Patient: I had a medical abortion two years ago, and I have been using contraception since then. I planned to get pregnant this year, but a Chinese medicine doctor took my pulse and said that my fallopian tubes were not working. The test showed no lesion, but a polyp. It was said that there were membranous adhesions in the fallopian tubes, and that the uterine wall was erythematous, and that after intubation, one side was open and the other was not. The doctor in the operating room said that I could go home and try to conceive, and that I could not get pregnant after one year before treatment. But then another doctor said that I was prone to ectopic pregnancy, and that if I had an ectopic pregnancy, one of my tubes would have to be removed and I would have no chance of getting pregnant, and that I should be hospitalized for a hysteropelvic surgery to solve the problem of adhesions and dysplasia. Another doctor said that I can have anti-inflammatory injections for several months when I have my period and monitor ovulation with ultrasound, and if I ovulate on the good side, I will get pregnant. I don’t know which one is the right one, and I have consulted the operation costs more than 10,000, and I don’t have the financial conditions, how to treat me to be simple and effective, please answer the doctor! Is the menstruation regular: quite good, sometimes one to two days off the age of first menstruation: 14 Number of days per period: 28 – 32 days Average number of days in the menstrual cycle: 6 days Menstrual volume, color, abdominal pain: the first day or two there is abdominal pain, the amount of menstruation can still be color sometimes black, sometimes there are small pieces of the most recent menstrual date and condition: because of the contrast, eating anti-inflammatory drugs, no pain at all, at first the blood is a little black But then normal, the amount is also normal, six days clean age of marriage: 24 number of pregnancies: 1 number of miscarriages: 1 number of births: no Zhengzhou University First Affiliated Hospital, Department of Obstetrics and Gynecology Li Liuxia
Zhengzhou University First Affiliated Hospital, Department of Obstetrics and Gynecology Li Liuxia: Hello friend! Your case is relatively common clinically, and we encounter this situation from time to time, but the final conception is not exactly the same for everyone. The treatment methods you described are available, some of them can cure the pregnancy, while some of them do not get pregnant eventually need to do IVF. Based on our experience with hysteroscopic COOK guidewire for tubal obstruction, there is a high probability of re-adhesion after the first unblocking. If the tube is unblocked smoothly, a tubal lavage should be performed two days after the anti-inflammatory treatment to prevent re-adhesion, and if the lavage is also smooth, the next lavage should be performed after the next menstruation. If there is resistance to lavage, it means that adhesions have occurred again and need to be treated again. In your case, if one side of the tube is not open, we advocate hysteroscopic lysis again, which is effective. After all, hysteroscopy can only unblock the lumen of the fallopian tube, but cannot determine and treat the peripheral conditions and lesions of the fallopian tube and pelvic cavity, and some women may have pelvic adhesions and fluid at the umbilical end of the fallopian tube, which cannot be solved by hysteroscopy alone. I wish you a speedy recovery!