Patient's question:
Doctor, hello! I got married in May 1st and have been using contraception. In late September, I developed appendicitis, which recurred twice. Now it's mostly healed. In early December, I had a tubal dye test, and the results showed that the left tube is open, but the fimbriae have poor iodine oil diffusion, with small nodular granular filling defects observed. The right tube is blocked. Can I still get pregnant like this? If not, can it be treated? What kind of treatment is available? If I do get pregnant, will it lead to an ectopic pregnancy?First follow-up question: The doctor suggested I try to get pregnant, but I'm worried about ectopic pregnancy, and I'm very skeptical about whether I can get pregnant!
Doctor's answer:
Fertilization is a very complex physiological process. It requires the fusion of sperm and egg to form a zygote, which ultimately implants in the uterine cavity. In addition to having normal sperm, eggs, and an appropriate intrauterine environment, it is also a crucial step in the fertilization process for the sperm and eggs to meet and be successfully transported to the uterine cavity. This task is completed by the fallopian tubes. If the fallopian tubes are inflamed, leading to blockage, and sperm cannot meet the eggs due to this, it is called tubal obstruction infertility.Standard hydrotubation, also known as routine tubal irrigation, is the method we commonly use. The water pressure in this method is relatively low, making its effectiveness minimal for distant tubal blockages. Since standard hydrotubation is a blind procedure that cannot visualize the specific filling status of the fluid within the fallopian tubes, it is impossible to predict the patency after irrigation. Additionally, it increases the risk of infection, so it should not be performed frequently. Its advantages are simple operation and low cost.