How to treat bilateral tubal hydrops

Patient's question:

What should I do about bilateral tubal hydrops? I have hydrops in one of my fallopian tubes, and I haven't been able to conceive yet. This is a knot in my heart.

Doctor's answer:

Salpingitis with abscess formation gradually leads to the absorption of pus after the inflammation subsides. The intrauterine fluid changes from purulent to serous, resulting in bilateral hydrosalpinx. An experienced tubal specialist can determine whether it is suitable to perform a tubal ostomy surgery by correctly interpreting hysterosalpingography (HSG) images and observing the condition of the fimbriae of the fallopian tubes under laparoscopy. If the diameter of the tubal effusion is greater than 3 cm and the tubal mucosa is severely damaged, making it difficult to restore tubal function postoperatively, and if the endometrial condition is good, it is possible to directly proceed with in vitro fertilization (IVF) without the need for tubal recanalization treatment.

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