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Patient's question:

A colleague of my aunt has been married for several years but hasn't had children. Recently, she went to the hospital for a check-up, and the doctor initially diagnosed it as fluid accumulation in the fallopian tubes. The doctor recommended an ultrasound to take a look. Can an ultrasound detect fluid accumulation in the fallopian tubes?

Doctor's answer:

Hydrosalpinx, fallopian tube should be considered for possible fallopian tube obstruction, which may affect future fertility. Hysteroscopy combined with laparoscopy and Yang's therapy is primarily used to treat fallopian tube issues through X-ray dynamic digital hysterosalpingography for infertile patients with fallopian tube obstruction.
Fallopian tube obstructive infertility is a difficult condition in infertility treatment. Many hospitals use various Chinese herbal medicines for treatment, unaware that fallopian tube obstruction itself is an organic lesion (i.e., a pathological change in anatomy and structure), and Chinese medicine has no effect on organic lesions. Currently, the only effective treatment for tubal infertility is surgery, but traditional surgical treatments also have shortcomings. For example, traditional open abdominal fallopian tube correction or laparoscopic surgery can only address distal fallopian tube obstruction and pelvic adhesions, while often being ineffective for proximal fallopian tube obstruction or intraluminal adhesions (patency but not smooth).
As a result, in vitro fertilization (IVF) becomes the only hope for patients to achieve their dream of starting a family. However, IVF is not only expensive (around 20,000 yuan per cycle) and has significant side effects, but also has a low success rate (generally 20–30%).

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