Hi. Thanks for your query. Read the history of our granddaughter and understood the problem. The history of removal of the one ovary one tube can be due to Salpingitis and / or TO (Tubo-ovarian) mass , the commonest cause being Tuberculosis. This might have caused the blockage of the another tube. The polycystic ovaries do not cause blockage of the tubes. Tuberculosis may be the cause of pain in abdomen. I would advise first to get a proper diagnosis of the causes of all the symptoms by proper investigations and treatment. I would advise the following in such a patient: Blood, urine , stool tests. Gold Quantiferon test for TB CT scan of the abdomen. Evaluate for the cause, get a treatment first on the medical basis and once the problem is solved her remaining ovary and tube can be saved. Now-a-days the treatment of tuberculosis is ambulatory, meaning there is no need for admission. Once the medical therapy is completed and the patient recovered we can always go inside the abdomen and do a small surgery to open up the blocked tube. This can very well be tried as just removing the other tube and ovary your granddaughter will never be able to have natural pregnancy. Please discuss this with your Gastroenterologist and Gynecologist. This has to be a multi-disciplinary approach as it is related to life of a patient. You will certainly get the best results in a way I explained.