Patient's question:
Age 34, single, no children, with a history of two miscarriages. Divorced for two years, and for the past six months, I have been taking folic acid for pregnancy preparation. Recently, I had a gynecological examination at the hospital, and the ultrasound revealed no abnormalities in the uterus or appendages. However, it was found that both fallopian tubes have severe hydrosalpinx. The doctor recommended performing a culture dish test. I would like to ask how to get pregnant with fallopian tube hydrosalpinx?Doctor's answer:
If there is obvious bilateral tubal hydrops under MRI, laparoscopic surgery or IVF can be considered. Laparoscopy can be performed to attempt pregnancy after tubal recanalization for 3-6 months, or if severe bilateral tubal abnormalities are observed during the surgery, the tubes can be removed and then IVF can be pursued. Alternatively, IVF can be chosen directly. Given your age, the specific method of assisted reproduction will depend on the results of your ovarian function tests and your husband's semen analysis. If there are abnormalities in either your ovarian function or your husband's semen, it is recommended to proceed directly with IVF. If both tests are normal, you can first consider laparoscopic surgery.