Figure 1 Tubal recanalization in a 32-year-old patient with proximal tubal occlusion. Procedure was selective salpingography and tubal catheterization. Initial contrast injection disclosed the uterine cavity, with no contrast flow through fallopian tubes, suggesting bilateral proximal occlusion. (A) Thin white arrow shows tenaculum forceps. Selective tubal catheterization was performed with a 0.035” guidewire (thick white arrow) inserted via 5 Fr diagnostic catheter (white triangle). (B) Tubal patency was confirmed with contrast injection. (C) Afterward, 5 mL of Lipiodol was instilled until visible spill into the peritoneal cavity. (D) The procedure was performed bilaterally. (E) Bilateral spill of Lipiodol into the peritoneal cavity confirmed fallopian tubes patency. (F) White stars show spill of Lipiodol.