What should I do if both fallopian tubes are blocked?

Patient's question:

What should I do if both fallopian tubes are blocked? 34 years old.

Doctor's answer:

Hello: Treatment Methods for Tubal Blockage:
(1) Tubal medication: When the fallopian tubes have mild adhesion or incomplete blockage, medication can be injected through the uterine cavity or fallopian tubes. The medication may include antibiotics, dexamethasone, and hyaluronidase dissolved in normal saline. The volume of liquid varies depending on the degree of patency. Generally, it is administered every 2–3 days starting 3 days after the menstrual period until before ovulation. This can be repeated for 2–3 cycles. If ineffective, laparoscopic examination is recommended.
(2) Tubaloplasty: For cases where conservative treatment for tubitis is ineffective, tubaloplasty can be performed based on the results of hysterosalpingography (HSG), depending on the location of the blockage. There are four types: tubal adhesion separation, ostomy, excision and anastomosis of the blocked segment, and tubal implantation into the uterine angle.
The method to be used should be determined by the doctor based on your specific condition. The success rate after surgery cannot be guaranteed.

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