If the fallopian tubes are blocked, what check-up items need to be done

Patient's question:

Hello! What tests should be done for fallopian tube blockage?

Doctor's answer:

Hysterosalpingography (HSG) can give a general idea of whether the fallopian tubes are blocked, but it is best to undergo uterine and fallopian tube iodine oil contrast imaging. This is because the false-negative rate of tubal irrigation is relatively high—conditions such as adhesions at the fimbriae or tubal leaks cannot be detected through irrigation. Tubal irrigation is no longer recommended as a diagnostic tool by the World Health Organization, but it can serve as a treatment method for diagnosed mild adhesions. Uterine and fallopian tube contrast imaging can reveal whether the fallopian tubes are blocked, the location of the blockage, and the severity of the blockage, providing targeted treatment plans for further management.

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