Tubal blockage in the mesosalpinx and isthmus of the fallopian tube: the first choice should be tubal intervention via X-ray recanalization, if recanalization fails, IVF treatment. Since the tubal intervention via X-ray is usually only available once, the treating doctor must have the idea that every detail of the intervention should be done well to maximize the patient's chances and wishes to achieve natural conception, so it is crucial for a doctor to improve his or her own medical skills.
Tubal occlusion: IVF treatment.
Tubal umbilical blockage: either laparoscopic tubal ostomy or open tubal ostomy, or in vitro fertilization, each with a 20% success rate.
Peri-tubal adhesion: it can cause the dysfunction of egg picking up and egg transportation in the fallopian tube, thus causing the occurrence of infertility. The main choice for its treatment is laparoscopic peritubal adhesion separation.
Tubal tuberculosis: caused by the blockage of the fallopian tubes prohibit tubal reversal treatment, if the endometrium is still good can be treated with in vitro fertilization.
Other treatments for tubal blockage:
Tubal ligation: it can be performed 3 days after the menstrual period. Gentamicin 160,000 units, 2 procaine 2 ml, dexamethasone 5 mg, alpha chymotrypsin 5 mg dissolved in 20 ml of saline and injected into the uterine cavity through the tubal fluids catheter. Treatment is stopped once every other day until just before ovulation. It can be used for 2 to 3 consecutive menstrual cycles. This treatment is still used by most medical institutions, but the efficacy is poor and the false positive rate is high.