Treatment course of hydropertubation
The solution is selected according to the diagnosis: lidase and hydrocortisone for adhesions, antibiotics for chronic inflammation, novocaine to relieve spasms; a volume of 10–20 ml is injected slowly under pressure control, part goes into the abdominal cavity. The procedures are performed every other day from the 7th to the 12th–14th day of the cycle, the course is repeated 2–3 cycles in a row and is combined with physiotherapy and anti-inflammatory treatment. The method is effective for partial obstruction and mild adhesions; in cases of severe adhesions, hydrosalpinx and occlusion, laparoscopic tubal plasty or IVF are indicated. Pregnancy often occurs in the cycles immediately after the course.
Indications
- infertility - primary assessment of fallopian tube patency;
- chronic salpingitis, pelvic adhesions - therapeutic hydropertubation with enzymes and anti-inflammatory drugs;
- control after tubal surgery and anti-inflammatory treatment;
- contraindications: inflammation, pregnancy, bleeding, tumors of the uterus and appendages, hydrosalpinx.
Place method
Pertubation is a simple outpatient way to tentatively check the patency of the tubes without radiation and contrast, and hydropertubation with drugs is also a treatment: a solution with enzymes (lidase), antibiotics, hormones washes the tubes from the inside, separates loose adhesions and reduces inflammation, which increases the chance of pregnancy with a mild form of tubal factor. For accurate diagnosis (level of occlusion, condition of each tube), hysterosalpingography, echohysterosalpingoscopy and laparoscopy with chromohydrotubation are used.
