In clinical practice, some patients often ask, “Is there any effect on pregnancy when a hysterosalpingogram shows that the fallopian tubes are open but the umbilical ends are elevated? Does this have any effect on pregnancy? If a hysterosalpingogram reveals that the fallopian tubes are patent, but the tubes are elevated, it is usually considered that there are adhesions at the umbilical end of the tubes. The uplift caused by pelvic adhesions may affect conception if the tethering between the fallopian tubes and the ovaries is stretched and the two are far apart. However, not all adhesions can affect fertility. If the ovaries are elevated along with the fallopian tubes, pregnancy will not be affected as long as the umbilical end of the tubes can reach the ovaries and pick up eggs. Therefore, if the result of the imaging is that the fallopian tube is open and the umbilical end is uplifted, as long as the ovaries are ovulating normally and the husband’s semen is fine, it is generally recommended to try to conceive for 3-6 months first. If the try is infertile for 6 months, the adhesions in the pelvic cavity should be considered to have an adverse effect on pregnancy, and then it is necessary to do a combined hysteroscopic laparoscopic surgery to investigate.