Fallopian tube damage is a common cause
of infertility and tubal ectopic pregnancy. A fallopian tube blockage typically
prevents successful passage of the egg to the sperm, or the fertilized egg to
the uterus. Causes of tubal infertility include Endometriosis, Pelvic
Inflammatory Disease (PID) and scar tissue, adhesions and damaged tube ends
(fimbria). Treatment options are IVF (in vitro fertilization) or tubal surgery.
Tubal disease is diagnosed by sonohysterogram, hysterosalpingogram and
How are Blocked Tubes Diagnosed?
Blocked tubes are usually diagnosed with a specialized x-ray, called a
hysterosalpingogram, or HSG. This test involves placing a dye through the
cervix, using a tiny tube. Once the dye has been given, the doctor will take
x-rays of your pelvic area .The fertility
specialist will go for laparoscopy (or key-hole surgery), a procedure performed
under general anaesthesia, saying it involves making a small incision beneath a
woman’s umbilicus (navel) and inserting a thin viewing device to examine the
fallopian tubes, ovaries and inner lining of the uterus. This, she said, is to
ensure the tubes are not blocked.
How Do Blocked Fallopian Tubes Cause
Each month, when ovulation occurs, an egg is released from one of the
ovaries. The egg travels from the ovary, through the tubes, and into the
uterus. The sperm also need to swim their way from the cervix, through the
uterus, and through the fallopian tubes to get the egg. Fertilization usually
takes place while the egg is traveling through the tube.
If one or both fallopian tubes are blocked, the egg cannot reach the uterus,
and the sperm cannot reach the egg, preventing fertilization and pregnancy.
It’s also possible for the tube not to be blocked totally, but only partially.
This can increase the risk of a tubal pregnancy, or ectopic pregnancy.
What is Hydrosalpinx?
A specific kind of blocked fallopian tube, hydrosalpinx is when a blockage
causes the tube to dilate (increase in diameter) and fill with fluid. The fluid
blocks the egg and sperm, preventing fertilization and pregnancy.
Can You Get Pregnant With a Blocked
If only one fallopian tube is blocked, but the other is clear, it may still
be possible to achieve pregnancy. It depends on how well the ovaries are
functioning, and also what caused the blocked tube in the first place.
Tubes – Female Fertility Issues
What are the Symptoms of Blocked
Unlike anovulation, where irregular menstrual cycles may hint to a problem,
blocked fallopian tubes rarely cause symptoms. A specific kind of blocked
fallopian tube, called hydrosalpinx, may cause lower abdominal pain and unusual
vaginal discharge, but not every woman will have these symptoms.
However, some of the causes of blocked fallopian tubes might lead to hints
of a problem. For example, endometriosis and pelvic inflammatory disease may
cause painful menstruation and painful sexual intercourse. But these symptoms
don’t necessarily point to blocked tubes.
Other tests that may be ordered include ultrasound, exploratory laparoscopic
surgery, or hysterotomy
(where they take a thin camera and place it through your cervix, to look at
your uterus). Blood work to check for the presence of Chlamydia antibodies
(which would imply previous or current infection) may also be ordered.
What are the Potential Treatments for
If you have one open tube, and are otherwise healthy, you might be able to
get pregnant without too much help. Your doctor may give you fertility drugs to
increase the chances of ovulating on the side with the open tube. This is not
an option, however, if both tubes are blocked.
In some cases, laparoscopic
surgery can open blocked tubes or remove scar tissue that is causing
problems. Unfortunately, this treatment doesn’t always work. The chance of
success depends on how old you are (the younger, the better), how bad and where
the blockage is, and the cause of blockage.
If just a few adhesions are between the tubes and ovaries, then your chances
of getting pregnant after surgery are good. If you have a blocked tube that is
otherwise healthy, you have a 20% to 40% chance of getting pregnant after
But if thick, multiple adhesions and scaring are between your tubes and
ovaries, or if you have been diagnosed with hydrosalpinx, surgery may not be a
good option for you. Also, if there are any male infertility issues, you might
want to skip surgery. In these cases, IVF treatment is your best bet.
Also important to note is that your risk of ectopic pregnancy is higher
after surgery to treat tubal blockage. Your fertility doctor should
closely monitor you, if you do get pregnant.
wait too long to start a family – that’s a message from Consultant
Obstetrician, Gynaecologist and Fertility Specialist today.
Start creating your family by contacting today Rupal Hospital for Women and
Know today about your options for having a baby using IVF & assisted
reproductive technology. You can contact our fertility and IVF specialist at http://www.rupalhospital.com or http://rupalhospital.wordpress.com
or simply call on +91-2612599128 or email at firstname.lastname@example.org