What tests can be done to check if the fallopian tubes are blocked?

Patient's question:

I've been married for three years. Every time I have sex with my husband during ovulation, but I still haven't conceived. My husband is also quite healthy. My colleague said that my fallopian tubes are likely blocked, so I want to ask the doctor what kind of detailed examination can reveal how the fallopian tubes are blocked?

Doctor's answer:

If you haven't been able to conceive after getting married, it's likely that your menopause has reappeared as an issue, or it may be due to the fallopian tubes becoming blocked again. Except for one possibility—that your husband's sperm quality is poor—this primary infertility is less likely to be caused by fallopian tube blockage. If you're still not sure, you can go to the hospital for a fallopian tube hydrotubation or contrast imaging to confirm. If the fallopian tubes are fine, you can monitor the follicular development and also check the male's semen analysis. Once the specific cause is identified, you can receive targeted treatment or undergo proper conditioning.

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