Why can't I get pregnant after having a hysteroscopic surgery?

Aug 27, 2024 Source: Cainiu Health

Dr. Zhang Lu

Introduction

After undergoing hysteroscopic surgery, difficulty in conceiving may be caused by factors such as endometrial injury, cervical insufficiency, postoperative infection, recurrence of uterine fibroids, or fallopian tube blockage. Treatment should be tailored according to the specific cause. It is recommended to seek medical advice promptly and follow the doctor's instructions for improvement. Maintaining a healthy diet and regular作息 habits, along with increasing the frequency of sexual intercourse appropriately during the ovulation period, may help improve the chances of conception.

After undergoing hysteroscopic surgery, difficulty in conceiving may be caused by endometrial injury, cervical incompetence, postoperative infection, recurrence of uterine fibroids, or fallopian tube blockage. Appropriate management should be based on the specific cause. It is recommended to seek medical attention promptly and follow medical advice for improvement. Detailed analysis is as follows:

1. Endometrial injury: During hysteroscopic surgery, the endometrium may sustain some degree of damage. If the injury is severe, it may impair endometrial repair and proliferation, thereby affecting embryo implantation. It is advised to rest adequately and maintain proper nutrition after surgery, avoiding strenuous exercise and excessive fatigue.

2. Cervical incompetence: The cervix may be injured during surgery, leading to weakened function, which can hinder sperm from passing through the cervix into the uterus, thus affecting fertilization. It is recommended to follow medical advice regarding cervical cerclage to strengthen the cervix and improve the condition.

3. Postoperative infection: If an infection occurs after hysteroscopic surgery, it may interfere with oocyte transport and fertilization, potentially resulting in infertility. It is recommended to follow medical guidance in using medications such as ceftriaxone sodium for injection, doxycycline hydrochloride tablets, or amoxicillin capsules to manage the infection.

4. Recurrence of uterine fibroids: If hysteroscopic surgery was performed to remove uterine fibroids, their recurrence after surgery may alter the uterine cavity's shape and reduce the likelihood of conception. It is recommended to follow medical advice for repeat surgery to improve the situation.

5. Fallopian tube obstruction: While hysteroscopy can address certain intrauterine conditions, if there is pre-existing tubal blockage or impaired tubal patency, it may still prevent the meeting of egg and sperm, leading to infertility. It is recommended to follow medical advice regarding procedures such as tubal flushing or tubal ostomy to improve fertility.

In daily life, it is advisable to maintain a healthy diet and regular作息 habits, engage in moderate physical activity, and increase the frequency of sexual intercourse during the ovulation period, which may help enhance the chances of conception.

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Can a transvaginal ultrasound be performed ten days after hysteroscopic surgery?

Whether a transvaginal ultrasound can be performed ten days after hysteroscopic surgery depends on the extent of endometrial injury. Generally, if the injury is mild and recovery is quick, a transvaginal ultrasound can usually be done normally after ten days. However, if the injury is severe and requires a longer recovery period, the timing of the ultrasound will be delayed until full recovery is achieved, after which it may be performed under a doctor's guidance.

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Can a 5 cm corpus luteum cyst heal on its own?

When a corpus luteum cyst is 5 cm in size, if there are currently no symptoms and the cyst shows no signs of continuous growth, it may still resolve spontaneously. However, regular monitoring is necessary, and all strenuous physical activities should be avoided. If the cyst is found to increase significantly in size or is accompanied by symptoms such as abdominal pain or bleeding, prompt hysteroscopic surgery under medical guidance is required to prevent life-threatening complications such as rupture and hemorrhage.

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Can I get an IUD inserted immediately after a hysteroscopy procedure?

Whether an intrauterine device (IUD) can be inserted immediately during hysteroscopic surgery depends on the extent of surgical trauma and the individual's health condition. Generally, immediate IUD insertion is not problematic if the surgical trauma is minimal, recovery is quick, and there are no underlying abnormalities; in fact, it may help control postoperative bleeding. However, if the surgical injury is extensive, recovery is slow, or there is an existing infection, inserting an IUD immediately may impair recovery and exacerbate the infection.

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Can I drink soy milk after hysteroscopic surgery?

In general, patients can drink soy milk after hysteroscopic surgery, but should do so in moderation. Soy milk is a nutritious beverage rich in beneficial components such as soy protein, soy lecithin, vitamins, and niacin, which can positively support postoperative recovery. In daily life, patients should maintain a light diet following hysteroscopic surgery.