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Can You Get Pregnant If Your Fallopian Tubes are Open but not Smooth?

The fallopian tube is an important part of the female reproductive system. It is responsible for transporting eggs from the ovary to the uterus and is also where sperm and eggs meet and fertilize. Therefore, the state of the fallopian tube directly affects women's fertility.


Usually, we emphasize that the 'patency' of the fallopian tube is to ensure the normal operation of these functions, but in the actual medical diagnosis and treatment, we will encounter 'fallopian tubal patency but not smooth'. It is a common problem in the fertility system and may affect the chance of pregnancy, but it does not necessarily completely prevent natural conception.

1. What is fallopian tubal patency but not smooth

Fallopian tubal patency but not smooth refers to the fact that the fallopian tubes are not completely blocked, and sperm and eggs can theoretically pass through them. The tubes do not function optimally for various reasons, which affects the regular transportation of eggs and the process of sperm-egg binding. This state may be caused by various factors, including mild inflammation, mild endometriosis, small adhesions or local damage to the fallopian tube lining.

2. Causes of fallopian tubal patency but not smooth

Fallopian tubal patency but not smoothness is generally caused by tubal deformation, stenosis, inflammation, etc. The main cause of the above symptoms is salpingitis. Salpingitis is generally caused by the infection of pathogenic bacteria such as anaerobic, aerobic, and chlamydia. The etiology is considered to be related to menstrual sex life, poor disinfection of gynecological surgery, and decreased autoimmunity.

3. Symptoms of fallopian tubal patency but not smooth

The symptoms of fallopian tubal patency but not smooth are not obvious, and some patients may not have obvious discomfort for a long time. Some possible symptoms include irregular cycles, periodic abdominal pain or pelvic pain, but these symptoms may also be associated with other diseases. Of course, these symptoms may also be associated with other gynecological problems, so the diagnosis needs to pass the doctor's professional examination.

A. Hysterosalpingography (HSG): X-rays are used to check the patency and the morphology of fallopian tube.

B. Laparoscopy: It is an important means to diagnose and treat tubal problems by entering the abdominal cavity through minimally invasive surgery and directly observing the state of the fallopian tube. 

C. Ultrasound examination: examining pelvic organs through high-frequency sound waves to help assess the environment surrounding the fallopian tubes

4. Treatments of fallopian tubal patency but not smooth

There are various treatments for fallopian tubal patency but not smooth, and individualized treatment plans should be formulated according to specific reasons.

The treatment methods mainly include drug therapy, surgical treatment and assisted reproductive technology. 


For mild tubal obstruction, we can try to use ovulation-promoting drugs or anti-inflammatory drugs to promote tubal patency; 


For severe cases, hydrotubation, fallopian tube reconstruction or interventional therapy may be needed to restore fallopian tube function.


Does 'fallopian tubal patency but not smooth' affect pregnancy?

'Fallopian tubal patency but not smooth' may reduce the chance of natural conception because blocked or obstructed fallopian tubes can hinder the encounter and fertilization of eggs and sperm. However, not all 'fallopian tubal patency but not smooth' will lead to complete infertility. 

Some patients may still be able to conceive naturally, but the success rate may decrease. 


1. Fallopian tubal is smooth, but during the fluid passage process due to the cold stimulation of saline, spasmodic changes occur, resulting in poor pass. In this case, the fallopian tube function is normal and can be conceived. 


2. Inflammation can cause the fallopian tubes to become obstructed and unsmooth during the process of fluid flow, making it impossible to conceive. Even if pregnant, ectopic pregnancy may occur. Active treatment is needed, and tubal obstruction can be improved and treated by intravenous drip of antibiotics, taking Fuyan Pill to promote blood circulation, and remove blood stasis or enema.


'Fallopian tubal patency but not smooth' is a more complex reproductive health problem, which may be caused by a variety of factors, and treatment also requires personalized programs. For women planning to conceive, once signs of infertility are found, they should seek timely medical attention, conduct professional examinations to identify the cause, and take corresponding treatment measures.

With the help of modern medicine, most women with poor fallopian tubes have the opportunity to restore fertility. Maintaining a positive and optimistic attitude and actively cooperating with doctors' treatment recommendations is important.

You may also be interested in:

When Preparing for Pregnancy, Blocked Fallopian Tubes May Be Related to These Three Factors

Protecting Your Fallopian Tubes: Take 3 Essential Actions to Prevent Tubal Pregnancy

Why Do Some Patients With Blocked Fallopian Tubes Have No Symptoms?

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