In general, tubal obstruction cannot be detected by self-test. For most women, tubal obstruction is found when they go to the hospital for a tubal imaging because of infertility. Many women do not have any clinical symptoms of tubal obstruction, but the problem can be detected through some clinical manifestations, such as frequent menstrual cramps, which can be considered for the possibility of tubal obstruction. In addition, patients with a history of repeated abortions, repeated diagnostic scrapings or cleanings should also be highly suspected of having tubal incompetence, as well as some patients with recurrent vaginal inflammation and pelvic inflammatory disease, for example.