Patient's question:
In 2010, it was discovered that there were ovarian cysts on both sides due to menstrual cramps. The left one was a corpus luteum hemorrhage with cystic changes, and the right one was an endometrial cyst combined with a mucinous cystadenoma. After the surgery, only the right fallopian tube was found to be patent.Doctor's answer:
Hello,1. Postoperative vaginal bleeding is possible. I don’t know how you took Ulipristal Acetate and Etonogestrel after surgery; bleeding may be reduced by adjusting the medication dosage. Pelvic effusion doesn’t necessarily indicate a problem. Normal individuals may also have pelvic effusion during certain periods of their menstrual cycle, and most cases are physiological.
2. The likelihood of natural conception in your case is indeed relatively low, as there are many factors affecting pregnancy: A history of multiple ovarian surgeries may lead to decreased ovarian function. Have you undergone relevant tests in this regard? Additionally, a history of pelvic tuberculosis can cause pelvic adhesions, fallopian tube blockage, and damage to the endometrium. Severe intrauterine adhesions make the "soil" unsuitable for embryo survival. These combined factors contribute to an overall pessimistic prognosis for pregnancy, whether natural or through IVF. However, the adhesions have now been separated via hysteroscopic surgery, and the tuberculosis has been cured. We can monitor the recovery of the endometrium and appropriately use high-dose estrogen to stimulate its growth. If the postoperative endometrial condition improves, IVF can be attempted.
It’s essential to seek medical treatment at hospitals. The hospitals I know include: Heilongjiang Provincial Agricultural Reclamation Group General Hospital, The Fourth Affiliated Hospital of Harbin Medical University, and The Second Affiliated Hospital of Harbin Medical University.