Patient's question:
Doctor, I am 25 years old this year and have been trying to conceive for 2 years. I am 160 cm tall and weigh 56 kg. In 2011, I had an accidental pregnancy and underwent an induced abortion. My husband has a high rate of abnormal sperm. In May 2015, I had a thorough examination and was diagnosed with polycystic ovary syndrome, elevated prolactin, and ultrasound tests showing that the follicles did not grow. Later, I endured exercise and took Chinese medicine for regulation, and my menstrual cycle returned to normal, with regular menopause. In July 2016, I had a hydrotubation examination and found that the fallopian tubes were blocked. After that, I continued to take Chinese medicine, during which time my menstrual cycle was delayed by 10 to 20 days each time. In April 2017, I had a blood test for hormones, which were normal. The doctor recommended a fallopian tube, which showed mild blockage of the fallopian tubes, twisted and uneven, possibly with pelvic adhesions. My body is relatively weak, I am cold-sensitive, and I experience lower abdominal pain and lower back pain after sitting for a long time. It would be a great help if you could advise me on how to treat this.Doctor's answer:
From the careful examination results of your couple, the current diagnosis includes: secondary infertility, mild male teratozoospermia, pelvic adhesions, bilateral tubal patency, and oligomenorrhea (polycystic ovary syndrome to be ruled out).2. You have previously experienced pregnancy, but currently have poor menopause. It is recommended to monitor data and guide intercourse during menopause (with the possibility of using ovulation-inducing drugs) for 3-6 menstrual cycles. If there is no pregnancy for 3-6 consecutive menstrual cycles, artificial insemination or hysteroscopy and laparoscopy can be considered to further clarify the pelvic and uterine conditions.