I am so sorry to know that you are suffering from the tubal blockage and the salpingitis.
According to the details that you have left, your tubal condition occurs after your first abortion. I am sure that your tubal condition is a consequence of postoperative infection and you must have infection and inflammation in your tubes and your uterus.
Since you are 40, do you still have the requirement of giving birth? If you still have, there are two things that you need to do. First, you should take test to see the quality of your egg. Second, you should receive treatment to cure your tubal condition. If your egg quality is good, you can try surgery or herbal medicine to get a cure. Since the postoperative infection of surgery, I recommend you to try herbal medicine like Fuyan pill to get a cure. Fuyan pill not only can clear the infection and inflammation for you, but also can cure the jam and unblocked the fallopian tube for you. What's more, this herbal medicine can also improve the environment of your uterus, improving the implant rate of fertilized egg.
If you do not have the requirement of giving birth, there is no need to test the quality of egg. As for curing of blocked fallopian tubes, do you have any symptoms like pain or cramps and so on? if you have, you should receive treatment. But if there is no symptom, I think there is no need to receive any treatment.
What's your opinion? If you have any questions or want to know more treatment options, please contact us.
