Patient's question:
Hello doctor, I had an ectopic pregnancy surgery in June 2004, with cornual pregnancy. I experienced abdominal bleeding, but the affected fallopian tube was preserved. Now I want to have children, but my fallopian tubes are blocked. How should I be treated?Doctor's answer:
Hello:(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 liquid depends on the degree of patency and is generally administered every 2–3 days starting 3 days after the end of menstruation until before ovulation. This can be repeated for 2–3 cycles. If ineffective, laparoscopic examination is recommended.
(2) Tubaloplasty: For cases where tubal inflammation does not improve after conservative treatment, 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 implantation into the uterine angle, among others.