Tubal obstruction is mainly due to inflammation or other mechanical factors leading to tubal nowhere, which is the main cause of female infertility, accounting for about 30% of female infertility. The main causes of tubal obstruction are chronic pelvic inflammatory disease or surgery. The main reason is actually chronic pelvic inflammatory disease, which can mainly be manifested as lower abdominal pain, sexual pain or abnormal leucorrhea secretion and so on. In fact, tubal obstruction should be treated differently according to the different blocking sites, and the specific situation should be analyzed according to age and ovarian function. In general, young patients, if the ovarian function is good and the tubal blockage is not in the interstitial part, but in the ampulla or umbrella tip, we suggest that they do laparoscopic tubal plastic surgery and then actively try to get pregnant, about three months to six months. If they are not pregnant, we think that the adhesion may still be heavy and may recur. If it is in the uterine horn or isthmus, the effect of plastic surgery is not ideal, so we suggest that he directly consider IVF technology, or because the patient is older and the ovarian function is not good. So we choose IVF directly. There are three ways to treat tubal obstruction:

First, conservative treatment: if the fallopian tube is slightly blocked, conservative treatment can be given, and the fallopian tube can be treated by drugs for promoting blood circulation and removing blood stasis, enema with traditional Chinese medicine and microwave physiotherapy.

Second, surgical treatment: tubal plastic surgery, tubal interventional surgery, tubal patency after plastic surgery, you can try to get pregnant. If the patient is young, such as less than 30 years old, the man's semen is good, and the patient's ovulation is not abnormal, laparoscopic tubal plastic surgery can be used at this time to see if he can get pregnant after surgery.

Third, IVF: If the age is over 35 years old, and there are other infertility factors, such as poor semen of the man or endometriosis of the woman, abnormal ovulation, such patients are not easy to do tubal surgery, and can directly do IVF to help pregnancy.