Having intervened elsewhere, not getting pregnant without success, is there any hope?

Many patients are unfamiliar with the intervention of this technology, and even will be other their own previous examination and treatment mistaken for intervention, but there are still a small number of people, in the local or some hospitals have done the so-called interventional treatment, the end is quickly blocked or failed to get pregnant smoothly, so there is no hope for interventional treatment, even if it is interventional indications, and even some patients, angiography has been done, intervention has been done, hysteroscopy has been done, IVF has been tried, then after the intervention of the outer hospital, can you still intervene here, Whether there is hope or not is a matter of great concern to everyone, and today I will talk about it through a case, which is probably a case of the annunciation the day before yesterday.

27 years old, married for more than two years, primary infertility, in September 2020 in a hospital to do angiography was told that the left side of the fallopian tube hydropsis, the right side of the fallopian tube is not passed, the same month in the same hospital for tubal intervention dredging, the result is the right fallopian tube fully developed, the left fallopian tube is not dredged. Immediately after 10 months, a re-examination of the liquid was arranged, and the results were not clear, but a pregnancy test was arranged.

After trying to be pregnant for a year without pregnancy, I found the information with the information, I read her information, I did not see the obvious water capping from the film, it is likely that it is not, plus not pregnant after half a year after the operation, the results of the film are different, I recommend that the patient do a painless under the X line without intubation hysterosalpingogram, the results show: chronic endometritis? Is endometrial hyperplasia too long? Bilateral fallopian tubes are not smooth, the left fallopian tubes do not have water, the next recommendation to choose the fallopian tube intervention or Traditional Chinese medicine to try, I guess the patient is also entangled and hesitated for a long time, but in the spirit of trust I came to seek medical treatment, or chose the tubal intervention treatment, after the operation bilateral fallopian tubes are completely unobstructed, from the cause and tubal egg picking function to evaluate, next month you can try to conceive.

This patient is not an isolated case, there are also many patients, after the intervention of the outer hospital failed to come to the treatment as desired after the smooth natural pregnancy, so what is the difference between the intervention? I think there are the following points:

1. Operation mode and skills: good interventional doctors have light hands, accurate positioning, and will not repeatedly intubate and cannot find the location of fallopian tubes, resulting in intraoperative bleeding, edema, and high natural recurrence rate after surgery;

2, the use of materials: many interventions are currently used is a guide wire (Cook), this material is hard, the impact on the lumen is large, easy to be rough edema of the tube wall and even perforation, there is a type of ozone into the fallopian tube, this ozone stimulates the lumen, resulting in the lumen cilia and other tissues missing and hardening, affecting egg picking, recurrence rate is also high;

3, will not read the film, can not accurately diagnose the cause of tubal blockage: the clear diagnosis of the cause of the fallopian tube is related to the determination of the next step of the treatment plan, many doctors just simply see the fluid into the pelvic cavity, will not assess the end of the fallopian tube, out of shape, umbrella end, etc., so there is no way to assess what the cause of the fallopian tube is, whether the cause needs to be controlled after surgery, how to pick up the egg, etc., resulting in postoperative inability to get pregnant, repeated blockages, and even miss the timing of treatment, such as tubal blockage caused by tubal tuberculosis, After dredging, the anti-tuberculosis treatment was not carried out in time, and over time, the fallopian tubes were destroyed to the point that they could no longer be used, in addition, the direct test tubes also caused the repeated failure of the test tubes;

4, postoperative management: many doctors have not been able to track the restoration of fallopian tube function after intervention, as well as the same important ovulation problems (including whether the follicles have fertility), male problems, and even many patients can spontaneously ovulate, doctors will also use hormones to promote ovulation at will, reduce the chance of pregnancy, infertility is a very comprehensive discipline, not on the one hand, it can be achieved regardless of whether it is intact on the other hand. Comprehensive examination of targeted treatment will cost less, the treatment cycle will be short, and a healthy baby will be born smoothly.