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Blocked Fallopian Tube Surgery
Depending on what causes blocked Fallopian tubes, there are helpful surgical procedures that can correct the problem or help achieve pregnancy.
One of these procedures is salpingostomy. This procedure is used when the tube is blocked by a fluid build-up known as hydrosalpinx.
During the procedure, the surgeon makes a small hole in the tube in the area close to the ovary.
Then, the fluid drains, potentially allowing the tube to become functional again. One risk is that scar tissue may form after the surgery, reblocking the Fallopian tube.
A similar procedure called a salpingectomy may be used to simply remove the blocked Fallopian tube. This can increase the rate of success of IVF.
Fimbrioplasty is another standard surgical procedure that may be done alongside a salpingostomy.
In this blocked Fallopian tube surgery, the surgeon will not only eliminate a blockage but also rebuild the fimbriae.
The fimbriae are tiny finger-like projections that help pick up the egg from the ovary and push it into the Fallopian tube.
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Can you get pregnant with one blocked fallopian tube?
Yes, you can pregnant with one blocked fallopian tube. The fallopian tubes are two tubes via which eggs move from the ovaries to the uterus. Each month, one of the ovaries produces an egg, which goes through one of the fallopian tubes and may or may not fertilized by sperm.
If you’ve undergone pelvic surgery for an infection, a tumor, or an ectopic pregnancy in the past, you could only have one fallopian tube. Sometimes only one tube is present when a woman is born. However, you may be able to conceive with just one tube if you meet the following criteria:
- At least one of your ovaries is working
- Menstrual periods occur once a month ( Regular ovulation)
- Your fallopian tube that is left is in good shape
Step 1 – Understand why fallopian tubes are so important in getting pregnant
In natural unassisted conception, the fallopian tubes are a vital part of achieving pregnancy.
The finger-like projections at the end of the tube “collect” the egg which is ovulated from the adjacent ovary.
To do this, fallopian tubes must be freely movable, not stuck to the pelvic wall, uterus or ovaries by adhesions.
Once the egg is collected, the tube safeguards the egg until it is fertilised by sperm, where after it nurtures the resulting
embryo as it moves through the length of the tube to the uterus over five days. To function as an incubator where the egg
and sperm meet and the initial stages of embryo development takes place, the tubes must be open (patent). In addition,
the inside lining of the fallopian tubes must act as a conveyor system, moving the developing embryo to the uterus where it implants 3 to 5 days after ovulation.
If your fallopian tubes are damaged or blocked (called tubal factor infertility) the egg and the sperm are prevented from interacting, and the proper movement of embryos along the tube to the uterus is obstructed, preventing a pregnancy.
Step 2 – Understand how fallopian tubes can be damaged or blocked
The fallopian tubes are delicate structures, as thin as the lead of a pencil. For this reason, they can easily become
blocked or damaged, which is called tubal infertility and reduces the chances of the sperm reaching the egg, proper embryo development and implantation in the uterus.
Blockages may be due to scarring from infection or previous abdominal or pelvic surgery especially when the fallopian
tubes or ovaries were involved. The competence of the surgeon is crucial in limiting post-operative damage.
The main cause of tubal infertility, however, is pelvic inflammatory disease (PID), which is also associated with an increased
risk of subsequent ectopic pregnancy (when the fertilised egg implants in the fallopian tube instead of the uterus).
Also known as one of the causes of fallopian tube damage is the use of the intra-uterine contraceptive device (contraceptive “loop”),
especially when there is more than one sexual partner. Other possible causes include endometriosis and
sexually transmittable disease such as gonorrhoea resulting in infection of the fallopian tubes.
Step 3 – Contact a specialist fertility clinic
Given how crucially important your fallopian tubes are in falling pregnant, and how very delicate and easily damaged they are, it is clear that falling pregnant with damaged or blocked fallopian tubes will require the help of specialists.
At Medfem Fertility Clinic, our highly qualified fertility specialists have over 100 years of collective experience and are nationally and internationally recognised as pioneers and innovators in the field of fertility treatment.
They are supported by extensively experienced embryologists; trained, qualified theatre staff, nurse practitioners and clinical psychologists; as well as specialist pharmacists and friendly administration staff, ensuring you receive the best care possible.
Step 4 – Attend your initial consultation
At the initial consultation, you will meet one of our four IVF specialists to discuss your options and start to plan your journey to parenthood.
During the 30 – 60 minute initial consultation, our highly qualified and experienced fertility specialist will:
- do an extensive review of your medical history
- perform a comprehensive infertility physical exam and blood tests
- provide in-depth explanations and answers to all your questions
- detail the treatment options
- develop with you a personalised fertility treatment plan.
Step 5 – Determine if – and to what extent – your fallopian tubes are damaged or blocked
A qualified fertility specialist will be able to determine if your fallopian tubes are blocked or damaged,
using a pelvic x-ray called a hysterosalpingogram (HSG). The test involves the injection of dye into
the uterine cavity and a simultaneous x-ray of the uterus and tubes, allowing the specialist to see any damage or blockage.
It may be that the flexibility of the fallopian tube is reduced, so it can’t pick up the egg when it is released from the ovary
. There may be a total blockage preventing the sperm and egg to meet and produce an embryo.
It could also be that there is damage to the inside wall of the fallopian tube, which prevents the embryo from moving down to the uterus.
This could result in an ectopic pregnancy, where the embryo attaches to the side wall of the fallopian tube,
resulting in rupturing of the tube at about seven weeks pregnancy duration.
The position and severity of the damage or blockage will determine which treatment is right for you.
Step 6 – Know Which Treatment is Ideal for Your Recovery
There are two options to repair the blocked and damaged fallopian tubes, further allowing you to carry a baby in your womb.
- Tubal Surgery- This is an open surgery that helps remove the scar tissues and other obstacles blocking the passage. However, the success of this procedure depends on various factors, including the location, blockage cause, and age of the mother.
- IVF Treatment for Blocked Fallopian Tubes- In IVF treatments, women are treated with fertility drugs to stimulate the ovaries. The fertility experts further retrieve these eggs and complete the fertilization process in the labs. This eliminates the fallopian tubes’ role and provides increased chances for successful pregnancies.
Step 7 – Get the Complete Treatment
The selection of an ideal treatment is just the beginning of the journey. Make sure to get assisted by the best fertility experts. Aastha Fertility Care provides you with a comfortable and caring environment, helping you build a healthy family with the best treatments and assistance.
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