Patient's question:
Please ask the expert:After contrast examination, it was found that both fallopian tubes are blocked, with obstructions in both the isthmus. Which surgical procedure is better to adopt?
Is laparoscopic surgery or hysteroscopic laparoscopic surgery better?
What is the probability of pregnancy after surgery?
How come I can't find any hospitals in Zhejiang in the "Famous Doctors and Hospitals" section of this website???
Thank you for your reply
Doctor's answer:
Hello: Treatment Methods for Tubal Blockage:(1) Tubal medication: When the fallopian tubes have mild adhesion or incomplete blockage, medication can be injected through the uterine cavity or fallopian tubes. The drugs can be antibiotics, dexamethasone, and hyaluronidase dissolved in physiological saline. The volume of medication depends on the degree of patency, generally administered every 2-3 days after the menstrual period ends, until before ovulation. This can be repeated for 2-3 cycles. If ineffective, laparoscopic examination is recommended.
(2) Tuboplasty: For cases where conservative treatment for tubitis fails, tuboplasty can be performed based on the results of hysterosalpingography (HSG), depending on the location of the blockage. There are four types: tubal adhesion separation, ostomy, end-to-end anastomosis of the obstructed section, and tubal cornual implantation, etc.
The method to be used should be determined by the doctor based on your specific condition. The success rate after surgery cannot be guaranteed.