Patient's question:
I have been married to my husband for over three years, and we have a normal sex life without any form of contraception, but we haven't had any children. Now that we are getting older, we really want to have a child, so we went to the hospital for a thorough examination. However, unfortunately, the results came too quickly—the examination of the male side was relatively normal, so we suspect that I may have blocked fallopian tubes. Is surgery a good option for blocked fallopian tubes?Doctor's answer:
The surgery to unblock fallopian tubes can be performed successfully, but the specific outcome depends on the location of the blockage. If the blockage is in the isthmus, it is generally very difficult to unblock. It is recommended to undergo a fallopian tube (hysterosalpingography) before the surgery to determine the exact location of the blockage. Typically, the procedure is performed under the guidance of a hysteroscope and laparoscope between days 3 and 7 after menstruation. The process involves using a Cook catheter to unblock the fallopian tubes and a methylene blue fluid test on both sides. First, the endometrium is examined with a hysteroscope to check for any focal lesions or abnormalities in the bilateral fallopian tube openings. Then, the Cook catheter is inserted to clear the blockage. After the unblocking, methylene blue fluid is used for the test, and the surgical outcome is directly observed under the laparoscope.