New concepts in the diagnosis and treatment of proximal fallopian tube blockage.

If a blocked fallopian tube is initially diagnosed and is cleared by simple means, and there is no clinical evidence of other pathology it is reasonable for the patient to go on and attempt to conceive for a time before any further investigation is required. This might be three to six months. A significant amount of cost and morbidity would be eliminated by this pathway, rather than the current push to laparoscopy.