Patient's question:
Medical Description: Had an abortion with D&C two years ago. Married for two years with no children. Examination results show blocked fallopian tubes. Past Treatment and Effectiveness: Underwent two hydrotubation procedures and one contrast examination, but the tubes are still blocked. Desired Help: Want to know what else should be done next. What is the success rate of further surgery and what are the costs?Doctor's answer:
Hello, tubal irrigation is only effective for mild adhesions, but the results cannot be guaranteed. If the adhesions are mild, they are usually flushed open during tubal contrast examination. If the contrast examination does not open them, the possibility of using irrigation to unblock the fallopian tubes is not high. Especially when one side is open while the other is not, during irrigation, the water flows to the side with lower pressure. If all the water flows to the open side, it has little effect on the blocked side. Clinically, many patients lack understanding of tubal irrigation and blindly undergo the procedure. Repeated irrigation is harmful rather than beneficial to the fallopian tubes. First, repeated irrigation may affect the fallopian tubes' own motility and ciliary movement. Second, each irrigation increases the risk of infection, especially when sterilization is not strict. Many fallopian tubes that were not severely affected may worsen after irrigation.