The fallopian tubes are unobstructed, polycystic, antisperm antibodies~ years of infertility
Source: Kunhe Assisted Pregnancy Center Number of reads: 12 Release time: 2025-06-28 20:51:23
Ms. Yang, 31 years old, her husband is 35 years old, and the couple has been pregnant for many years without success. Ms. Yang has symptoms such as poor fallopian tubes on both sides, polycystic ovary syndrome, and anti-sperm antibodies.
Ms. Yang came to our hospital for outpatient clinic after a period of delayed menstruation and did not stop taking hormones. The doctor learned that Ms. Yang usually has irregular menstruation and only once every 2-3 months; her breasts are swelling and painful before menstruation, and her menstruation is 6-7 days old, her menstrual flow is normal, her blood clots are dark red, painless, and her vaginal discharge is sometimes covered with wire drawing. Ms. Yang usually has normal sleep, occasionally has difficulty falling asleep and dreaming, sweating, not afraid of wind and cold, her cheeks are acne, and her body is slightly fat; there are tooth marks on the edge of the tongue coating, and there are blue veins at the bottom and dry.
After the attending doctor learned about it, he quickly analyzed Ms. Yang's difficulties in preparing for pregnancy: first of all, the polycystic ovary menstruation is irregular, and I don't know when to menstruate and when to ovulate, so of course it is not easy to get pregnant. Moreover, if patients with polycystic ovary syndrome are young, their physical condition is OK, there are no other infertility problems, and their menstruation is relatively regular, and some of them can still get pregnant unexpectedly, which means they should do a good job in preventing fetal discontinuation and biochemical abortion. If you are rushing to use hormones to stimulate follicle development and ovulation, it will be fine if you succeed quickly. If you fail after multiple times, the later side effects will be relatively large.
Second, Ms. Yang has the risk of infertility and ectopic pregnancy when the fallopian tube is blocked. Ms. Yang had been in the hospital for three months before coming to our hospital. The examination found that the fallopian tube was unobstructed and not smooth. At this time, the risk of ectopic pregnancy is prone to ectopic pregnancy. Because it is unobstructed and not smooth, the sperm can still come in, but after the egg becomes a fertilized egg, the volume becomes larger. She wants to go back to the uterus and implant it but get stuck in the fallopian tube, causing ectopic pregnancy.
Considering that Ms. Yang’s previous report had been several months, the attending physician asked Ms. Yang to have another review.
Re-examination on October 23, 2021:
1. Re-examination of fallopian tube radiography, the results are: the left side is unobstructed and the right side is blocked.
2. Continuous monitoring of ovulation for several months: most of them ovulate on the right and the follicles on the left are immature.
3. Anti-sperm antibody positive.
After seeing Ms. Yang's test report, the attending doctor found that the fallopian tube was unblocked and the other side did not ovulate, so the treatment plan formulated by the doctor focused on two aspects: regulating menstruation and improving ovarian function. First, after acupuncture and traditional Chinese medicine treatment, adjust the body's balance, so that the function of the left ovary can be improved, and the secretion of follicles can be developed and mature and ovulated; adjust the pelvis, adjust the length and short legs, and improve the blood circulation around the left ovary.
Because Ms. Yang's condition is a bit special and she is positive for antisperm antibodies, even if the sperm enters the body, it may not be able to successfully conceive due to the influence of antisperm antibodies, and it cannot combine with the egg to form a fertilized egg. Ms. Yang and her husband also wanted to get pregnant as soon as possible. After listening to the analysis of the attending doctor, they directly chose to have a third-generation test tube.
Ms. Yang's first examination before the scheduling in February 2022: 10 basal follicles, FSH: 8.2
The ejaculation was initiated on the second day of menstruation. After 11 days of ejaculation, the ejaculation was retrieved and sperm was retrieved. The eggs were retrieved very smoothly, and 9 were retrieved. I had a hysteroscopy while retrieving the eggs. The overall condition was good, there was no accumulation of water or adhesions, and there was a small amount of inflammation. The doctor prescribed anti-inflammatory drugs.
The third generation of test tube embryo culture and testing results: 9 eggs were retrieved and 7 embryos were matched; 4 blastocysts were cultivated on the 5th day; 2 blastocysts passed the test, one prince and one princess!
The doctor asked the ultrasound examination one month in advance. The endometrium was 8MM thick, the three lines were clear, and the hormone levels were normal. The doctor said that he could prepare for the transplant and prescribed the medication before the transplant.
On May 16, 2022, Ms. Yang successfully transplanted a Little Prince 4BB grade blastocyst (excellent-excellent), and the doctor prescribed the post-transplant medication and gave it a shot of heparin every day. While suppressing immunity, it increased the endometrial blood flow until the day of pregnancy test.
On May 25, 2022, Ms. Yang came to have a pregnancy test. HCG102.7 on the day of pregnancy test. HCG doubled in the next few days of pregnancy test and was quite excellent. The progesterone index also rose steadily. The little prince successfully draws the lottery!
In early March 2023, Ms. Yang successfully gave birth to a stingy little prince and graduated from the test tube successfully!