Patient's question:
Three years ago, I had a medication abortion. After that, I haven't been able to get pregnant. An ultrasound showed no abnormalities in the uterus or appendages. A tubal contrast test revealed that the left fallopian tube is open, while the right one has a slight adhesion. What should I do about tubal adhesion?Doctor's answer:
If both fallopian tubes are adhesed and the adhesion is excluded from the stromal part, and if there is a desire for fertility in this situation, it is recommended to perform a combined laparoscopic and hysteroscopic surgery to separate the adhesed tissues, which provides a clinical opportunity for pregnancy.If one fallopian tube is adhesed while the other is unobstructed, it is recommended to monitor ovulation with ultrasound. When the unobstructed fallopian tube's ovary releases an egg, it can guide sexual intercourse to increase the chances of pregnancy.
Therefore, for fallopian tube adhesion, the key is to determine whether there is a fertility requirement. If there is no fertility requirement, it is recommended to treat with antibiotics.