Left fallopian tube is unobstructed, right is blocked, and if it were the right ovary

Patient's question:

Only the left fallopian tube is unobstructed, while the right fallopian tube is blocked. However, if the mature egg is released from the right ovary, is it possible to get pregnant?

Doctor's answer:

Hello, as long as treatment is actively administered, it does not affect fertility.
(1) Tubal medication: When the fallopian tubes have mild adhesions or incomplete blockage, medication can be injected through the uterine cavity or fallopian tubes. The medication can be antibiotics, dexamethasone, or hyaluronidase dissolved in normal saline. The volume of liquid depends on the degree of patency and is generally administered every 2–3 days after the menstrual period ends, until ovulation. This can be repeated for 2–3 cycles. If ineffective, laparoscopic examination is recommended.
(2) Tubaloplasty: For cases where tubal inflammation does not improve after conservative treatment, tubaloplasty can be performed based on the results of hysterosalpingography (HSG) and the location of the blockage. There are four types: tubal adhesion separation, fistula creation, end-to-end anastomosis of the obstructed section, and tubal implantation into the uterine angle, among others.

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