How can one get pregnant with hydrosalpinx?

Patient's question:

After giving birth to my first child, I didn't use any contraception because I always wanted a second child. But so far, I haven't been able to get pregnant. Last year, I had an imaging test at a local hospital, which said that both of my fallopian tubes were blocked. Then I had laparoscopy, but only one tube was cleared, and I still couldn't get pregnant. In the past few months, I had another imaging test of the fallopian tubes, which said there was fluid accumulation in the tubes. After taking traditional Chinese medicine for regulation, I still haven't gone for a follow-up check-up. Doctor, how can I get pregnant with fluid accumulation in my fallopian tubes?

Doctor's answer:

The fallopian tube constantly secretes exudate due to inflammation, containing inflammatory factors. The fimbriae then become adhered and obstructed, unable to eliminate this fluid. Over time, this condition is referred to as accumulated fallopian tube effusion. Therefore, the first step in treating fallopian tube effusion is to address the blockage. If you want to conceive, laparoscopic surgery or in vitro fertilization (IVF) may be options. However, fallopian tube effusion often allows inflammatory fluid to spread into the uterine cavity, which can negatively impact the uterine environment and embryo transfer. Thus, even if IVF is chosen, surgery to resolve the fallopian tube effusion is necessary.

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