Patient's question:
A colleague of my aunt has been married for several years but hasn't had children. Recently, she went to the hospital for a check-up, and the doctor initially diagnosed it as fluid accumulation in the fallopian tubes. The doctor recommended an ultrasound to take a look. Can an ultrasound detect fluid accumulation in the fallopian tubes?Doctor's answer:
Hydrosalpinx, tubal fimbrial cystic dilation should be considered for possible tubal obstruction, which may affect future fertility. Hysteroscopy combined with laparoscopy and Yang's therapy is primarily used to treat tubal issues through X-ray dynamic digital hysterosalpingography for infertile patients with tubal obstruction. Tubal obstructive infertility is a challenging condition in infertility, and many hospitals use various Chinese herbal medicines for treatment. However, it is often overlooked that tubal obstruction itself is an organic lesion (i.e., a pathological change in the anatomy and structure of the body), and Chinese herbal medicine has no effect on organic lesions. Currently, the only effective treatment for tubal infertility is surgery, but traditional surgical treatments also have their limitations. For example, traditional open abdominal tubal repair or laparoscopic surgery can only address distal tubal obstruction and pelvic adhesions, while often being ineffective for proximal tubal obstruction or intraluminal adhesions (patency but not smooth). As a result, in vitro fertilization (IVF) has become the only hope for patients to achieve their dream of starting a family. However, IVF is not only expensive (around 20,000 yuan per cycle) but also has significant side effects and low success rates (typically 20–30%).