Patient's question:
In 2010, an abdominal surgery was performed to treat an ovarian cyst - removal surgery, serous cystadenoma. In 2012, contrast imaging revealed hydrosalpinx. In September 2014, IVF was conducted at Shenyang Dongfang Hospital. The hydrosalpinx was not treated; five eggs were retrieved and five fertilized, two transplants were unsuccessful, and three embryos were frozen.Doctor's answer:
Regarding ovarian cysts, if you previously didn't have one and now have developed one, follow up with an ultrasound 3-5 days after your period ends to check if it's physiological. If necessary, tumor markers should also be tested to determine if it's benign or malignant.Regarding hydrosalpinx, it's uncertain whether it's caused by tuberculosis, or whether it's true or false hydrosalpinx. Sometimes, the fallopian tubes may only be blocked at the distal end, and if the contrast medium doesn't drain out quickly during imaging, it may appear as hydrosalpinx, but it's not actually. If you have repeated transvaginal ultrasounds or CT scans without seeing hydrosalpinx, it may be a false appearance. However, if true hydrosalpinx is present, treatment should be considered before IVF.
Regarding mid-cycle bleeding, there are many possible causes. First, exclude organic conditions such as polyps or endometrial hyperplasia through physical examination and ultrasound for preliminary judgment. Then, consider endocrine factors, which can be treated with medication. If you have persistent, heavy vaginal bleeding, it's recommended to seek emergency medical attention for hemostasis.
Regarding pregnancy, regardless of whether tuberculosis is present, as long as the endometrium is healthy, embryo transfer can be performed, and pregnancy is possible. High-quality hospitals in Guangxi include:
People's Hospital of Guangxi Zhuang Autonomous Region
Hechi People's Hospital
Wuzhou Workers' Hospital