Is it possible to 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 leukocyte count of 3 degrees with one white blood cell. After the hysterosalpingogram, I noticed a lot of yellow discharge. A month later, I still have some mild lower abdominal pain on both sides and a bit of lower back tightness and soreness. The pain goes away after a day. Is this due to the hysterosalpingogram? I feel it's worse than before, and I'm 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 upwards, 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 it, professional examinations are necessary to determine the specific cause, after which a reasonable treatment plan suitable for the patient's condition can be established. It is recommended that you seek treatment at a formal and professional fertility clinic for targeted therapy. The examination should be tailored to your individual circumstances under the guidance of a doctor, and treatment should be administered accordingly.

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