1. Is the diagnosis of patent fallopian tubes accurate? Many patients get the results of the imaging, and the fertility doctor diagnoses them as having patent fallopian tubes, while the diagnostic report of the radiology department may say that there are no obvious abnormalities or that the tubes are patent bilaterally. In fact, it is not the doctor’s diagnosis that is wrong, but the interpretation of the imaging results is different. In addition to the role of a passage for the egg to pass through, the fallopian tubes also need to have the function of picking up and transporting the egg, and the egg itself does not have the function of swimming there by itself. Therefore, sometimes radiologists think that the fallopian tube is open, but in fact its function has been damaged, some have adhesions at the umbilical end and limited diffusion of the contrast medium, some have rigidity. These are not conducive to the smooth transport of the eggs. Therefore, the fertility doctor will consider this as an important cause of infertility after excluding other causes of infertility. 2. Why are infertility patients recommended to undergo tuberculosis testing? We often recommend that patients be tested for tuberculosis when they are screened for causes of infertility. Many patients do not think it is necessary. In fact, TB infection can lead to a bad endometrium and an embryo that is not easy to be laid. It may also lead to chronic inflammation of the fallopian tubes and impaired tubal function, which can cause infertility. In addition, the development of tuberculosis during pregnancy is a very dangerous thing and can seriously affect the baby. Screening for tuberculosis is necessary. 3. Can tubal obstruction be treated surgically? In many patients, the fallopian tubes are not patent or there is fluid or obstruction. Depending on the degree of tubal patency, the doctor may recommend laparoscopic surgery or direct in vitro fertilization. Younger patients (under 30 years old) with mild patency and no other cause of infertility may be considered for a trial pregnancy or for surgical unblocking. If the tubal obstruction is severe (surrounding adhesions, etc.), obstructed or combined with other causes of infertility, you can choose to undergo IVF directly; reluctant tubal surgery for tubal obstruction will increase the risk of ectopic pregnancy, and IVF treatment is also recommended if no pregnancy occurs within 6 months after surgery. 4. Are the success rates and cycles of IVF long? At present, in our unit, the average age of women undergoing IVF is 31-34 years old, and the average pregnancy rate of one embryo transfer is 50-60%, and patients who have frozen embryos can undergo frozen embryo transfer after one failure to conceive (about several thousand dollars), and the pregnancy rate of each frozen transfer is also 50-60%. 80%. The younger you are, the higher the success rate. The IVF cycle, for long protocols, takes about 45 days from the start of oral medication to egg retrieval, with the first 20 days or so being mainly for oral medication. Some patients feel that the long cycle may be due to the delay in pre-testing, because some tests are related to the menstrual cycle, so some patients spend some time (more than 1 month) on pre-testing and preparation of documents (birth certificate). 5. Is it necessary to perform hysteroscopy before IVF? Hysteroscopy can detect endometrial polyps, uterine adhesions, uterine longitudinal septum, uterine fibroids and other factors affecting pregnancy, which can improve the success rate of IVF after treatment, so a little screening is recommended. The hysteroscopy takes about 20 minutes. You need to make an appointment after your menstrual period. In addition, you need to perform a discharge test and other tests for infectious diseases before the examination. You can also come to the local hospital with the results after the examination.