What should I do if I have bilateral fallopian tube blockage?

Patient's question:

I have polycystic ovaries and bilateral fallopian tube blockage, with a slightly retroverted uterus and a small uterus. Can I have success with in vitro fertilization in this condition? What should I do about the bilateral fallopian tube blockage?

Doctor's answer:

Polycystic ovary syndrome (PCOS) is caused by endocrine dysfunction of the hypothalamic-pituitary-ovarian axis, disrupting mutual exclusion and regulation, leading to long-term inability of the ovaries to undergo menopause. The typical clinical manifestations of PCOS include menstrual disorders without menopause, such as amenorrhea, dysfunctional uterine bleeding, oligomenorrhea, or anovulatory cycles, often accompanied by hirsutism, obesity, infertility, bilateral ovarian enlargement or unilateral ovarian enlargement, as well as changes in hormone levels. There are two treatment methods for PCOS: medication and surgery. Generally, medication is not very effective.

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