Patient's question:
Patient: Female, 31 years old, married for 2 years with no pregnancy. Started measuring basal body temperature in 2012, which was generally normal. Since 2012, she has been monitoring ovulation at a women's hospital. Last year, one ovulation was detected on the left side, while the last three showed ovulation on the right side.On April 16, 2013, a tubal contrast examination at the women's hospital revealed:
(1) Blocked right fallopian tube, left fallopian tube open but not fully unobstructed;
(2) Uneven uterine cavity density.
On May 9, 2013, a large ultrasound examination showed:
(1) Pelvic effusion;
(2) Possible uterine fibroids;
(3) Growth of follicles in the right ovary.
Doctor's answer:
Some patients with blocked fallopian tubes may experience symptoms such as pain on one or both sides of the lower abdomen, a heavy feeling, excessive discharge, and lower back pain. During menstruation, the amount of blood flow may increase, but it is easy to confuse this with other diseases. Whether the fallopian tubes are blocked must be confirmed through fallopian tube iodine oil contrast examination. Moreover, fallopian tube blockage can also be treated. If it is mild, it can be treated with hydrotubation. For more severe cases, it can also be considered to unblock the fallopian tubes through hysteroscopy or laparoscopy. Ovulation has nothing to do with the fallopian tubes. It is just that fallopian tube blockage prevents pregnancy.