How to treat bilateral tubal effusion

Patient's question:

Doctor,
My friend often experiences lower abdominal pain. Initially, it was misdiagnosed as appendicitis in their local hospital, but medication did not improve the condition. Later, the doctor said that my ultrasound shows bilateral tubal effusion. They recommended intravenous penicillin for three months to see if it is a good treatment. I am wondering if this is a better treatment option? Additionally, will it affect future fertility issues?
I am asking for your help. Thank you.

Doctor's answer:

1. Treatment plan for "near-end" tubal hydrops: Guangren adopts tubal interventional therapy + platinum wire.
  The primary approach involves first accurately identifying the blocked area, using laparoscopy and hysteroscopy for precise intervention under direct visualization. Then, local interventional techniques are employed to clear the fallopian tubes and place anti-adhesion drugs, performing tubal and uterine clearance for the patient.
  2. Treatment plan for "far-end" tubal hydrops: Guangren adopts combined hysteroscopic and laparoscopic platinum wire tubal clearance surgery.
  This technique, under the surveillance of a laparoscopic video imaging system, utilizes hysteroscopic tubal wire clearance to expand the surgical field to the entire uterine cavity, allowing the wire to pass through the obstruction and achieve the goal of clearing the lumen.

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