Can I have a hysteroscopic tubal catheterization procedure?

Patient's question:

Okay, here is the translation following your instructions:
Has it already started? During cohabitation, whenever he inserts it, my lower abdomen hurts, so we rarely have sex. What is going on?
Medical History and Treatment Effects:
I consulted a doctor at the hospital about the lower abdominal pain. Some doctors said it's just a blockage. One doctor recommended doing a culture dish test. Another doctor suggested checking for pregnancy, as it might be impossible to conceive or it could be an ectopic pregnancy. Even with a culture dish test, it might still be an ectopic pregnancy. Or perhaps just have it removed and then do the culture dish test. What kind of help do you need?
Because of financial constraints, I want to conceive normally. I want to ask: Which part of the fallopian tube isth is open? Would doing a wire dilation procedure help?

Doctor's answer:

The treatment principles for fallopian tube blockage involve adopting effective and appropriate methods based on the location of the blockage. The best treatment for blockages in the interstitial and isthmus parts of the fallopian tube is tubal (tubal). There is no ideal treatment for blockages in the ampulla of the fallopian tube, and in vitro fertilization (IVF) can be considered. For fallopian tube obstruction (hydrosalpinx), fimbrial (fimbrial) can be performed, including laparoscopic (laparoscopic) and open (open). For patients with fallopian tube issues, in addition to symptomatic treatment, it is also necessary to pay attention to self-care, such as maintaining hygiene during treatment and keeping the private area clean. It is also advised to female patients to undergo regular follow-up examinations!

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