Patient's question:
Detailed medical consultation purpose: I have been married for nine years. In November 2002, I suffered from an ectopic pregnancy. After surgery (in 2004), a fluid infusion test showed that both fallopian tubes were unobstructed, and my menstruation returned to normal. However, I experience abdominal pain on the first day of my period. Despite seeking medical help from various sources, there has been no improvement to date.Duration and persistence of the current illness: 2 years
Current general condition: As above
Medical history: As above
Previous diagnoses, treatments, and outcomes:
Doctor's answer:
Hello: How is tubal obstruction infertility treated?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 catheterization: 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 catheter. Treat once every other day until the ovulation period, and it can be continuously treated 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 can be performed. Tubal catheterization is recommended postoperatively.
Traditional Chinese Medicine Treatment Methods:
Traditional Chinese medicine treatment for tubal obstruction infertility involves syndrome differentiation and treatment according to chronic tubo-ovarian inflammation, along with oral Chinese herbal medicine. Additionally, external treatment methods such as topical application, acupoint injection, and enema are often used, with the enema method being the most common. Below are several Chinese herbal formulas for treating tubal obstruction infertility.
Prescription ①:
Honeysuckle vine (Jin yin hua) 30g, Horsetail grass (Zhi lian cao) 15g, Saponaria root (Zao jiao ci) 12g, Licorice root (Sheng gan cao) 9g
The above herbs are decocted with water to a concentration of 100 mL, then the dregs are removed. After the medicine cools, it is used for enema, with a slow and gradual process. The longer the medicine is retained, the better. Treatment begins 3 days after the menstrual period ends