(Disclaimer: This article is only for scientific purposes, in order to protect the privacy of patients, the following content of the relevant information has been processed) Abstract: Ms. Zeng because of the clearance of the uterus after the operation of contraceptive infertility for four years to our hospital. I diagnosed the patient with secondary infertility caused by the sequelae of pelvic inflammatory disease through physical examination combined with hysterosalpingography, and suggested that she undergo oral medication and surgical treatment. The patient recovered well from pelvic inflammatory disease after medication, and her fallopian tubes were well unblocked after surgery. Basic information] Female, 28 years old [Type of disease] Infertility (secondary infertility) [Hospital] Hunan Maternal and Child Health Hospital [Time of consultation] June 2022 [Treatment plan] Oral medication (levofloxacin hydrochloride capsule, metronidazole tablets) + Surgery (laparoscopic tubal unblocking surgery) [Cycle of treatment] 1 day hospitalization, 1 week after the review and surgery [Treatment effect] Pelvic inflammatory disease recovered well after surgery. Pelvic inflammatory disease recovered well, postoperative tubal ligation is good I. Initial consultation Ms. Zeng came to our hospital because she had been infertile without contraception for 4 years after the hysterectomy. She said that she had regular menstruation without any abnormality in the past, and she had undergone hysterectomy in a local hospital in 2018 due to an induced miscarriage, with no change in the amount and duration of her menstrual period after the operation, and she had a normal sex life and had not used contraception until now. There were no uncomfortable symptoms such as hirsutism and overflow, abdominal pain, anal cramping sensation, etc., and no tubal fluids or monitoring of ovulation had been performed, and the male partner did not have a semen test. After that, the patient underwent hysterosalpingography, the results returned as changes in the morphology of the uterine cavity, suspected bowed uterus, suspected bilateral tubal patency, distorted in the middle and distal part of the angle, preliminary diagnosis of pelvic inflammatory diseases secondary infertility caused by sequelae. Second, after treatment After diagnosing the patient’s condition, I told the patient that it was also necessary to carry out a semen examination of her husband, and if her husband’s semen had no problems, the patient’s secondary infertility would be mainly treated. Surgery is usually needed to unblock the fallopian tubes, but oral antibiotics are needed to reduce inflammation and treat pelvic inflammatory diseases before surgery. The patient agreed to take oral medication first and asked to be discharged from the hospital. I gave her levofloxacin hydrochloride capsules and metronidazole tablets and agreed to discharge her. 1 week later, the patient came to the hospital for a review and told me that there was no abnormality in her husband’s semen and that she was willing to undergo surgical treatment, so I instructed the patient to go to the hospital for surgical treatment 10 days after her next menstrual period was cleaned up. 10 days later, the patient went to the hospital for a laparoscopic tubal opening surgery, which was performed through laparoscopy to remove the tubes. Ten days later, the patient went to the hospital for laparoscopic tubal unblocking surgery to remove the blockage of the fallopian tubes through laparoscopy. The patient was discharged from the hospital after taking levofloxacin hydrochloride capsules and metronidazole tablets for 1 week, and went to the hospital for a review. She reported that she had abdominal pain and vaginal bleeding after she went home, but it was relatively mild and had disappeared, and was not accompanied by any other abnormalities. I checked her body and found that her temperature was normal, her mental status was OK, her abdomen was flat and soft, with no pressure or rebound pain, suggesting that she had recovered well from pelvic inflammatory disease, but she still needed to wait until about 10 days after her next menstrual period to undergo surgical treatment. Waiting for 10 days after the patient to our hospital for surgery, recheck the patient’s fallopian tube is clear, you can prepare for pregnancy. Fourth, precautions The patient’s tubal blockage problem has been solved, and I am also happy, at the same time, need to tell the patient to pay attention to, after discharge from the hospital, if there is pain in the lower abdomen, bleeding symptoms, you need to consult a doctor in a timely manner. In addition, you need to pay attention to rest, avoid the abdomen cold, and pay attention to warm water every day to clean the vulva, to a certain extent, can relieve the discomfort. But cleaning can not be through the basin bath, and should also avoid sexual intercourse, so as to avoid bacterial retrograde infection, aggravate pelvic inflammatory lesions. V. Personal perception Both men and women can have infertility symptoms, men are commonly caused by sexual dysfunction and semen abnormality, while women are commonly caused by ovulation disorders and pelvic diseases, in this case, the patient is due to the sequelae of pelvic inflammatory diseases, resulting in tubal adhesion and secondary infertility. For the case of tubal insufficiency, through active cooperation with the doctor’s surgical treatment, the patient’s fallopian tube can be completely opened, so that the sperm can combine with the egg normally, and the patient can get pregnant normally.