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Beyond Ovulation: Does Normal Ovulation Guarantee Fallopian Tube Patency?

Normal ovulation, a healthy uterine environment, and unobstructed fallopian tubes are the basic conditions for natural conception in women. To determine whether the fallopian tubes are unobstructed, we usually perform a hysterosalpingogram or water test.

So, can we prove that our fallopian tubes are unobstructed without undergoing imaging or water testing? The answer is obviously no.
A detailed examination is necessary to diagnose any disease before a conclusion can be drawn. However, many patients like to engage in self-diagnosis, which often leads to misunderstandings and even delays in treatment. Take the patency of the fallopian tubes as an example:
Misconception 1: Normal menstruation means normal ovulation; Normal ovulation means patent fallopian tubes
Christine and her husband have been trying to conceive for over a year but have not been successful. After ruling out male infertility and female factors such as ovarian and uterine issues, the doctor suspects blocked fallopian tubes and recommends a hysterosalpingogram (HSG) test. However, Christine questions this diagnosis, saying, "I have been using ovulation test strips and have been ovulating regularly. How could my tubes be blocked?"
If ovulation occurs, there is no blockage. Although both fallopian tubes and ovulation have the word 'egg' in them, they are independent. We need to understand that fallopian tube blockage does not affect the development and ovulation of follicles, but rather affects the union of sperm and egg. Methods such as ovulation test strips are only used to test the timing of ovulation and cannot determine whether the fallopian tubes are unobstructed.
Fortunately, under the treatment of Fuyan Pill from Dr. Li Xiaoping, Christine unblocked the fallopian tubes after taking two courses of pills. Finally, she successfully became pregnant.
Misconception 2: If there is no flow or inflammation, the fallopian tubes will not be blocked
Recently, a patient asked Dr. Li, 'Dr. Li, I have a question. Will my fallopian tubes be blocked if I haven't had an abortion surgery?' Dr. Li told her that inflammation, infection, and unprotected sex can lead to fallopian tube blockage. Later, the patient said she went to the hospital for a check-up and the doctor told her that she didn't have inflammation, so she shouldn't have any problems with fallopian tube blockage.
Dr. Li explained in detail that the absence of abortion and infection indicates a lower probability of blocked fallopian tubes, but it is not absolute. Whether the fallopian tubes are open can only be determined by imaging tests, and we cannot draw conclusions by excluding a few high-risk factors. 
Hysterosalpingography is the gold standard for evaluating the patency of the fallopian tubes.
The causes of infertility are inherently complex, and a series of tests must be performed to make a precise diagnosis. If a couple has been trying to conceive for a year without success, they should promptly go to the hospital for examination to rule out infertility factors.
As for whether tubal angiography is necessary since it is an "invasive" operation, it is not included in routine examination items. Only after excluding other causes of infertility and unsuccessful self-preparation for pregnancy will doctors recommend an angiography examination.
It is best to perform a fallopian tube imaging examination 3-5 days after the end of menstruation, and during this period, sexual intercourse should be avoided. In addition, it is recommended to refrain from sexual activity for two weeks after the examination to allow the uterus sufficient rest time to meet the clinical needs and provide better patient service.
In summary, if a couple cannot conceive after trying to conceive, they should promptly go to the hospital for examination. They should not be afraid to seek medical help or self-diagnose. Under the guidance of professional doctors, the cause should be identified and treated accordingly to avoid futile efforts.
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