Can fallopian tube blockage lead to infertility?

Patient's question:

I've been married for almost three years and haven't had a baby yet. The day before yesterday, I had a thorough check-up at the hospital, and the doctor said my bilateral fallopian tubes are blocked. It's best to start with a hydrotubation treatment first. I want to try medication for conservative treatment first, but the doctor said it's not very effective.
Do you know if blocked fallopian tubes can lead to infertility?

Doctor's answer:

Yes, fallopian tube blockage can lead to infertility, because after the fallopian tubes are blocked, eggs and sperm cannot meet normally, making it impossible to form a fertilized egg. Therefore, it is not possible to conceive naturally. Fallopian tube blockage is difficult to relieve through conservative treatment, and the treatment period is relatively long, requiring a lot of patience. It can be treated through fallopian tube hydrotubation surgery. If the treatment is still not effective, IVF can be used in conjunction with perinatal care.

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