Is there a relationship between not ovulating and blocked fallopian tubes?

Patient's question:

If ovulation does not occur, will the basal body temperature rise when measuring it? How can you check if ovulation has occurred? First follow-up question: What should I do if I don't ovulate? Second follow-up question: Is not ovulating related to blocked fallopian tubes? Is it that if they are blocked, ovulation won't occur?

Doctor's answer:

Hello, common methods for checking ovulation include:
1. Basal body temperature measurement: Starting from the first day of menstruation, measure your temperature under the tongue for 5 minutes before getting out of bed each morning and record it. Continue this until the next menstrual period. Normally, ovulation occurs around day 14 of the menstrual cycle. After ovulation, the body temperature rises by 0.3~0.5°C and remains elevated for about 12 days. If the temperature does not rise, rises slowly, lasts for a short duration, or does not rise by 0.3°C, it indicates no ovulation or insufficient corpus luteum function.
2. Endometrial biopsy: Undergo a minor surgical procedure before or within 12 hours of menstruation to take a sample of the endometrium for examination. If there are secretory changes, it indicates ovulation. If there are proliferative changes, it suggests no ovulation. Additionally, it can detect other conditions such as endometrial tuberculosis.
3. Hormonal testing: Around one week before menstruation, have blood drawn to test progesterone levels. An increase in progesterone indicates ovulation.

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