Should one try to get pregnant first or have a fallopian tube first?

Patient's question:

[Start taking Aifuzhuanongwan seven days before menstruation. What help do you want: I am not checking the fallopian tubes, first trying to get pregnant. Or should I have a contrast examination first? I also want to ask, under what circumstances can a tubal pregnancy occur? If the contrast examination is normal, will it definitely not lead to an ectopic pregnancy?]

Doctor's answer:

It is recommended to first undergo a fallopian tube examination to understand the specific condition of the fallopian tubes, and get pregnant under the guidance of a doctor to avoid the possibility of another ectopic pregnancy. For those with a history of ectopic pregnancy, it is necessary to avoid another ectopic pregnancy during the next pregnancy. Before the next pregnancy, it is necessary to undergo a fallopian tube contrast examination one week after the menstrual period to check if the fallopian tubes are unobstructed. If the fallopian tubes are unobstructed, it can avoid the recurrence of ectopic pregnancy.
Common causes of ectopic pregnancy include the following aspects:
- A history of chronic tubal inflammation, fallopian tube developmental abnormalities or malformations, which reduce the function of the fallopian tubes in transporting the oocyte, making it difficult for the fertilized egg to reach the uterine cavity smoothly.
- Endometriosis patients.
- Patients with pelvic inflammation or masses in the pelvic cavity.
- Those who have had tubal ligation and subsequent recanalization.
- A history of ectopic pregnancy.
- A history of repeated induced abortions.
These reasons can all lead to ectopic pregnancy.

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