Tubal patency but not unobstructed, can one still get pregnant naturally?

Patient's question:

Hello, 40 years old and unable to conceive a second child. The follicles grow but do not mature and ovulate. The fallopian tubes are open but not unobstructed. Can one still conceive naturally in this situation?

Doctor's answer:

Hello, according to the situation you mentioned, abnormal follicular development and fallopian tube blockage are both conditions that prevent normal pregnancy. You should visit a hospital to identify the underlying causes of abnormal follicular development and receive active treatment. Additionally, for fallopian tube blockage, treatments such as fallopian tube hydrotubation or hysteroscopic surgery can be considered. Treatment should be performed during the 2 to 7 days after menstruation, with abstinence recommended during this period.

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