Patient's question:
Hydrosalpinx at the distal fallopian tube. The doctor recommended IVF.Doctor's answer:
Hydrosalpinx can lead to 1, blockage of the affected fallopian tube, resulting in impaired egg retrieval, preventing sperm from fertilizing the egg. 2, Hydrosalpinx can cause inflammation to reflux into the uterine cavity, leading to possible miscarriage of intrauterine pregnancy (such as after IVF embryo transfer). It is recommended to solve this issue with laparoscopy.The general treatment methods are:
1. Ligating the proximal end of the fallopian tube to relieve hydrosalpinx at the fimbriae (if preparing for IVF, this method is often recommended).
2. Creating a stoma at the fallopian tube fimbriae to facilitate natural conception (if unsuccessful after one year, it may lead to recurrent hydrosalpinx, which is your current issue).
3. Removing the fallopian tube (this is generally considered to affect ovarian blood supply and is not recommended).
In summary, since you have hydrosalpinx, you need laparoscopic or hysteroscopic-laparoscopic combined surgery to resolve it.