Tubal water accumulation can have adverse effects on pregnancy, currently believed to have three reasons: one, most cases of tubal water accumulation are caused by the umbrellas of the fallopian tubes being obstructed, preventing sperm and eggs from meeting naturally leading to infertility; two, tubal water accumulation may return to the uterine cavity with the peristalsis of the fallopian tubes, causing abrasive effects on embryos, affecting embryo implantation; three, tubal water accumulation is mostly due to inflammatory exudation, not only reducing the chances of pregnancy but also increasing the probability of miscarriage.
Some patients also encounter this situation, where tubal water accumulation is not detected during normal times but repeatedly occurs during ovulation period or close to egg retrieval or embryo transfer, why is that?
Tubal water accumulation is related to the levels of hormones in the body. The closer to ovulation period, the higher the levels of estrogen in the body, making it easier to form tubal water accumulation or worsen existing tubal water accumulation.
For young patients with good ovarian reserve, normal male semen parameters, and a short period of infertility, if the degree of tubal water accumulation is mild, the method of creating an ostomy at the distal end of the fallopian tubes under laparoscopy can be considered, and actively trying to conceive post-surgery. If conception is unsuccessful, timely switching to IVF treatment is recommended.
What should be done if one encounters tubal water accumulation? Can IVF be considered?
Tubal water accumulation can affect pregnancy outcomes, pre-treatment before assisted reproduction is necessary to achieve appropriate treatment effects. The common approach currently adopted is bilateral proximal tubal ligation + distal tubal ostomy (near the ovary end). The ligation of the fallopian tubes aims to prevent the backflow of water accumulation into the uterine cavity affecting embryo implantation, while the ostomy aims to separate adhesive fallopian tubes, restore the umbrella-like structure of the fallopian tubes, drain the water accumulation, and reduce the adverse effects of tubal water accumulation on the pelvic environment.
