There are happy and sad things under the sky. Different perspectives on things may lead to different conclusions, and different conclusions may lead to different measures to be taken. In the face of thousands of tubal problems, there are especially a lot of people asking, “My fallopian tubes are not good, how to cure it, is it conservative treatment, is it surgery, or in vitro fertilization, or some people on the Internet half-understood some of the things posted by others online, or lumped together to read a few articles to seem to understand their own situation, but they have no way to deal with it themselves so They came to the clinic when they began to talk about their own views, or patients gathered into a circle to talk about their own situation, and so on …… and so on, and eventually only some good surgery friends will talk to you about surgery, take medicine good friends said not to surgery, take medicine not good said never to take medicine, blind drink bitter water also drink bad stomach, surgery Not good enough to say really suffer, suffer and spend money is not good, and some tossed a few years not pregnant, said or test tube it, in fact, each person’s situation is different, can not be generalized, and there is no one treatment is a guarantee of success, must say that in fact is the same situation the same treatment, some people will be good, some have no effect, because this needs to be combined with each person’s situation It will be related to the physical condition and other infertility test results such as male problems, ovulation problems, uterine problems, reproductive antibodies and even some problems that are not detected by current technology, but when we face these problems how do we deal with them? The first thing I would like to do is to list some of the conditions of the fallopian tubes again: obstruction of the fallopian tubes: 1) proximal obstruction (not shown); 2) isthmus obstruction (shown to the isthmus); 3) abdominal obstruction (mostly seen after conservative treatment of ectopic pregnancy); 4) cisternal adhesions wrapped in fluid (commonly known as hydrocele). These cases are obstruction of the fallopian tube, we must tell you that some people due to factors such as extreme tension to do the imaging can also lead to tubal spasm can also lead to tubal obstruction accounted for a small percentage, all some people will tell you that someone imaging is obstructed but then she got pregnant, these are the leakage of imaging, it is not recommended that we all give themselves these desires, because only a small number of them. There is another situation where your fallopian tubes are open: 1, the fallopian tubes are open; 2, the fallopian tubes are basically open; 3, the fallopian tubes are open but not open; 4, the fallopian tubes are open but not open; 5, the fallopian tubes are open but extremely open; 6, the fallopian tubes are high tension and slightly open to the pelvis; 7, open but extremely open with mild adhesions at the umbilical end; 8, the fallopian tubes are open but extremely open with adhesions at the umbilical end; 9, adhesions at the umbilical end of the fallopian tubes are slightly open to the pelvis. As long as there is a word “through”, you should know that the fallopian tubes are open, just like the tap water switch, which can be slow or fast. Generally speaking, as long as the fallopian tubes are open, there will be a chance of pregnancy, but the chances of pregnancy in the above cases are decreasing and the chances of ectopic pregnancy may increase in turn. I’d like to tell you that ectopic pregnancy has a very low chance of occurring even if your fallopian tubes are completely open, especially if you’ve never been pregnant or have an ectopic pregnancy, you generally don’t need to worry too much because there’s no good way to avoid ectopic pregnancy even after we’ve done a good job of treating it, as long as you go to the hospital early to have a checkup when you’re pregnant so that you can detect it early and minimize the damage of ectopic pregnancy. Now we are going to talk about the kind of situation that needs to be treated, no doubt to tell you that if the fallopian tube is blocked this must be treated, and if it is open? What kind of situation needs to be treated? The general view is that you can try for a few months, but if you can’t, then you can treat it early, as we usually say, to increase the chances of pregnancy. The first thing you need to know is that your diagnosis report is accurate, otherwise it’s all just empty talk. Here we talk about treatment: first of all, conservative treatment, the current summary of the experience of friends around the world, the treatment of the tube of experts recommend the combination of enemas and medicine, as well as the combination of moxibustion, slag coarse salt, hot compresses, etc., and recently there are pelvic injections and physiotherapy, if not very old, enough time, but you can try conservative treatment, compared to surgery and in vitro fertilization.
More people are willing to try conservative treatment first, surgery will have damage, remember surgery will be a little worried, enema drug absorption is good, enema physiotherapy is also a recent method used in many places, the introduction of the function is complicated, can not say, what infrared, intermediate frequency, microwave and so on, in general, is the Chinese medicine blood gas is not smooth class doctrine, pay attention to blood circulation and stasis treatment. Individuals in the clinical advice after the enema hot compress, blood flow speed, drug absorption better. Some people ask how long this treatment will be good, the specific degree of look at it, you if the tube adhesions are not passable short time slight adhesions, natural good fast, long time, or adhesions more serious, natural good slow; and then also depends on the absorption of personal drugs, so some people have not long disease is to take medicine enema not good, some good for several years, eat to eat good. Here you must tell you that conservative drug treatment requires persistence and patience, from ancient times there is sickness like a mountain, sickness like a silk. Some people ask if there is a drug that can prevent tubal obstruction, in fact I want to tell you that there really is not, you just need to usually how it is how you can, do not do anything, as long as you adhere to a good healthy lifestyle can be those usual you are rotten in mind bad way such as smoking, staying up late, alcohol, overeating and so on always remember to avoid can. The procedure is now widely used for interventional guidewire (SSG) and hysteroscopy. First of all, the interventional guidewire, because I do interventions on a daily basis, so I know relatively more about interventional evacuation, we are commonly known as intubation, the biggest highlight of the intubation is that it can unblock most of the proximal obstruction and isthmus obstruction, which is not handled by the hysteroscope, the treatment method of intubation we can roughly compare to we see a tube inside a box, we use the inner mouth of the tube to unblock the tube. Plus under X-ray fluoroscopy through the iodine agent we can see the full picture of the tube, but only see the inside of the tube, just like we hit the light into the room can only see the layout inside the room can not observe the outside of the tube, can see whether the tube through. At present, we use intubation to treat a wide range of conditions including: proximal obstruction, narrow obstruction, uncomfortable passage, extremely uncomfortable passage, extremely uncomfortable passage with mild adhesions at the umbilical end, slightly high tension passage and partial abdominal obstruction (the probability of success is not high), the disadvantage of intubation is that there is no way to unblock the adhesions at the umbilical end, here I want to let you know that the umbilical end of the fallopian tube is like our hand is used to grasp the follicle, the adhesions at the umbilical end is like In serious cases, it is like we are shaking our fist and the end of the fallopian tube is directly closed, so there is no way for the secretion inside the tube to flow out, and over time it is like blowing up a balloon and the end is getting bigger and bigger, thus forming fluid. This is the case for the umbrella end adhesions intervention is no way to unblock the need for hysteroscopic surgery, or take the tube inside the box metaphor to metaphorical fallopian tube, laparoscopy is like opening a few holes in the box to let the robot into, and then also into the light, into a small telescope can see the situation inside, see to the umbrella end adhesions directly by robot separation, because I have not done laparoscopy know also I have not done laparoscopy, I do not know, I will not go deeper, roughly can also treat the fallopian tube through the very poor, poor, umbilical adhesions, so like the fallopian tube through the very poor in this case you do that surgery will not have a big problem, because our purpose is to unblock do that surgery at least is not wrong, to say that intervention is relatively small trauma, do not need the advantages of hospitalization, but laparoscopy can relatively open to see the inside of the The situation can be dealt with at the same time to the ovarian cysts and endometriosis and other cases together, as for the choice will need to be combined with their own situation to comprehensive choice. There is also a theory that the interventional guidewire can damage the villi, especially for those who have had ectopic pregnancies, because for this type of birds of prey; they are extremely concerned and will look deeper whenever they encounter a little bit of ectopic problems. However, I know that the interventional guidewire is equivalent to a stick as thick as a walking stick or even thicker than the grass on the lawn, and you can use it to insert the grass without damaging the lawn, and even if you do, the damage will be minimal. If the fallopian tubes are open, you will have a chance to get pregnant, but we can’t rule out cases where the fallopian tubes are good but the chorionic villi have been severely damaged, but these are very few and far between. The other thing is to tell you that if you get pregnant after the intervention or laparoscopy, but due to the total problem is not preserved, there is no need to panic because things have come to this point we have to start again from the beginning, after all, it has been stated that you can get pregnant only in the case of good tubal condition, so as long as the tubal condition is diagnosed here after treatment or directly prepare for pregnancy.
The problem of the post-operative golden period: intervention: off the issue of the validity of the insertion of the tube, must tell the general post-operative year is a chance to get pregnant, as opposed to the folklore within six months effective are not desirable, because generally can do intervention in the case of fallopian tubes can not be considered extremely poor, the degree of inflammation spread is not particularly large, unblocking after their own diligent exercise to ensure that the physical condition of general pregnancy within a year is still particularly high, I My personal advice is to check other infertility factors such as the male partner’s semen, female partner’s ovulation, uterus and adnexa, and even the hormone level in the body before or at the same time, so as to greatly enhance your success rate in pregnancy preparation. My personal opinion is that if you have had a related test a year or so ago, you can check, for example, the male semen routine sometimes fluctuates a lot, so it is safer to review the average level a few times. As for the combined hysteroscopic surgery, after surgery doctors say the golden period is generally half a year, half a year to conceive, within a year the second best chance, that is to say, a year after surgery you still can not conceive, the chances of secondary adhesions is large, there is also the case of these surgeries above can actually be combined with drug therapy such as hot compresses enema is more suitable for the imaging of friends with adhesions, can play an auxiliary therapeutic effect, consolidating the effect of treatment. There is also a big thing I forgot to mention, that is, I implore you to keep in mind that infertility is not considered a disease, just you than some more ideas, you want a child only, in the way to have a child only, with the current technology, can make you completely no way to a child’s chance is very small, no matter how your situation eventually most of them can complete this purpose, so in the road to seek a child must be calm thinking. Don’t be easily fooled, what a miracle drug, what a miracle law and so on, to believe in science, to cultivate their own mindset, to know that the front decades you don’t want a baby one day you want can not immediately get you start to panic is not right also easy to enter the misunderstanding. For tubal problems we can eventually choose IVF to solve the problem, because IVF can be done without the tubal, the choice of which you need to choose, so even if your fallopian tube is open you choose IVF is actually not wrong, but in general, that is, try to get pregnant naturally you can try to choose conservative treatment first, the situation is slightly worse, you can choose interventional treatment, the situation is even worse The first thing you can do is to try to get pregnant naturally. The above is a personal crude opinion, if you find errors can contact me directly errata.