Patient's question:
Hello, I would like to ask a doctor how to check if the fallopian tubes are blocked. I have been trying to get pregnant for a long time but haven't been able to conceive. What could be the reason for this? How can I check if the fallopian tubes are blocked?Doctor's answer:
1. Laparoscopic examination: A colored liquid, such as methylene blue, is injected into the uterine cavity through a uterine catheter. Under laparoscopy, if the liquid spills from the fimbriae of the fallopian tubes into the pelvic cavity, it indicates patency. This method can not only detect tubal blockage, a gynecological disease, but also accurately determine the location of the blockage for timely treatment.2. Tubal fluid infusion: This is a relatively traditional method for examining tubal blockage, but its accuracy is not high. Since the entire process relies on manual operation by the doctor and subjective judgment, there are more false-negative and false-positive diagnostic results, leading to a high rate of misdiagnosis.
3. Hysterosalpingography (HSG): X-ray hysterosalpingography allows visualization of the size, shape, and position of the uterine cavity, as well as the morphology of the fallopian tubes on the fluoroscopy screen and X-ray images. Women should undergo examinations in large, reputable, and professional hospitals.