Fallopian tube blockage and inoculation

page views:1 Publication date:2024-05-10白衣送

Having lived abroad for years, I've rarely had the opportunity to see Asian faces. Meeting this young couple at the clinic today was incredibly exciting. After patient communication, they finally decided to come to the clinic, which made me very much looking forward to the upcoming examination.

In the clinic, I gave them numbers, and watching the young woman enter with her husband, looking slightly shy, I began my routine skin examination. Her skin condition was good, which would be helpful for the diagnosis. The male patient seemed quite stressed; he asked if I knew about sperm banks in China and mentioned advertisements on many Chinese online forums promising "guaranteed pregnancy through ejaculation inside the vagina." I could hardly believe my ears. I told him we would start with routine examinations.

While examining them separately, I first performed a detailed examination of the wife's reproductive system. Like most Asian women, she had a lot of pubic hair. I frowned, knowing this was somewhat disrespectful to doctors here; most people shave their pubic hair for examinations. I endured it and continued. Her pubic area was an alluring dark reddish-brown, with slightly everted labia, appearing very sensitive. I used a speculum to open her vagina, revealing numerous tiny folds inside, and the mucus at the cervical entrance reflecting a captivating sheen. The discharge was yellowish and had an unusual odor. Next, I turned my attention to her husband. He seemed a little nervous, so I reassured him that we were all experienced and this was a medical examination, not to be afraid. I then carefully examined his prostatic fluid and seminal vesicles, giving him a small container to collect and inject for testing. Surprisingly, his prostatic fluid was milky white, which usually indicates a possible infection or inflammation in his reproductive system.

Combining the test results with my initial suspicions, the man's sperm motility was low, and the woman's genitals showed signs of inflammation. The man then told me that he had accidentally bumped into that area while playing tennis as a child. Sigh... people these days...

Over the next few days, I combined these findings with semen analysis and transvaginal ultrasound/hysterosalpingography results, confirming my initial diagnosis: low sperm motility in the man and signs of inflammation in the woman. I explained the test results to them and suggested treating the woman first, followed by considering tubal recanalization surgery. I explained the possibility of IVF conception and pointed out the differences between it and natural conception.

They seemed somewhat confused and not entirely convinced by my explanation. The man asked, "So, after the fallopian tube unblocking surgery, can we guarantee natural conception?" I patiently explained that this surgery can restore fallopian tube function, but it doesn't guarantee natural conception. I reminded them that even considering IVF carries certain financial and physical burdens.

After hearing this, they decided to go home and think it over. Two months later, they returned to the clinic, looking somewhat haggard. They told me that their post-return test results matched my previous diagnosis. This made me happy for their persistence, and I promised to do my best to help them. Before leaving, the man asked if he could pay in installments, and I said that as a fellow countryman, I would do my best to help them...

(Typing this was hard work, to be continued)

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Fallopian tube blockage and inoculation

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