What are the causes of fallopian tube infertility?

Patient's question:

I have been married to my husband for several years. A few years ago, I didn't want to have children, but now I want to. I can't have children anymore. I went to see a doctor, and the doctor said that the reason was tubal infertility. He said that as long as the fallopian tubes are unblocked, everything will be fine.

Doctor's answer:

The fallopian tube and ovary are adjacent organs, each with its own function, connected yet fundamentally distinct—never to be confused. The fallopian tube, a pair of trumpet-shaped, curved tubes (one on each side, about 7–15 cm long), serves as the site where sperm meets the egg and as the conduit for transporting the fertilized egg. Its primary role is to cyclically transport the egg released by the ovary into the uterine cavity each month, with the egg's movement facilitated by the fallopian tube's own peristalsis and the contractions of the fimbriae growing on the endometrial epithelium.
The ovary is located below the fallopian tube. Externally, it is connected to the pelvic wall via the infundibulopelvic ligament, while internally, it is linked to the uterus by the ovarian ligament. The ovary is a pair of flat, oval-shaped gonadal organs, whose main functions include secreting essential female sex hormones and producing eggs. In girls, the rudiment of the ovary forms as early as the 3–6th week of embryonic development.

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