Patient's question:
AgeDetailed medical history and consultation purpose: Married for two years without pregnancy. Last year, I underwent several tests at the hospital:
Blood test for endocrine function, results showed low progesterone levels;
Antibody test, results indicated the presence of antisperm antibodies;
Hysterosalpingography, results showed a blind end at the distal end of the left fallopian tube and hydronephrosis at the distal end of the right fallopian tube.
Vaginal ultrasound, results suggested multiple follicles inside, suspecting polycystic ovary syndrome (PCOS).
Later, in September last year, I underwent laparoscopy at another major hospital. During the surgery, it was found that there was severe pelvic adhesion. The doctor performed bilateral tubal fimbriae ostomy + pelvic adhesion separation surgery. The surgery was successful.
Doctor's answer:
Hello, based on your specific situation, if you have never been pregnant, it is best to have the male partner abstain from sex for 2-7 days before undergoing a semen analysis to determine if there are any male factors involved. Pregnancy is a problem for both partners, not just the female. In some cases of infertility, both male and female factors may be present. Additionally, based on your menstrual cycle and the presence of multiple follicles in your ovaries, the possibility of polycystic ovary syndrome (PCOS) is still relatively high. It is recommended to undergo an electrochemical endocrine test on days 2-5 of your menstrual cycle to assess your hormone levels and confirm the presence of PCOS. Avoid (blind ovulation induction) for now. The actual significance of antisperm antibodies is not great, as many pregnant women still test positive for them. Moreover, using condoms for contraception for three months usually leads to a negative result. If you had a laparoscopic surgery last year, it is best to undergo a digital dynamic hysterosalpingography (HSG) 3-7 days after your menstrual cycle ends to assess the current condition of your fallopian tubes and pelvic area. Hydrotubation cannot accurately determine the condition of the fallopian tubes. It cannot identify whether there is hydrosalpinx, the location and severity of blockages, etc. Moreover, multiple hydrotubations can actually make the hydrosalpinx worse.