How to treat ovulation and hydrosalpinx

The fallopian tube and fallopian tube are relatively important reproductive organs for women. Many women suffer from infertility mainly due to problems in this area, which can cause serious harm to the entire family, especially in the case of hydrosalpinx, which is quite a headache. So, how to treat ovulation hydrosalpinx? Let’s take a closer look at it below.

Traditional Chinese Medicine Treatment

The basic principles of TCM treatment of hydrosalpinx are to strengthen the body, clear away heat and detoxify, remove dampness, promote diuresis, reduce inflammation, relieve pain, promote blood circulation and remove blood stasis, and take a comprehensive approach. The treatment of hydrosalpinx has achieved good results mainly by clearing away heat, detoxifying, removing dampness, relieving inflammation, relieving pain, and promoting blood circulation and removing blood stasis, such as Fuyan Pills. This prescription has a wide range of pharmacological effects, including strengthening the body's immunity, replenishing blood, replenishing Qi, improving microcirculation, reducing capillary permeability, detoxifying, neutralizing bacterial toxins, removing dampness, promoting diuresis, and improving local pelvic microcirculation and tissue nutrition.

The treatment method for hydrosalpinx is determined by the amount of fluid accumulated. If the amount is relatively small, conservative treatment can be used. The treatment for hydrosalpinx is the same as that for chronic salpingo-oophoritis, combining traditional Chinese and Western medicine for dialectical treatment. If combined with physical therapy, such as microwave and ultrashort wave, good therapeutic effects can be achieved. In the treatment of hydrosalpinx, internal and external treatments can be used simultaneously. If the symptoms of hydrosalpinx are severe, the amount of fluid is large, or a large tubo-ovarian cyst has formed, the general conservative treatment of hydrosalpinx is not effective, and combined Chinese and Western medicine treatment should be considered. For younger patients, if the ovaries appear normal, the adhesions between the fallopian tubes and ovaries can be separated, the ovaries can be preserved, or the removal of normal ovarian tissue can be avoided.

Surgery

Salpingostomy is suitable for patients with unobstructed proximal fallopian tubes but fluid accumulation and atresia at the distal end.

Laparoscopic salpingostomy surgery first fully frees the adhesions between the fallopian tube and other tissues. The fallopian tube is insulated through the cervix to expand the distal atretic fimbria of the fallopian tube, and the fallopian tube is fixed to the fundus of the uterus with non-destructive forceps. Whenever possible, make a cross incision at the original fallopian tube opening using a carbon dioxide laser or microscissors. If the original opening cannot be identified, a "cross" incision can be made in the thinnest avascular area of ​​the fallopian tube wall. Place the grasping forceps into the incision and open and close it several times until the incision is the desired size. The incision should be made towards the ovary as much as possible to facilitate egg collection in the future.

Use atraumatic forceps to grasp the fallopian tube lining at the new incision and turn it outward. In order to keep the incised valve in an everted state and prevent the new incision from adhering again, the serosal surface of the newly incised valve can be treated with a defocused laser or low-power micro-bipolar electrocoagulation. The surface tissue shrinks to achieve the purpose of everting the incision edge. You can also use 4-0 absorbable sutures to directly suture the everted valve to the serosa of the fallopian tube. During the operation, the wound was continuously irrigated with heparin-containing Ringer's lactate solution (5000U/L). After the operation, lactated Ringer's solution, sodium hyaluronate, antibiotics, corticosteroids, antispasmodics and other drugs can be placed in the pelvic cavity to prevent adhesion.

The above is an introduction on how to treat ovulation hydrosalpinx. I hope it will be helpful to everyone. The situation of ovulation and hydrosalpinx is quite complicated. When it occurs, it is best to go to a regular infertility hospital for relevant treatment in time. Each patient's condition is different and the treatment methods required are different. Only when the treatment is symptomatic can the best results be achieved.