Can vaginal ultrasound misdiagnose hydrosalpinx?

It is possible to get pregnant naturally after treatment of hydrosalpinx, it just depends on the degree of water adhesion at the ends of the bilateral fallopian tubes. If the adhesion is severe, bilateral salpingostomy cannot solve the problem of infertility, because excessive adhesion of the bilateral fallopian tube fimbriae will lead to the loss of the bilateral fallopian tube fimbriae's egg collection function. Therefore, before performing bilateral salpingostomy surgery, it is necessary to conduct a bilateral tubal fimbria function assessment under the guidance of an experienced physician. So, can hydrosalpinx be cured?

Can vaginal ultrasound misdiagnose water retention in the fallopian tube?

Vaginal ultrasound can definitely detect the presence of hydrosalpinx, but it is necessary to understand the cost range. Whether medical treatment is needed or not. The effect does not affect the combination of sperm and egg. If there is hydrosalpinx, a pressure test or surgical treatment can be performed, such as hysteroscopy or laparoscopy. It is indeed difficult to do IVF. In vitro fertilization generally costs around 50,000 yuan. The first-time pass rate is generally around 50%, and the second-time pass rate is higher. It has to be done in a Class III Grade A hospital.

Women with hydrosalpinx can be treated with surgery or medication. The actual treatment methods are:

1. Western medicine treatment: The general methods for hydrosalpinx, hematogenous cysts, and subcutaneous abscesses are surgical treatment and conservative therapy.

1. Conservative treatment: take adequate rest, reduce sexual activity, and completely cure cervicitis, inflammation of the private parts, vagina, and urethral gland ducts, especially cervical erosion, which can cause repeated infection of the appendages and the possibility of subacute onset. In addition, the following methods can be used:

(1) Antibiotic treatment should be used locally, and lateral fornix closure or intrauterine injection can be used. Antibiotic lateral fornix closure: once a day or every other day depending on the condition, 7 to 8 times as a treatment course. If necessary, the injection can be repeated after the next menstruation. Generally, 3 to 4 treatment courses are required. Dexamethasone or prednisolone can also be added and injected together; Intrauterine bilateral tubal injection of antibiotics: The actual operation is the same as the fallopian tube hydrotubation method, or a double-lumen rubber catheter is inserted into the uterine cavity, and the injection volume is gradually increased according to the size of the uterine cavity and the degree of fallopian tube occlusion.

(2) Acupuncture therapy: It can promote blood circulation and help reduce inflammation. Common methods include low-frequency therapy, medium-frequency body-controlled electrotherapy, infrared induction direct radiation, etc.

2. Surgical treatment

(1) Bilateral tubal subcutaneous abscesses or bilateral tubo-uterine-ovarian cysts are more likely to develop subacutely, so surgical treatment is recommended to remove the disease. Generally, after taking medicine to control inflammation for a few days, surgery can be performed regardless of whether the body temperature returns to normal. After the disease is removed, the remaining inflammatory changes are easy to control and the patient recovers faster.

(2) Diffuse inflammation and other bilateral inflammatory changes of the fallopian tubes, which have no significant effect after conservative treatment and have severe clinical manifestations, seriously affecting the patient's daily life and work. Patients over 40 years old can be given surgical treatment. Antibiotics are used before and after surgery. Generally, depending on the specific situation, the drug is given 3 days before surgery and 5 to 7 days after surgery. Surgery should be complete, with total hysterectomy and bilateral adnexectomy having the best prognosis. Preserving part of the uterus, ovaries or uterus may cause inflammation. Therefore, conservative treatment should be considered for young patients as much as possible. Once a decision is made on surgical treatment, it should be complete, otherwise the prognosis will be poor. For young mothers who are in urgent need of pregnancy and have blocked fallopian tubes but no tumor, tubal recanalization surgery should be considered.

2. Chinese medicine treatment of hydrosalpinx, hematochezia, and subcutaneous abscess:

Abnormal leucorrhea is a gynecological disease. Traditional Chinese medicine treatment of hydrosalpinx is designed for increased leucorrhea. The clinical symptoms are excessive leucorrhea. However, I can also understand through Western medical examinations that the patient is infected with gonococci, chlamydia, mycoplasma, fungi (trichomoniasis), Staphylococcus aureus, tuberculosis, and hydrosalpinx.

1. Heat-clearing and detoxifying drugs can kill various bacteria and viruses, and heat-clearing and dehumidifying drugs can help the absorption of hydrosalpinx and dredge the fallopian tubes to treat infertility.

2. Add drugs that can activate blood circulation, dissipate blood stasis, dissolve lumps and reduce swelling to eliminate adhesions caused by inflammation;

3. Diuretic medicine can eliminate retained water and achieve the purpose of treating hydrosalpinx, hematogenous edema and subcutaneous abscess.

3. Clinical medical application:

1. If the female infertility patient is diagnosed with hydrosalpinx through examination, there is no need to undergo hydrosalpinx, angiography, or laparoscopic treatment. Traditional Chinese medicine can quickly absorb and remove the stored water, thereby unblocking the fallopian tubes and treating female infertility.

2. If the patient has undergone hydrotubation, angiography, and successful laparoscopy, but water retention and adhesions occur again, and the patient suffers from infertility obstruction, traditional Chinese medicine treatment can remove the water retention, adhesions, unclog the fallopian tubes, and treat female infertility.

4. Hysteroscopy and laparoscopy can be used to detect and treat the following infertility:

1. Infertility with unclear causes.

2. Infertility caused by endometriosis. Mild cases of this disease usually have no symptoms, but laparoscopic surgery can detect its subtle symptoms.

3. Those who have normal angiography but have not become pregnant for more than half a year.

4. Infertile patients with a history of infection after childbirth, pelvic inflammatory disease, pelvic surgery, and appendectomy.

5. Tuberculous pelvic inflammatory disease, chronic pelvic inflammatory disease or other diseases that cannot be diagnosed clinically.