How to confirm the issue of fallopian tube blockage?

Patient's question:

Always unable to get pregnant, and often feel a little pain in the lower abdomen. After checking at the hospital, it was found that the fallopian tubes are blocked. How can the issue of fallopian tube blockage be confirmed?

Doctor's answer:

1. Magnetic Resonance Imaging (MRI) Examination for Tubal Blockage: MRI examination of the fallopian tubes includes:
- Conventional MRI examination
- MRI-guided hydrotubation
Some cases of tubal hydrops can be detected on MRI, appearing as enlarged liquid-filled dark areas on the sides of the uterus. However, MRI cannot definitively diagnose whether the condition is tubal hydrops or an ovarian cyst. The diagnosis is:
- Suggestive of hydrops
2. Tubal Hydrotubation Examination for Tubal Blockage:
This examination is also known as tubal hydrotubation. The procedure involves inserting a tube into the uterus of the examinee and injecting 20ml of anesthetic fluid through the tube. The fluid is typically physiological saline, often mixed with antibiotics!

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