Patient's question:
Hello, I am from Shandong. I have been married for over a year and have not been able to get pregnant. I went to the hospital for a check-up, and they said it was fallopian tube fimbrial hydrops. I would like to ask if there are any good methods to treat fimbrial hydrops?Doctor's answer:
Q: How is tubal factor infertility treated?A: Clinically, there are three possible conditions based on the degree of tubal blockage:
The first is tubal patency with obstruction, caused by debris, shed cells, or blood clots blocking the tubes; or the tubes being overly narrow and tortuous; or adhesions between the tubes and pelvic walls or adjacent organs pulling on the tubes. Treatment can be performed using laparoscopy for dilation. For extraluminal adhesions, they can also be cut or dissected through laparoscopy to "release" the tubes. After treatment, most patients can become pregnant.
The second condition is complete tubal occlusion with mild damage, where most of the fallopian tubes remain normal. This can be treated through combined laparoscopy and hysteroscopy for tubal dilation or 24-hour catheter placement. If there is hydrosalpinx, a small opening can be made to drain the fluid, followed by to prevent re-adhesion. Generally, the surgical outcome is good, with a success rate of over 90%.
The third condition is complete tubal occlusion with severe damage. This is often due to delayed treatment over a long period or tubal tuberculosis infection, leading to scarring, contraction, and stiffness of the tubes, with irreversible functional changes. Even if dilation is successful, natural conception is still very difficult. In such cases, in vitro fertilization (IVF) is generally required after surgery.
Therefore, we recommend first using dynamic digital hysterosalpingography to identify the specific location of tubal blockage before symptomatic treatment.