Patient's question:
I had a hysterosalpingogram (HSG) in May this year, and the results showed that the fallopian tubes are patent. I plan to get pregnant next month. Could you please advise on any additional methods to ensure that I don't have fallopian tube inflammation and can conceive normally?History of illness and duration of symptoms: Ectopic pregnancy in April this month, with removal of the left fallopian tube.
Doctor's answer:
Hello, tubal inflammation mainly presents with the following symptoms:1. Increased vaginal discharge: Long-term untreated cases may lead to increased vaginal discharge, although some patients may have no subjective symptoms.
2. Dysmenorrhea: Pelvic congestion can cause congestive dysmenorrhea, often occurring one week before menstruation, with symptoms becoming more severe as the menstrual period approaches.
3. Abdominal pain: A common symptom of tubal inflammation, characterized by varying degrees of lower abdominal pain that worsens after physical exertion. Due to pelvic adhesions, it may cause pain during bladder or rectal fullness or emptying, or other bladder/rectal irritation symptoms, such as frequent urination or tenesmus.
4. Irregular menstruation: Shortened menstrual cycles and excessive menstrual flow are common symptoms of tubal inflammation, primarily caused by pelvic congestion or ovarian dysfunction. Long-term stimulation from chronic inflammation can lead to uterine fibrosis, incomplete uterine involution, or abnormal uterine positioning due to adhesions, all of which may result in menorrhagia.