Patient's question:
Detailed medical condition and consultation purpose: Infertility for two years since marriage. Last year, I had a hysterosalpingogram, which showed a blind end at the distal left fallopian tube and hydrosalpinx at the distal right fallopian tube. Subsequently, in September last year, I underwent laparoscopy: bilateral fimbrial ostomy. The surgery was successful.After the surgery, I have not become pregnant. In June of this year, I had another hydrosalpingogram, which showed initial resistance followed by its disappearance.
In my previous inquiry, Dr. Letiantian recommended that I have another hysterosalpingogram. I had it done yesterday, and the results are as follows:
The size and shape of the uterus are normal. The distal isthmus of the left fallopian tube is occluded, and the right fallopian tube...
Doctor's answer:
Hello, according to your situation, it may be worth reviewing the fallopian tube to assess the condition of the fallopian tubes. If the fallopian tubes are blocked, it is often caused by chronic inflammation. If only simple catheterization,, or a regular low-resolution hysteroscopy and laparoscopy system are used for diagnosis and treatment, it may not be possible to definitively rule out factors leading to infertility due to changes in the shape or internal structure of the fallopian tubes. Additionally, many patients with blocked fallopian tubes may experience "false patency" or incomplete patency after undergoing "catheterization" procedures, making it still difficult to conceive.