Can I get pregnant with a blockage in the middle isthmus of the right fallopian tube?

Patient's question:

I had a hysterosalpingogram in October, and there was a blockage in the isthmus of the right fallopian tube. Can I get pregnant? Before the hysterosalpingogram, I had vaginitis, cervical erosion, and a leukorrhea test with a cleanliness level of 3, with one number of white blood cells. After the hysterosalpingogram, I noticed a lot more discharge, and it was yellow. A month later, I still have some mild lower abdominal pain on both sides, and my waist feels a bit sore and aching. The pain goes away after a day. Is this due to the effects of the hysterosalpingogram? I feel that it is worse than before, and I am very worried now.

Doctor's answer:

Tubal blockage is a common cause of infertility, accounting for one-third of infertile patients. In recent years, it has shown a gradual increasing trend and remains a challenging issue in the treatment of infertility. Tubal blockage is primarily caused by inflammation spreading from the endometrium upward, first leading to inflammatory changes in the tubal mucosa. The tubal epithelium undergoes degeneration or patchy shedding, resulting in adhesion of the tubal mucosa, followed by occlusion of the tubal lumen or fimbriae.
To treat this condition, professional examinations are necessary to identify the specific cause, allowing for the development of a reasonable treatment plan tailored to the patient's condition. It is recommended to seek treatment at a reputable and professional fertility clinic for targeted therapy. The examination and treatment should be based on individual circumstances under the guidance of a doctor.

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