Patient's question:
I have had irregular periods for over a year. This time, my period was dark in color, with less volume and lasted a long time. When I went to the hospital for a check-up, they found that I have intrauterine adhesions and tubal adhesions, as well as cervical cysts. The doctor said I need to have a minimally invasive surgery, but I have a heart condition with frequent premature beats—ten per minute—and the doctor is hesitant to perform the surgery. Can I be treated conservatively in my case?Doctor's answer:
Hello, tubal adhesion is one type of fallopian tube disease. Due to chronic infection leading to clogging of the fimbriae, fallopian tube fluid and inflammatory exudate accumulate in the ampulla. The isthmus has thick walls and a narrow lumen. If further adhesion occurs, fluid accumulation in the tube becomes difficult to drain and absorb, forming a cystic effusion with no or mild adhesion to surrounding tissues. Due to adhesion, the fallopian tube becomes obstructed, affecting the normal passage of sperm, preventing the meeting and combination of sperm and egg to form a zygote, leading to female infertility. It is recommended that you go to the hospital for a detailed examination to identify the cause and receive targeted treatment.