Ms. Cai has been infertile for 5 years after her marriage and was examined for tubal blockage caused by chronic pelvic inflammatory disease, and spent a lot of time, energy and money for treatment. She was referred to the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine in early 2007, where she underwent a combined hysteroscopic-laparoscopic intervention to unblock both fallopian tubes, and at the same time discovered endometriosis in the pelvic cavity, and underwent a simultaneous microscopic operation. After more than 8 months of treatment, she finally became pregnant naturally and gave birth to a healthy and lovely baby. In mainland China, an average of 2 to 3 out of 10 married couples have reproductive disorders (including sexual and reproductive disorders). Of these reproductive disorders, less than 10% are absolute disorders, that is, they cannot be changed. 90% or more can be improved by certain measures. About 50% of couples with no physical problems, who do not use contraception, become pregnant within 6 months, about 80% within 1 year, and 20% of pregnancies occur after 1 year. Therefore, there is no need to be anxious if you can’t conceive in a short time. The factors affecting reproduction are 60% for women and 40% for men, so infertility is a common problem for which both parties are responsible. Second, the normal process of pregnancy Pregnancy is the process of combining the woman’s egg with the man’s sperm, a process full of magic, opportunity and competition. After the normal egg discharged from the ovary is caught by the umbrella of the fallopian tube, it is quietly waiting for its other half in the fallopian tube; after male and female intercourse, the thousands of sperm lined up in the woman’s vagina by the male partner immediately start a fierce cross-country race, and after passing several hurdles in the cervix, uterus and fallopian tube, the final winner also becomes the only lucky one who is able to unite with the beautiful egg to form a fertilized egg; the fertilized egg travels along the The fertilized egg comes to the uterus, the home of the new life, and takes root when it finds a suitable place, and the new life quietly develops and grows. Tubal factors are the common causes of female infertility There are many diseases that cause infertility, among which ovulation disorders, tubal factors and endometriosis are the three main causes of infertility, and tubal factors account for about 40% to 50% of the cases. The fallopian tubes provide a good environment for egg fertilization and fertilized egg division. Tubal peristalsis, cilia oscillation and tubal fluid flow play an important role in sperm transport, egg uptake and fertilized egg delivery to the uterine cavity. Many factors affect the structure and function of the fallopian tubes, all of which can cause infertility. The most common causes are chronic tubal inflammation causing adhesions, twisting, poor umbilical structure or fluid retention, and blockage of the fallopian tubes, etc. Such inflammatory processes do not always have obvious clinical symptoms and are often detected by infertility tests. Ms. Cai was pregnant many years ago and had a medical abortion because she was young. Although she did not feel any discomfort after the abortion, she had developed a subclinical infection that was asymptomatic but her fallopian tubes were already infected, which eventually led to blockage and infertility. Hysterosalpingography is a commonly used method to check the patency of the fallopian tubes, with a clinical compliance rate of about 90%. This method can only determine the patency of the tubal lumen and cannot detect the coexisting pelvic pathological changes that cause infertility. Fourth, the tubal factor is the treatment that causes female infertility After Ms. Cai was identified as having blocked fallopian tubes, she first listened to the exaggerated advice of some medical institutions for relatively long drug treatment (especially a very long time of antibiotic treatment), in fact, people with some medical knowledge know that for completely blocked fallopian tubes, drugs alone cannot unblock them, and for chronic tubal infection without clinical symptoms long-term There is no scientific basis for long-term antibiotic treatment of chronic tubal infections without clinical symptoms. The only solution is surgical unblocking, and in this case, combined hysteroscopy-laparoscopy is a wise approach. Laparoscopy is a combination of diagnosis and treatment, and it can look directly into the whole pelvic cavity. It can not only accurately determine the patency of the fallopian tubes and the site of obstruction, such as tubal thickening, adhesions, twisting and obstruction of the fallopian tubes and fluid accumulation, but also detect other pelvic diseases that may cause infertility, such as pelvic adhesions and pelvic endometriosis, by observing the pelvic organs. Depending on the manifestations of pelvic lesions, pelvic adhesions isolation, tubalplasty, ostomy and tubal lavage can be performed to dynamically observe the patency of the fallopian tubes. However, for blockage of the proximal part of the fallopian tube which cannot be unblocked laparoscopically, it is necessary to rely on hysteroscopy to assist. The hysteroscope is a combination of diagnosis and treatment, and can look directly into the uterine cavity to determine whether there are any uterine adhesions, tubal openings or other lesions, and guide the tubal interventional guidewire for tubal recanalization. Through the combination of these two “mirrors”, the effect of treating both inner and outer tubal lesions can be achieved, which can kill two birds with one stone. It is estimated that the reason for Ms. Cai’s IVF failure may be pelvic endometriosis. Although laparoscopic surgery can finally resolve the lesions, unblock the fallopian tubes and eliminate the endo-foci, the actual situation of low pregnancy rate or high chance of ectopic pregnancy may also exist if Chinese medicine treatment is no longer used, because surgery can effectively restore the patency of the fallopian tubes, but not necessarily improve the function of the tubes, while Chinese medicine’s understanding of pelvic inflammatory disease and Chinese medicine Chinese medicine is an effective treatment for pelvic inflammatory disease, but it does not necessarily improve the function of the fallopian tubes. Chinese medicine therapy plays an important role in the treatment of chronic pelvic inflammatory disease. Based on the holistic concept of Chinese medicine, it is used for different patients to identify and treat the symptoms, using oral, external and reserved enema methods to relieve pelvic tissue adhesions and promote the absorption of inflammation, which helps to eliminate or reduce the self-conscious symptoms and helps to restore the anatomy and function of the fallopian tubes, thus improving the reproductive health status of women. However, the treatment cycle of Chinese medicine for chronic pelvic inflammatory disease is long and the effect is slow, which requires patients to have patience and confidence. Combined hysteroscopic-laparoscopic intervention with Chinese medicine is a good choice for the treatment of tubal occlusion infertility, but the focus of any disease is on prevention, which is the proactive measure. Although there are many causes of tubal infection, abortion in various ways is the main cause, which is the case of Ms. Cai, so avoiding abortion in various ways is the main means to avoid tubal lesions.