Patient's question:
Patient Gender:Detailed Condition and Purpose of Consultation: Due to severe bleeding caused by miscarriage, I developed tubal blockage. I have undergone tubal intervention surgery. After the procedure, the doctor informed me that the fallopian tubes were open. However, six months later during a follow-up examination, the hospital informed me that the fallopian tubes were still blocked and not open. The doctor advised me to give up treatment, not to spend money on unnecessary follow-ups, as further attempts to unblock them would also fail. Doctor, am I truly hopeless? I desperately need a child and really hope to be cured of the tubal blockage. I sincerely hope the doctor can help me achieve this dream and fulfill a woman's aspiration.
This time
Doctor's answer:
Hello:The tubitis that causes tubal obstruction infertility is mainly chronic inflammation. The treatment is best achieved through a combination of traditional Chinese and Western medicine methods, and surgical treatment may be necessary if needed.
Western Medicine Treatment Methods:
(1) Tubal irrigation: This can be performed 3 days after the menstrual period ends. Gentamicin (160,000 units), 2% procaine (2 mL), dexamethasone (5 mg), and alpha-chymotrypsin (5 mg) are dissolved in 20 mL of normal saline and injected into the uterine cavity through a tubal irrigation catheter. Treatment is administered once every other day until the ovulation period, and it can be repeated for 2 to 3 menstrual cycles.
(2) Surgical treatment: For patients who do not respond to conservative treatment, surgical procedures such as tubal ostomy, adhesion separation, tubal anastomosis, uterine-tubal implantation, and microscopic tubaloplasty may be performed. Tubal irrigation is recommended after surgery.
Traditional Chinese Medicine Treatment Methods:
In addition to treating chronic tubo-ovarian inflammation according to syndrome differentiation and oral Chinese herbal medicine, traditional Chinese medicine also frequently employs external treatment methods such as topical application, acupoint injection, and enema. Among these, enema with Chinese herbal medicine is the most commonly used. Below are several Chinese herbal formulas for treating tubal obstruction infertility.
Prescription ①:
Honeysuckle vine (Jin Yin Hua) 30g, Horsetail (Zhi Li) 15g, Spinosad (Zao Jiao Ci) 12g, Licorice root (Sheng Gan Cao) 9g
The above herbs are decocted with water to produce 100 mL of concentrated liquid. The dregs are removed, and the liquid is cooled to body temperature before enema. The process should be slow, and the longer the liquid is retained, the better. Treatment begins 3 days after the menstrual period ends, with 10 treatments per month, and is discontinued during the menstrual period.