Patient: Description of the condition (onset, main symptoms, hospital visited, etc.): DSA hysterosalpingography (HSG) imaging: the uterus is centered and no abnormalities in the morphology or size of the uterine cavity are seen. No filling defect shadow was seen in the uterine cavity. The right fallopian tube was visualized to the distal part of the abdomen; the distal part of the abdomen was clearly distorted and significantly dilated in the form of a large sac, and no contrast leakage was observed. The left fallopian tube was seen to the proximal part of the abdomen. Imaging opinion: bilateral tubal inflammation, adhesions, occlusion and fluid accumulation in the distal part of the right tubal abdomen; adhesions and occlusion in the proximal part of the left tubal abdomen. The uterus is anteriorly positioned, with a long uterine body diameter of about 61 mm, a transverse diameter of about 46 mm, an anterior-posterior diameter of about 42 mm, and an endometrial thickness of about 8 mm. The surface of the uterus is not smooth, and a type of round hypoechoic light group with a size of about 18 mm x 13 mm is seen in the posterior muscular layer, with clear borders and uneven internal echogenicity. No obvious occupying lesions were seen in the bilateral adnexal areas. The pelvic cavity did not show any obvious fluid accumulation. The ultrasound suggested that the uterine fibroid sound image. No obvious occupying lesions were seen in the bilateral adnexal areas. She had one pregnancy many years ago and had a miscarriage with fetal dysplasia. Never treated. I have never been treated. I have been married for several years and have not been pregnant. Do I need to undergo a hysterosalpingogram to remove the fibroids together and what are the chances of getting pregnant after the surgery? Or should I clear the fluid for IVF as the first choice? Something is wrong: Hello! The results of empirical medicine show that the damage to the function of the fallopian tubes caused by tubal lesions is irreversible. It is wishful thinking and not in line with medical reality to simply think that if the fallopian tubes are blocked, they should be unblocked; if there is fluid, it will be fine if it is released. My opinion: IVF is the only practical means of helping you conceive at this time. If laparoscopy is to be performed, the purpose is not to “save” the function of the fallopian tubes (which has already been said to be impossible), but to remove the diseased section of the tubes to create good pelvic conditions for IVF.