How to handle fallopian tube patency but adhesion

Patient's question:

Last month, I had two hydrotubation treatments for tubal blockage. The first one was extremely painful, and the water flowed back when it was injected. The second one was much less painful, and the water did not flow back. The doctor said it was almost done. He prescribed me to take Ginkgo biloba for 15 consecutive days and suggested another hydrotubation in December, which might solve the problem.
Yesterday was the 12th day of my period, and I had another hydrotubation. It was extremely painful again. The doctor said it might be because the area that was unblocked has re-adhered. How is this possible? ?? If this continues, unblocking it only to have it adhere again—when will this ever end? ???
The doctor recommended that I have a contrast examination to check which part is not unblocked.

Doctor's answer:

For patients who are infertile due to fallopian tube blockage or adhesion, surgical treatment is generally adopted. This is because fallopian tube blockage is primarily caused by infectious inflammation leading to tube adhesion. However, infectious inflammation is often transient and short-term, whereas the adhesion caused by inflammation is permanent. At this stage, anti-inflammatory treatment is too late. Therefore, when fallopian tubes are blocked, drug treatment is almost ineffective. Anti-inflammatory and drug treatments can only control the spread of inflammation.
So, in your current situation, it is advisable to choose minimally invasive and painless surgery for early treatment. The combination of hysteroscopy and laparoscopy, which integrates minimally invasive examination, treatment, and surgery, is an advanced technology recommended internationally for diagnosing and treating infertility caused by fallopian tube lesions. During surgery, modern high-tech techniques such as electric laser, microwave, and ultrasound are used to diagnose and treat simultaneously, making the procedure more comprehensive and enabling the completion of many highly complex surgeries. The success rate of the surgery is high, with rapid recovery and a greater chance of conception. Hospitalization typically lasts 3-7 days.
You can choose to undergo relevant examinations and treatments around 2-5 days after your menstrual period.

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