The treatment methods for blocked fallopian tubes

An obstruction in the fallopian tube is a common cause of infertility in women. Around one-third case of infertility are due to such blockages. There can be various reasons for such blockages such as pelvic infection, pelvic surgery, or endometriosis.

A blockage can be present at numerous locations such as

1. It can be present at the end of the tube, where it connects to the uterus.
2. It can be present at the end of the tube, which is near to the ovary.
3. In several cases, it can be present in the entire tube.

If one has one healthy open tube, then she can be impregnated without much help. The doctor may prescribe some fertility drugs to raise the probability of ovulating on the open tube side. If both the tubes are blocked, then this option is ruled out.

Laparoscopic Surgery for Blocked Fallopian Tubes

In some cases, laparoscopic surgery can be used to treat blocked tubes or scar tissues that are the cause of the problem. But, unfortunately, this treatment does not guarantee success. The success rate of the treatment depends on factors such as the age, location and the severity of the blockage. This surgery might be helpful for those with only a few adhesions between the ovaries and the tubes. There is a 20 to 40 per cent chance of getting pregnant after this surgery if the patient’s tubes are otherwise healthy. This surgery isn’t apt for everybody. If a person has thick multiple scarring and adhesions or is diagnosed with conditions such as hydro salpinx, then one should avoid this surgery.

One should even skip this surgery if there’s an issue of male infertility. In cases of advanced maternity age or additional fertility factors, one should not undergo this surgery. In such cases, IVF is the best treatment available.

IVF for Blocked FallopianTubes

In earlier days, if the laparoscopic surgery wasn’t successful, then there wasn’t an alternative to treat blocked tubes in women who wished to get pregnant. Now with medical procedures such as IVF, it has made conception possible.

IVF treatment necessitates taking fertility medications to stimulate the ovaries. For collection more than 5 mature oocyte, through the vaginal wall the doctor extracts the eggs from the ovaries using an ultrasound-guided needle.(OPU- Oocyte Pickup) The eggs and the sperm fuse in vitro condition by collected semen sample either from the male partner or from the sperm donor (if male factor present). Thereafter, after fertilization (IVF/ICSI- intra cytoplasmic sperm injection), than development of embryos in incubator for further 3 to 5 days than healthy embryos one (blastocyst) or two embryos are transfer to the uterus.

In IVF there’s no role of the fallopian tube, thus blockages are of no concern. In researches, it is found that a swollen tube might hinder in the success of the IVF procedure. Therefore, if the patient is diagnosed with hydrosalpinx then, the doctor might suggest the removal of the tube before the IVF. Then, IVF can be carried out after the full recovery from the surgery.

Tubal Ligation Reversal

Tubal ligation is a surgical procedure for permanently averting pregnancy. There are numerous types of tubal ligation. The surgeon might cut the tubes, place specialized coils or even clamp them.

Around 20 to 30 per cent of women later regret going through tubal ligation, later in life. But the good thing is that this procedure is reversible. This surgical repair often costs less than an IVF procedure. And the success rates are usually high. The pregnancy rates are 90 per cent after 2 years of the procedure for women under 40 years. The results may vary for women above 40 years of age.

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