What could be the reason why the fallopian tubes are not visible on the hysterosalpingogram?

Patient's question:

My fallopian tube hysteroscopy showed that the fallopian tubes were not visible, but during the procedure, the doctor told me they were open with no resistance, and I didn't feel much pain either. Could the experts please help me guess what might be the reason?

Doctor's answer:

Tubal blockage is often caused by induced abortion, spontaneous abortion, medication-induced abortion, induced labor, unsafe sexual intercourse, pelvic infections, etc., leading to adhesion, bleeding, and edema of the fallopian tube wall, resulting in blockage. This prevents the fusion of sperm and egg, ultimately causing infertility. Tubal diseases are progressive, so it is recommended that you choose a regular specialized hospital for a detailed examination to identify the specific cause and provide targeted treatment. In addition to symptomatic treatment for gynecological diseases, patients also need to pay attention to nursing aspects, such as maintaining a light diet and engaging in regular outdoor activities.

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