In the clinic, many infertility patients will ask, “Doctor, should I do in vitro fertilization?” For this question, there are different answers for different patients: First, for patients after tubal bilaterotomy, in vitro fertilization is the only choice, and the earlier the better, because after tubal resection, the ovarian function will inevitably be damaged, the earlier the success rate of doing it while you are still young, the higher the success rate. Secondly, for patients with bilateral tubal obstruction or incomplete tubal passage, and the male partner’s semen is still good, they already belong to the group of people who should do IVF, but it should be combined with the age of the female partner, the urgency of the desire to get pregnant, and the degree of psychological acceptance of IVF to determine the age of the female partner, the age of the female partner for pregnancy is an independent factor, if the female partner’s age is more than 35 years old, no matter what, I would advise you to do the IVF as a matter of urgency, and if the woman’s age is 20 years old, the willingness to get pregnant is not too high. If the woman is in her twenties, her desire to get pregnant is not too urgent, or she does not accept IVF, then she can have her fallopian tubes unblocked by laparoscopic surgery before trying to conceive. If even laparoscopic surgery is not willing to do, then expectancy therapy also has the hope of pregnancy, but the chances are relatively small, even the tubal imaging shows that the obstruction of the patient also have their own pregnancy, but this situation is like buying a lottery ticket. Third, for the fallopian tube condition is still good but also many years of infertility, male semen is not too bad patients, you can first try three months of artificial insemination, each cycle will still have a 10% success rate. After three times of artificial insemination is not pregnant, you should take in vitro fertilization. Fourth, for the male partner, the woman’s fallopian tubes are normal, only severe oligozoospermia patients are required to do IVF, but there will still be people who hope to take medication to improve the semen situation in order to fight for the hope of a natural pregnancy, but this is very unlikely, and the same combined with the age of the female partner to make a decision. Overall, because infertility is not a life-threatening condition unlike other organic diseases, and because there are many social and psychological factors involved, the question of “whether or not to undergo IVF” is ultimately a decision you can only make on your own, with the advice of your doctor.