How to deal with uterine polyps after 1 year and 8 months of marriage without pregnancy?

Patient's question:

My menstrual cycle has been irregular, and I have chronic cervical inflammation. I have not undergone any detailed examination of the fallopian tubes. There is a polyp about 1.50.8 in size. Is there a good method to remove the polyp while checking if the fallopian tubes are open? I am afraid of the effects of X-ray exposure from fallopian tube, as I have undergone several X-rays in the past one or two years. Moreover, it takes several months to conceive after an X-ray. If I undergo a hysteroscopy and laparoscopy, removing the polyp would involve incisions, and I assume I wouldn’t be able to inject methylene blue to check the fallopian tubes, right? Additionally, if the fallopian tubes are fine, wouldn’t I be enduring unnecessary surgery?
Help: I hope the doctor can provide a good solution that allows me to remove the polyp and check the fallopian tubes in one procedure. Thank you.

Doctor's answer:

Is the careful examination of the fallopian tube due to pressure? It is recommended to do a saline fallopian tube examination. The fallopian tube is divided into four parts: the isthmus, the ampulla, the fimbriae, and the isthmus. For the four parts, it needs to be clearly identified which specific part is problematic. Uterine polyps mainly obstruct the implantation of the fertilized egg, split the fallopian tubes, and cause ovarian inflammation, etc. It is recommended to go to a relevant hospital for examination to clarify, wish you a good pregnancy.

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