In the clinic, it is common to see a patient with a tubal film asking the doctor if my fallopian tubes are open or closed. For patients with fallopian tube failure, their first reaction is mostly: Doctor, how should I treat my fallopian tubes? This is a big misconception of patients. Tubal disease is not like a cold and can be completely cured. The fallopian tube is not only a tube for transporting eggs and sperm, it also has its own functions. The umbrella end of the fallopian tube is like a hand that picks up eggs, and there are many tiny cilia inside the fallopian tube that are responsible for transporting fertilized eggs. This delicate function of the fallopian tubes determines that once damaged, it is very difficult to fully restore it to full normal. However, this does not mean that tubal incompetence cannot be treated. Intervention or IVF for fallopian tube failure? Generally speaking, if the infertility is only caused by incompetent fallopian tubes, if the proximal part of the fallopian tubes (interstitial part) is incompetent, you can try interventional treatment of the fallopian tubes; if the distal part of the fallopian tubes (umbilical end adhesions) is incompetent, you can try laparoscopic unblocking of the fallopian tubes. Of course, this also depends on a variety of factors such as the extent of your tubal lesions, duration of infertility, age, and ovarian function. If you are still not pregnant after 6 months to more than 1 year after tubal treatment, you will have to choose IVF to help you conceive. One risk of tubal treatment is that the treatment itself is not always successful, and you must get pregnant as soon as possible after successful treatment. Generally speaking, the pregnancy rate is high within six months after treatment, and the possibility of re-adhesion of the fallopian tubes beyond one year is very high. Another risk is the increased risk of ectopic pregnancy after treatment. Some private hospitals advertise “three mirrors and one silk”, that is, hysteroscopy, laparoscopy, fallopian tube mirror plus guidewire intervention, saying how good the treatment effect is. The advantages of IVF are the high success rate and the relatively low risk of ectopic pregnancy. If you are eager to get pregnant, afraid of surgery, or if you are older, have poor ovarian function and have been infertile for a long time, you can choose IVF directly. The technology of IVF has developed to a relatively mature level and the success rate is increasing year by year. As a patient, perhaps making this choice is not something you can do alone and requires full communication between you and your family and doctor before treatment.