Patient's question:
In 2010, an abdominal surgery was performed to treat an ovarian cyst - removal surgery, serous cystadenoma. In 2012, an imaging test revealed hydrosalpinx. In September 2014, IVF was conducted at Shenyang Dongfang Hospital. The hydrosalpinx was not treated; five eggs were retrieved and five fertilized, two were transplanted but unsuccessful, and three embryos were frozen.Doctor's answer:
Regarding ovarian cysts, if you have never had one before and it now appears, follow up with an ultrasound 3-5 days after your period ends to determine if it is physiological. If necessary, tumor markers should also be checked to assess whether it is benign or malignant.Regarding hydrosalpinx, it cannot be confirmed whether it is caused by tuberculosis, nor can it be determined whether it is true or false hydrosalpinx. Sometimes, the fallopian tubes may only be blocked at the distal end, and if the contrast medium cannot be expelled quickly during imaging, it may appear as hydrosalpinx, but it is not actually present. If you have repeated transvaginal ultrasounds or CT scans without seeing hydrosalpinx, it may be a false appearance. However, if true hydrosalpinx is present, treatment should be sought before IVF.
Regarding mid-cycle bleeding, there are many possible causes. First, exclude organic lesions such as polyps or endometrial hyperplasia through physical examination and ultrasound for preliminary judgment. Then, consider endocrine factors, which can be treated with medication. If you currently have prolonged, heavy vaginal bleeding, it is recommended to seek emergency medical attention for hemostasis.
Regarding pregnancy, regardless of whether tuberculosis is present, as long as the endometrium is healthy, embryo transfer is possible, and pregnancy may occur. High-quality hospitals in Guangxi include:
- People's Hospital of Guangxi Zhuang Autonomous Region
- Hechi People's Hospital
- Wuzhou Workers' Hospital