How is severe fallopian tube blockage treated?

Patient's question:

Expert: Good
I had contrast hysterosalpingography, and both sides of my fallopian tubes are blocked, with blockage in the isthmus. I don’t know which expert can help me. Hydrotubation and other treatments have been ineffective for me. I’m wondering whether to have laparoscopy or laparoscopic hysteroscopy now. Some hospitals say laparoscopy is better, while others say laparoscopic hysteroscopy is better. I really don’t know what to do. I hope an expert can tell me which hospital performs this surgery well now.

Doctor's answer:

It is meaningless to undergo tubal hydrotubation for tubal blockage. Clinically, 40-60% of infertility patients are caused by tubal factors. Tubal blockage is often caused by factors such as miscarriage, unsafe sex, endometriosis, pelvic infection, and tuberculosis, leading to adhesion, congestion, and edema of the tubal wall, resulting in blockage. Patients often experience lower abdominal or unilateral pain, bloating, pain during intercourse, dysmenorrhea, and infertility. For infertility caused by tubal blockage and adhesion, surgical treatment is generally adopted. You can choose early minimally invasive and painless surgery for treatment. Combined with surgery, hysteroscopy, and laparoscopy, the advanced technology integrates examination, treatment, and surgery under minimally invasive conditions. It is currently the best recommended method for treating tubal lesions internationally for diagnosing and treating infertility. The surgery has a high success rate, quick recovery, and a high chance of conception. Hospitalization is only 3-7 days. You can choose to undergo relevant examinations and treatment around 2-5 days after your menstrual period.

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