Patient: Hello, Director Chen! I am glad to have your diagnosis online. I am 25 years old. I was pregnant in June 2007, but I was afraid of the effect on the fetus because of the medication I took during the pregnancy, so I had a medical abortion to induce abortion and a cervical ablation in August last year, and I had bilateral ovarian mature teratomas detected at the same time in 2007. Since March of this year, she has not been pregnant without contraception. The male partner’s semen, endocrine, and ovulation were normal. I had follicle monitoring from July to September, and all of them were right ovulation test, but failed after trying to conceive. I would like to ask you to help me to see the pictures of the imaging. Since we don’t have the equipment and technology for treatment here, please help me to analyze the condition of my fallopian tubes and suggest the treatment and the chance of cure. Thank you for your reply in your busy schedule. Chen Shuping: Hello! You have a history of medical abortion and ovarian cyst surgery. The possible causes of infertility are: 1) immune factors; 2) tubal factors; 3) ovulation factors From the film, your right fallopian tube is open but thin and long, and the left is not open. It is recommended that you treat your tubes and check for relevant antibodies. It is not possible to predict your chances of cure at this time. Patient: Director Chen, thank you very much for your prompt reply. I would like to ask what does it mean that the right side is open but elongated as seen on the imaging film? Is it patent? Is there a chance of pregnancy? I have done ovulation monitoring without any problem, and my endocrine system is normal. As for your comment about checking for relevant antibodies, what are they? Thanks again! Chen Shuping: Hello! Long and thin fallopian tubes mean that the pregnant egg has to go through a longer route to the uterus, and if the tubes are even thinner, it will be easier to have ectopic pregnancy. The relevant antibodies are anti-sperm antibodies, anti-endometrial antibodies, anti-ovarian antibodies, anti-cardiolipin antibodies and anti-HCG antibodies.