Hello everyone, I am Zou Shien, and I have been a male obstetrician and gynecologist for 15 years.
Today, I would like to talk to you about infertility caused by tubal nowhere.
Pregnancy is like growing vegetables. It requires good seeds and fertile soil. Human pregnancy is slightly more complicated and requires smooth journey. This is mainly about fallopian tubes.
In addition to helping pregnancy, fallopian tubes cannot be found to be useful for other what. However, the single function is often irreplaceable. If you want to be pregnant, it is not feasible without fallopian tubes.
Let’s talk about tubal nowhere.
Several Methods for Detecting Tubal Patency
The most commonly used is tubal lipiodol angiography (HSG).
Since it is the most commonly used, it is still very useful. Doctors will choose whether HSG is needed according to the time of infertility and possible causes.
The time of radiography is generally 3 days after menstruation is clean to before ovulation. Do not have sex before radiography, leucorrhea examination is normal, etc. Sex life is forbidden within 1 week after radiography, and it is best not to try pregnancy that month.
However, the current contrast agent is relatively advanced, and the general metabolism is very fast. If you are not careful about the month when you are pregnant, most of you have no problem. It is good to pay attention to regular pregnancy tests.
In addition, there are three methods:
Tubal fluidization: it has been basically eliminated at present and the error is too large.
Ultrasonic salpingography: This method is also good, but most hospitals have not carried out it.
Hysteroscopic or laparoscopic tubal fluidization: This method has the function of treatment in addition to examination, but it is generally not done as soon as it comes up. Most of them need to be treated simultaneously by hysteroscopic and laparoscopic surgery after problems are found in salpingography or accompanied by other diseases.
This can be done if the fallopian tubes are obstructed or obstructed.
1. Selective salpingography (SSG)
This treatment uses drugs and guidewires to dredge the fallopian tube lumen, just like a sink sewer.
Application: This method can be considered when it is extremely unsmooth, basically unblocked or blocked.
Advantages: The price is relatively low, about 2,000 ~ 3,000, outpatient treatment does not need hospitalization, and the time is relatively short.
Limitation: It can only solve the problems inside the tube and cannot decompose the adhesion distortion on the outer surface of the fallopian tube.
2. Hysteroscopy + tubal fluidization
Through the lens and operating rod, through the vagina and cervix, enter the uterine cavity to directly check the situation in the uterine cavity room where the fertilized egg is implanted.
Application: Proximal tubal blockage, especially near the cornu uteri; Or examination found uterine cavity space occupying, uterine cavity adhesion, etc.
Advantages: Comprehensive evaluation of the situation of the uterine cavity, check the problem at the same time, but also can be solved synchronously. For example, uterine cavity adhesion or endometrial polyps, can decompose adhesion, expose the oviduct opening at the corner of the uterus, remove polyps, etc. Most can be solved in the outpatient department.
Disadvantages: a little more expensive, prices range from thousands. Complicated illness, need hospitalization surgery. The biggest disadvantage is that it can only solve the problem in the uterine room, the role of the fallopian tube tube is limited, also can’t solve the adhesion and distortion of the surface of the fallopian tube.
3. Laparoscopy + tubal fluidization
Laparoscopic surgery can see the surface of the outer wall of the uterine room, the surface of fallopian tubes, ovaries and other parts.
Application: Most infertile patients can choose, especially those with umbrella end or pelvic adhesion, or patients with chocolate cyst of endometriosis.
Advantages: Most of the problems seen can be solved.
Disadvantages: Hospitalization is required, which is expensive and generally requires more than 10,000. The most important thing is that it can only solve the problems of uterine room and pipe surface.
4. Combined hysteroscopic and laparoscopic surgery
All of the above surgical methods have some limitations. Clinically, we can learn from each other’s strong points and choose combined surgery.
SSG requires X-ray, so there is no way to operate together with other operations.
Hysteroscopy and laparoscopy, both inside and outside the uterus, can be performed simultaneously in the operating room, which is currently the most commonly used combined operation method.
Disadvantages: Need hospitalization.
The key point is that these treatment methods can only temporarily solve the problem of tubal patency. The best time for conception after operation is June to December. After a long time, it may adhere, distort and block up again.
Finally, what I want to say to you is to prepare for pregnancy and be patient.
Infertility, comprehensive examination, find out the causes, targeted treatment.
Tubal obstruction should also be dealt with step by step and one by one. A good pregnancy is waiting for you.