Patient's question:
Detailed medical condition and consultation purpose: Infertility for four months after intercourse, currently found that the left fallopian tube is patent but not fully open, while the right fallopian tube is blocked. Am I unable to conceive? Are there any methods to treat this and restore fallopian tube patency? Everything else is normal; thank you! Urgent, urgent!Doctor's answer:
Hello: You might consider doing a fallopian tube hydrotubation!1) Tubal medication: When the fallopian tubes have mild adhesions or incomplete blockage, medication can be injected through the uterine cavity or fallopian tubes. The medication can be antibiotics, dexamethasone, or hyaluronidase dissolved in normal saline. The volume of fluid depends on the degree of patency and is generally administered every 2–3 days after the menstrual period ends, until ovulation. This can be repeated for 2–3 cycles. If ineffective, laparoscopic examination is recommended.
(2) Tubaloplasty: For cases where conservative treatment for tubitis is ineffective, tubaloplasty 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, excision and anastomosis of the blocked segment, and tubal cornual implantation, among others.