Patient's question:
Problem Description: The patient was positioned in a supine position, and the catheter was successfully inserted through the cervix. 50% diatrizoate meglumine was injected, revealing the uterine cavity filled with contrast, appearing as an inverted triangular shape with uniform internal density and smooth cavity walls. The bilateral uterine angles were symmetrical. The distal end of the left fallopian tube showed dilatation, with some contrast material accumulating. The contrast entered the pelvic cavity, and the contrast around the fimbriae was evenly distributed. The right fallopian tube was not visible throughout its length, and the contrast did not enter the pelvic cavity. Clinical reference suggests an obstruction in the interstitial part of the right fallopian tube and hydrosalpinx in the left fallopian tube.Doctor's answer:
Hello: The fallopian tube is divided into four parts from the inside out based on its morphology: the isthmus, ampulla, infundibulum, and interstitial part. Clinically, 80% of infertility cases are caused by fallopian tube factors. Fallopian tube blockage is often caused by induced abortion, spontaneous abortion, medication-induced abortion, induced labor, unsafe sex, pelvic infection, etc., leading to adhesion, congestion, and edema of the fallopian tube wall, which results in blockage. This prevents sperm from fertilizing the egg, ultimately leading to infertility. In your case, microsurgery can be used to restore patency. It is recommended that you go to the hospital for a thorough examination and receive targeted treatment. Wishing you good health!