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

Patient's question:

If ovulation does not occur, will measuring basal body temperature cause the temperature to rise? How can you check if ovulation has occurred? First follow-up question: What should I do if there is no ovulation? Second follow-up question: Is not ovulating related to blocked fallopian tubes? Is it that if they are blocked, ovulation will not occur?

Doctor's answer:

Hello, common methods for checking ovulation include:
  1. Basal body temperature measurement: Starting from the first day of menstruation, take your temperature under the tongue for 5 minutes every morning before getting out of bed 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 luteal 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. It can also detect other conditions such as endometrial tuberculosis.
  3. Endocrine examination: Around one week before menstruation, have blood drawn to test progesterone levels. An increase in progesterone indicates ovulation.

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