Can hydrotubation be used to treat fallopian tube blockage?

Patient's question:

I have Polycystic Ovary Syndrome (PCOS) and my periods are often delayed. The longest time I've had no period was 4 months. The doctor recommended in vitro fertilization as the first option and laparoscopic surgery as the second. I didn't choose either, and I also stopped taking Dian. After stopping the medication, my periods were regular for 3 months, but they still haven't come yet.

Doctor's answer:

Hysterosalpingography can be performed 3 days after the end of menstruation. Gentamicin (160,000 units), 2% procaine (2 mL), dexamethasone (5 mg), and trypsin (5 mg) are dissolved in 20 mL of normal saline and injected into the uterine cavity through a hysterosalpingography catheter. The treatment is administered once every other day until the ovulation period, and it can be continued for 2 to 3 menstrual cycles. This method is still widely used by many medical institutions, but it has poor efficacy, a high risk of infection, and a high rate of false positives.

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