How to effectively treat bilateral obstructed fallopian tubes?

Bilateral obstruction of the fallopian tubes is a common cause that affects female fertility. Therefore, if you want to better improve your fertility, the treatment must be scientific. Fallopian tube intervention surgery is currently a relatively effective treatment method.

1. The treatment of blocked fallopian tubes varies depending on the location. The purpose of treating blocked interstitial and isthmus parts is to make the blocked parts more unobstructed and reduce the incidence of ectopic pregnancy. Ectopic pregnancy cannot be completely avoided, and the chance of occurrence can only be minimized through appropriate medical help. The best method for proximal fallopian tube lesions is selective fallopian tube catheterization and recanalization under X-ray. This method combines angiography and intervention. A guide wire is used under X-ray to clear the blocked areas, and then an X-ray is taken to see the patency of the fallopian tube after intervention to determine the postoperative patency and predict the chances of conception and ectopic pregnancy.

2. For the ampulla, if the distal end is mildly obstructed, our experience is that we do not recommend excessive treatment. This is because mild obstruction indicates that the lesion is relatively mild, and the purpose of treatment is to make the lesion lighter. We think it is not suitable because laparoscopy is traumatic, and the hemostasis and separation during laparoscopy is mainly electrocoagulation and burning, which may damage the fallopian tube tissue, cause new inflammation, and cause adhesion of the fallopian tube fimbria. Some hospitals also recommend intervention. According to our experience, intervention is only effective for the proximal end of the fallopian tube. It has no effect on the blockage or obstruction of the distal end. The fallopian tube intervention uses only an extremely thin guide wire with a diameter of about 1mm, so it is unrealistic to use such a thin wire to clear such a thick tube. In addition, the ampulla muscle layer is relatively thin and the mucosa is rich in blood vessels, so intervention is prone to perforation and bleeding. Third, the shape of the ampulla is tortuous while the guide wire is straight and cannot adapt to the local anatomical characteristics of the ampulla of the fallopian tube, so it is not suitable for interventional recanalization.

3. Hysteroscopic fluid insufflation, the treatment method is to insert a catheter into the opening of the fallopian tube and inject medicine. The fluid insufflation force is greater than ordinary water insufflation, but the lumen of the fallopian tube cannot be seen during the operation, and it is impossible to understand the treatment status during and after the operation, and it is impossible to control the injection pressure and speed during the operation. Therefore, it cannot achieve the expected effect and is not recommended for medical use.

4. IMT-S fertility endoscope technology can provide accurate and comprehensive diagnosis and treatment for the main causes of female infertility, such as adhesions of the fallopian tube fimbria, pelvic tissue adhesions, uterine cavity adhesions, endometriosis, polycystic ovaries, and fallopian tube obstruction, especially objective evaluation of the patency of the left and right fallopian tubes. Combined with the "American 3GCOOK Guidewire", it can perform a one-time interventional treatment, which doubles the efficacy. It is accurate, minimally invasive, safe, fast, and economical, and is called "intelligent minimally invasive technology."