cavity inflammation. Hydrosalpinx has a negative impact on the early pregnancy outcomes of culture dishes. The toxic substances originating from the hydrosalpinx flow into the uterine cavity during embryo transfer, exerting a toxic effect on the embryos transferred to the uterine cavity, which can result in a reduced clinical pregnancy rate, an increased rate of early miscarriage, and an elevated rate of ectopic pregnancy. Therefore, it is still recommended that you undergo surgical treatment.