What tests are needed for fallopian tube blockage?

Patient's question:

Hello, doctor. I've been married for more than half a year and haven't been able to get pregnant. But sometimes I feel pain on one side of my abdomen. My menstrual cycle is quite regular. Does this mean that my ovulation isn't a problem? Could the inability to get pregnant be related to fallopian tube issues? If the fallopian tubes are not unblocked, how can I be checked to find out?

Doctor's answer:

Hello, the fallopian tubes play a crucial role in transporting sperm, absorbing eggs, and delivering fertilized eggs to the uterine cavity. Fallopian tube blockage obstructs the passage of sperm and fertilized eggs, and the main causes of fallopian tube blockage are infection and adhesion, which can lead to infertility or ectopic pregnancy.
The necessary examinations for fallopian tube blockage include:
1. Hysterosalpingography (HSG): Currently, this is one of the most widely used methods in clinical practice. It can provide an accurate diagnosis of fallopian tube blockage with a success rate of over 99%. It also has certain therapeutic effects and is the most commonly used examination to determine whether the fallopian tubes are patent, the degree of patency, and the specific location of blockage.
2. Laparoscopy: Laparoscopy is an essential examination and treatment method for female infertility. Laparoscopic technology is a minimally invasive surgical procedure that allows for a clear view of the pelvic and abdominal tissues and organs. It can rapidly confirm a diagnosis and may also be used to perform necessary surgical treatments under laparoscopic guidance.

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