Proximal tubal blockage cannot be treated with medication, and pregnancy can be achieved through IVF or laparoscopy. Proximal tubal blockage may be due to secondary infection. Most tubal disease is secondary to infection, especially pelvic inflammatory disease. Other possible causes of infection include perforated appendix, post-abortion infection, or post-surgical complications. Inflammatory states such as those caused by endometriosis and surgery may lead to tubal occlusion due to adhesions, resulting in female infertility. Proximal blockage of the fallopian tubes can be unblocked by in vitro or hysterolaparoscopic surgery with the hope of pregnancy. 1. Hystero-Laparoscopy: If both fallopian tubes are proximally blocked, both fallopian tubes can be unblocked by hystero-laparoscopic surgery, which may not always be successful due to the difficulty in unblocking proximal blockage. 2. In vitro pregnancy: If the proximal blockage of fallopian tube is not successfully unblocked through hysterolaparoscopy, and the patient has the requirement of pregnancy, the patient can only get pregnant through in vitro pregnancy, and the success rate of in vitro pregnancy is also decided according to the individual’s physical condition. Patients with proximal tubal blockage should go to the hospital in time and follow the doctor’s instructions for treatment.