Why does ectopic pregnancy still occur after contrast irrigation?

Patient's question:

Previously, I wanted to get pregnant and go to the hospital for a thorough check-up. The doctor said that one of my fallopian tubes was blocked, so it couldn't be delivered successfully. Then, after undergoing a fallopian tube hysterosalpingogram at the hospital, the tubes were found to be open, and I became pregnant again. Why did an ectopic pregnancy still occur in this situation?

Doctor's answer:

Hysterosalpingography is only a method of examination aimed at confirming the patency of the fallopian tubes. Ectopic pregnancy is a common disease among acute abdominal conditions. The common cause of ectopic pregnancy is due to chronic salpingitis leading to fallopian tube blockage. The fertilized egg implants outside the uterus. If one fallopian tube is blocked and the other undergoes patency testing, ectopic pregnancy may still occur in this case.

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