Patient's question:
My aunt has been married for three years and has not been able to get pregnant. She has been treated at an infertility hospital in Hubei, but it has had no effect.Doctor's answer:
The symptoms of fallopian tube blockage include abdominal discomfort: varying degrees of pain in the lower abdomen, mostly in the form of subtle discomfort, accompanied by soreness, fullness, and a sense of heaviness in the lower back and sacral region, often exacerbated by fatigue. Due to pelvic adhesions, there may be pain during bladder or rectal fullness or emptying, or other bladder/rectal irritation symptoms such as frequent urination or tenesmus. Irregular menstruation: The fallopian tubes are adjacent to the ovaries, and in general, diseases of the fallopian tubes do not affect ovarian function or menstrual volume. However, when inflammation affects the ovaries and impairs their function, menstrual abnormalities may occur. The most common issues are frequent menstruation and excessive menstrual flow, which may result from pelvic congestion and ovarian dysfunction. Chronic inflammation can lead to uterine fibrosis, incomplete uterine involution, or abnormal uterine positioning, all of which can cause excessive menstrual bleeding. Infertility: Damage to the fallopian tubes may result in blockage and infertility, with secondary infertility being more common. Dysmenorrhea: Pelvic congestion can lead to congestive dysmenorrhea, with abdominal pain often starting one week before menstruation and worsening as the period approaches. Other symptoms may include increased leukorrhea, painful intercourse, gastrointestinal disorders, fatigue, reduced tolerance to labor, and neurological or psychiatric symptoms such as depression. If the fimbriae are blocked, fallopian tube can be used for diagnosis and treatment. Fallopian tube blockage can cause infertility, so it is recommended to visit a professional infertility hospital for examination. To diagnose whether the fallopian tubes are blocked, methods such as fallopian tube hydrotubation (aerotubation), hysterosalpingography (HSG), and laparoscopic fallopian tube hydrotubation can be used to assess the course of the fallopian tubes, their patency, and pelvic adhesions. Fallopian tube allows direct visualization of the inner lining of the fallopian tubes, enabling assessment of their functional state—advantages that other diagnostic methods do not possess. Combining fallopian tube with laparoscopy and HSG is currently the best approach for evaluating fallopian tube patency and function. Once the blockage or adhesion of the fallopian tubes is identified, the key is to clear the blockage and resolve the issue. At this stage, the German visual fallopian tube plays a significant role. Changsha Sunshine Infertility Hospital has introduced the German visual fallopian tube, which precisely clears fallopian tube blockages and focuses on solving long-term infertility. The German visual fallopian tube is a minimally invasive, visual diagnostic and therapeutic technology for tubal infertility, performed under safe and painless conditions. Under direct hysteroscopic visualization, a catheter and guide wire are inserted through the vagina and uterine cavity to the blocked area of the fallopian tubes. The blockage is cleared using the guide wire, and a clearing fluid is injected into the blocked area. This approach is direct and highly effective, avoiding the pain caused by traditional repeated hydrotubation, aeration, or medication. For severe cases, laparoscopic-assisted treatment can be used to simultaneously resolve pelvic adhesions with the help of a digital laparoscopic system, achieving faster and more effective clearing of blockages. This method is particularly effective for treating long-term infertility. Wishing you good health and early pregnancy!