Patient's question:
Dr. Li, hello, I am a patient from Guangxi. I have been married for four years and have no children. Last October, I had an ectopic pregnancy and underwent laparoscopic surgery. In March of this year, I had another one, this time requiring surgery to remove the left fallopian tube. Now I only have one left. Can I still get pregnant? I want to do artificial insemination. Is it possible? Where can I get it done?Doctor's answer:
If one fallopian tube is patent, there is a chance of pregnancy, and you can try to conceive. If you want to increase the chances of pregnancy, the other tube needs to be cleared.The methods and effectiveness of fallopian tube recanalization mainly depend on the degree, location, and nature of the blockage. Of course, the patient's fertility status, age, and requirements also play a role.
After successful fallopian tube treatment, it is essential to get pregnant as soon as possible. Generally, the pregnancy rate is high within six months of treatment. If it exceeds one year, the likelihood of the fallopian tubes re-adhering is very high.
To ensure a healthy pregnancy and childbirth, pre-pregnancy examinations are necessary. For women, the typical pre-pregnancy tests include: complete blood count, urine routine, stool routine, gynecological examination, oral examination, six reproductive hormones tests, ABO hemolysis, HIV testing, liver function tests, karyotype analysis, syphilis testing, and the five tests (this "five" is an approximation, and the specific tests may vary slightly depending on the hospital, but the main items include: toxoplasmosis, cytomegalovirus, rubella virus, and herpes simplex virus). Other tests include blood pressure and electrocardiogram.
For men, the typical pre-pregnancy tests include: complete blood count, urine routine, stool routine, reproductive system examination, endocrine hormone tests, semen analysis, urological physical examination, liver function tests, karyotype analysis, sexually transmitted disease testing, blood pressure, and electrocardiogram.
It is generally best to undergo pre-pregnancy examinations 6–12 months in advance. If any gynecological diseases, especially sexually transmitted infections, are detected during the examination, it is important to treat them before considering pregnancy.