What do infertile patients need to be aware of after surgery?

  1. Avoid sexual intercourse and bathing in the month of surgery, mainly for the purpose of preventing reproductive tract infection. The perioperative period is more or less uncomfortable and the body’s resistance decreases, so rest should be the main focus.  2. If there is no requirement for contraception after myomectomy, you can start trying to conceive in the second month after surgery. Whether it is tubal factors or endometriosis, you should actively use the “golden period” of six months after surgery to fully try to conceive.  It is recommended to continuously monitor the basal body temperature during the period of trying to conceive, together with the monitoring of urine LH test paper to find out the time of easy conception, as intercourse after the rise of basal body temperature is not meaningful for conception.  4. After the LH test paper shows a weak positive result, you can test once in the morning and once in the evening, and after a strong positive result is found, intercourse within 12-24 hours has a chance of conception.  Even without these conditions, for patients with a menstrual cycle of about 28-32 days, it is possible to have intercourse 3-4 times on alternate days after 11-12 days of the menstrual cycle.  For patients who also have ovulatory dysfunction, it is important to remember that surgery does not improve ovulatory function, so you must seek timely implementation of ovulation treatment during the post-operative trial period, otherwise the “golden period” after surgery may be wasted.  7. For patients injected with GnRHa, there may be discomfort such as vaginal dryness during intercourse, so you can use lubricants. The second injection does not require contraception, and one month after stopping the drug, ovulation may resume, so you can try to conceive.  8. For patients who have been treated by hysteroscopy for infertility, it is not recommended to continue trying to conceive for more than one year after the operation, and sometimes not even more than six months in combination with the condition of the fallopian tubes or the degree of endometriosis, and they should actively seek help for pregnancy.  In addition to actively trying to conceive and trying for IVF before the recurrence of hydrosalpinx, patients who have undergone plastic surgery for hydrosalpinx should be prepared to undergo root amputation of the fallopian tubes or tubal resection again.