About 25-35% of subfertility in women concerns the tubal factor. Patients may seek medical treatment due to increased blennorrhea, dysfunctional uterine bleeding, lower abdominal pain, and so on. But most FTO Patients have no specific symptom to feel. This case is about an 27-year-old female, trying to conceive for three years. That doesn't work until she had a hysterosalpingogram (HSG) test, and bilateral tubal occlusion (BTO) be diagnosed. This patient used to live in USA, got infected with tuberculosis bacteria, and took INH for nine months. Then she stopped INH for more than six months. The gynecologist advice for in vitro fertilization (IVF), bypass the block part, and removal of part of fallopian tube with fluid retention. The patient thinks that IVF technology in Taiwan is also good, So she come back to this island. Before IVF, she received Chinese herbal medicine only. Then she successfully conceived Three months later and no longer need IVF.