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Blocked fallopian tubes

  • Fertility challenges

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Blocked fallopian tubes

Endometriosis

Polycystic ovary syndrome (PCOS)

Miscarriage

Secondary infertility

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Introduction

“Guiding You Through Every Step”
At Creator’s IVF Nepal Pvt. Ltd., we understand that navigating the path to conception can be both physically and emotionally challenging. Our Thorough Subfertility Couple Counseling service is designed to provide comprehensive support and expert guidance, helping you and your partner through each stage of your fertility journey with compassion and care.

Causes

What Leads to Blocked Fallopian Tubes?

Several factors can contribute to the blockage or damage of the fallopian tubes, including:

  • Pelvic Inflammatory Disease (PID): This is one of the most common causes, often resulting from untreated sexually transmitted infections (STIs) like chlamydia or gonorrhea.
  • Endometriosis: The presence of endometrial tissue outside the uterus can affect the fallopian tubes and surrounding tissues.
  • Scar Tissue from Surgery: Past abdominal or pelvic surgeries, such as for ectopic pregnancy or appendicitis, can lead to adhesions that block the tubes.
  • Hydrosalpinx: This condition occurs when a fallopian tube is filled with fluid, often due to infection or inflammation.
  • Tubal Ligation or Reversal: Procedures to block the tubes or attempts to reverse them can sometimes result in scarring and blockage.
Understanding the cause of blocked fallopian tubes is essential for creating the best treatment plan, which may vary depending on the underlying issue.

Diagnosis

How Are Blocked Fallopian Tubes Diagnosed?
Accurately diagnosing blocked fallopian tubes requires a combination of advanced imaging techniques and clinical expertise. The most common methods include:
  • Sonohysterosalpingography (SSG): A saline solution is injected into the uterus and tubes during transvaginal sonogrphy under Power Doppler Ultrasound (PDU) to check endometrial abnormalities like endometrial polyps and tubal patency.
  • Hysterosalpingogram (HSG): This specialized X-ray procedure involves injecting a dye into the uterus to assess whether it flows through the fallopian tubes.
  • Laparoscopy: A minimally invasive surgery where a thin camera is inserted through a small incision near the belly button to view the reproductive organs and identify any blockages.
Once diagnosed, our specialists will discuss the most appropriate treatment options based on the severity and location of the blockage.

Treatment

Effective Treatment Options for Blocked Fallopian Tubes
  • Laparoscopic Surgery: For women with minor blockages or adhesions, laparoscopic surgery can be used to remove scar tissue and reopen the tubes, improving the chances of natural conception.
  • Tubal Cannulation: A less invasive procedure where a thin catheter is inserted through the cervix into the fallopian tubes to clear the blockage.
  • In Vitro Fertilization (IVF): If surgery isn’t an option or has been unsuccessful, IVF bypasses the fallopian tubes entirely, allowing eggs to be fertilized outside the body before being transferred to the uterus.
  • Hydrosalpinx Treatment: If hydrosalpinx is present, surgery to remove the damaged tube may be necessary before pursuing IVF, as the fluid from the tube can negatively impact implantation.
Your fertility specialist will work with you to determine the best course of action, prioritizing your comfort and reproductive goals.
FAQS

Frequently Asked Questions

Can a blocked fallopian tube cause pain?

During the initial consultation, we will discuss your medical history, any previous fertility treatments, and your current concerns. This information helps us tailor our approach to your unique needs. Most women with blocked fallopian tubes do not experience symptoms or pain. However, if the blockage is caused by conditions like hydrosalpinx or pelvic inflammatory disease, it can lead to pelvic pain, discomfort during intercourse, or painful periods.

Yes, if only one fallopian tube is blocked and the other is healthy, natural conception is possible. However, the chances may be lower, as ovulation may not always occur on the side of the healthy tube. In such cases, fertility treatments can increase the likelihood of pregnancy.
A blocked fallopian tube generally doesn’t affect IVF success, as the treatment bypasses the fallopian tubes entirely. However, if hydrosalpinx (fluid-filled tubes) is present, surgery may be needed to remove or block the affected tube to improve the chances of IVF success.
What are the risks of surgery for blocked fallopian tubes?
As with any surgery, there are risks involved, including infection, bleeding, or the formation of new scar tissue. However, laparoscopic surgery is minimally invasive and generally has a quick recovery time with a low risk of complications.
Prevention involves addressing the conditions that cause tubal blockages. Treating pelvic infections early, practicing safe sex, and avoiding unnecessary pelvic surgeries can reduce the risk. If you suspect an issue, early diagnosis is key to preventing further complications.

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