How should fallopian tube blockage be treated?

Patient's question:

Doctor, I had a hysterosalpingogram, and the results showed an inverted uterus with no abnormal shape or size. The right fallopian tube showed no obvious contrast filling, but there were signs of reflux around it. Then I asked the doctor that both sides are blocked. The last time I got pregnant was 4 years ago. Doctor, how should I be treated?

Doctor's answer:

Tubal blockage is a common cause of infertility, accounting for one-third of infertility cases. It is divided into primary and secondary tubal blockages. Primary tubal blockage refers to congenital blockages that exist from birth. This type of blockage is extremely rare. Secondary tubal blockage, on the other hand, is caused by acquired factors and is very common. It is primarily due to various disease factors and human-related factors, making it the main cause of tubal blockage. Secondary causes can be classified as mechanical or pathological. The most common cause of tubal blockage is pathological obstruction. Most pathologic blockages are caused by tubal inflammation.

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