Bilateral tubal obstruction with adhesions
Bilateral tubal obstruction and adhesions may be caused by factors such as salpingitis, endometriosis, or pelvic surgical injury. It is necessary to seek medical evaluation for an accurate diagnosis and to relieve discomfort through general management and medication. Specific analyses are as follows:
1. Salpingitis
If a patient has salpingitis, the normal structure of the mucosa can be damaged, leading to symptoms of bilateral tubal obstruction. Treatment may include medications such as Kangfu Yan Capsules, Gongyan Kang Granules, or Danhuang Quyu Capsules, taken under medical guidance.
2. Endometriosis
In patients with endometriosis, pelvic adhesions are common. If the degree of adhesion is severe, it may lead to bilateral tubal obstruction. Medications such as ethinyl estradiol-cyproterone acetate tablets or drospirenone-ethinyl estradiol tablets, used in combination with goserelin acetate sustained-release implants, may be prescribed under medical supervision.
3. Pelvic Surgical Injury
The use of intrauterine devices or procedures such as induced abortion surgery may cause irritation or damage to the fallopian tubes, potentially triggering symptoms of tubal obstruction. Patients are advised to rest appropriately after surgery, avoid heavy physical labor, and refrain from consuming raw, cold, spicy, or irritating foods to facilitate a quicker recovery.
In addition, chronic pelvic inflammatory disease, congenital fallopian tube atresia, and pelvic peritonitis may also cause the above symptoms. Patients are advised to seek timely medical care to identify the underlying cause and receive appropriate treatment.