Tubal blockage or damage is a common reason for fertility issues inwomen. It is a condition where the fallopian tube is blocked due to variousreasons. The fallopian tube plays an integral role in women's conception.Usually, women with tubal block do not experience any symptoms. It is diagnosedonly when the woman suffers from fertility issues. Women with tubal blockexperience delays in getting pregnant. Women with fertility tubal block can conceive after undergoing specificfertility treatments. Here is a list of fertility treatments for women whosuffer from tubal block.
What are FallopianTubes?
These are hollowtubes made up of delicate tissues that connect the ovary to the uterus. Thistube carries the egg released from the ovary to the uterus. Fertilisationoccurs in the fallopian tube as the sperm meets the egg in the fallopian tube.The embryo travels down to the uterus for implantation in the uterus lining.
What Causes Tubal Block?
The small size ofthe fallopian tube makes it highly susceptible to damage or blockage. Tubalblock occurs due to infection, certain diseases, and damage caused aftersurgery undergone in the past. Here are some of the main reasons that result intubal block
Pelvic Inflammatory Disease: This type of infectious disease is sexuallytransmitted. PID causes inflammation of the fallopian tube, resulting in tubalblock.
Endometriosis: The endometrium is a uterus lining that sheds during menstruation.This lining grows outside the uterus, resulting in the condition called endometriosis.This results in inflammation and blocks the fallopian tubes.
Past Surgeries: If you have undergone surgeries for conditions likefibroids, endometriosis, etc., in the past, there can be accidental damage orblockage in the fallopian tube. This makes it impossible for the sperm totravel to the fallopian tube.
How to Treat TubalFactor Infertility in Women?
Women with tubalblock can be treated with a proper diagnosis of the condition. Ahysterosalpingogram test is done to diagnose the blockage in the fallopiantubes. Laparoscopy is performed to assess the actual condition of the blockage.The treatment for tubal factor infertility varies based on the extent of damagein the fallopian tube. Here is a clear insight into the different treatmentmethods for tubal factor infertility.
Salpingectomy: This treatment is usually recommendedfor a condition called hydrosalpinx- tubal block due to fluid buildup. Duringthis procedure, the doctor may remove some of the parts of the blockedfallopian tube. Also, a new opening is created during this procedure to carryeggs from the ovary. There are higher chances for women to get pregnant throughassisted reproductive technology after this procedure. You must stay in thehospital for two or three days after the surgery. It takes about 4-6 weeks torecover after performing Salpinectomy. Some of the risks associated with thisprocedure are ectopic pregnancy, accidental damage to other internal organs,unusual blood loss, and the growth of scar tissue.
Tubal Cannulation: This is anon-surgical procedure carried out to remove blocks from the fallopian tube.Tubal blocks close to the uterus can be removed through tubal cannulation.During this procedure, the doctor inserts a catheter through the vaginalopening. It reaches the blockage and a small, inflated balloon is used toremove the blockage. The exact position of the blockage is assessed through anX-ray or ultrasound. This treatment method is simple and does not involve anyserious risks. There are chances of infection and tear in the tubal walls.
Tubal Ligation Reversal: This is aprocedure where the tubal ligation procedure is reversed. This surgery iscarried out to remove the blockages in fallopian tubes caused by tuballigation. During this procedure, your doctor will remove the tubal blockagesand connect the ends of the tube. This is called tubal reanastomosis. There arehigh chances for women to conceive naturally after performing tubal ligationreversal surgery. It takes at least two weeks to return to normalcy after theprocedure. Bleeding, ectopic pregnancy, infection, scarring, etc., are some ofthe potential risks of tubal ligation reversal.
In-vitroFertilisation: If you wish to conceive after asuccessful tubal blockage surgery, then in-vitro fertilisation may be the bestoption. It is the best option available in case you do not wish to or are notable to get surgery to reverse the tubal ligation.
IVF is highlyrecommended for women with blocked tubes. In this procedure, fertilisationtakes place in a controlled lab environment. The embryo is directly placed inthe uterus. There is no need for the sperm to travel towards the fallopiantube. Thus, there are high chances of a successful pregnancy with an IVFprocedure.
FAQs
1. What is the best fertility treatment for blockedfallopian tubes?
IVF is the bestfertility treatment for women with blocked fallopian tubes. In this procedure,the actual fertilisation takes place in a controlled environment. Thefertilised embryo is implanted in the uterus lining. This likely increases thechance of getting pregnant.
2. How do you treat blocked tube infertility?
Salpingosotomy isa procedure carried out to remove the blocked portion of the fallopian tube.Tubal cannulation is a non-invasive procedure where an inflated balloon is usedto remove the tubal block. IVF is a preferred fertility treatment for womenwith blocked tubes. In this procedure, a fertilised embryo is placed in theuterus of the woman. There is no need for the sperm to reach the egg in thefallopian tube. Thus, IVF increases the chances of getting pregnant even withtubal blocks.
3. What can I do to get pregnant if my tubes are blocked?
You must followthe advice of your gynaecologist to remove the tubal blocks. You can undergothe right infertility treatment for tubal block based on the type of blockagein your fallopian tube. You can also opt for IVF, which increases thelikelihood of getting pregnant even with tubal block.
4. Can you do IVF if your tubes are blocked?
Yes, you can verywell do IVF even if your tubes are blocked. It is the best fertility treatmentfor women to get pregnant with tubal blocks.
5. What happens when a woman's tubes are blocked?
When the fallopiantubes of women are blocked, there is no chance for the sperm to meet the eggspresent in the tube. This makes it difficult for women to get pregnant,resulting in tubal factor infertility.
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