Fertility treatment for blocked Fallopian tubes

fertility treatment for blocked fallopian tubes
  1. Surgical Intervention:Laparoscopic or hysteroscopic surgery to repair the Fallopian tubes

    • Tubal Surgery (Salpingostomy or Tuboplasty): In some cases surgery can be done to open the tubes but the success of the surgery depends on the extent of the damage, cause of the blockage and the part of the tube which had been damaged. This may involve removing scar tissue, repairing damaged portions of the tubes, or creating a new opening to bypass the blockage.

      Also surgery is done keeping in mind many factors like age of the female, ovarian reserve of the female, male factor or any other cause of infertility of the couple. If age is more, ovarian reserve is less, male factor is present, it is better to do IVF rather than surgery for the tubes.

  2. In vitro fertilization (IVF) to bypass the Fallopian tubes.
    • In IVF, eggs are retrieved from the ovaries and fertilized with sperms in a lab setting. The resulting embryos are then transferred directly into the uterus, bypassing the need for the Fallopian tubes.

      In cases where repair or surgery of the tubes is not possible, IVF can be highly successful and is often considered the treatment of choice.

  3. Tubal Cannulation:
    • Tubal cannulation is a minimally invasive procedure performed under fluoroscopy or laparoscopy to clear blockages in the fallopian tubes.

      A catheter is inserted into the blocked tube, and a small balloon or stent is inflated to widen the passageway and restore tubal patency. Tubal cannulation is recommended for some select cases of tubal blockage like small blockage in the cornual area of the tube (near the uterus).

It’s important for women to understand that after the first attempt to repair the Fallopian tubes, subsequent procedures are rarely successful.

It’s important for female with blocked fallopian tubes to undergo a comprehensive evaluation by a fertility specialist to determine the most appropriate treatment approach based on their specific circumstances.

Treatment decisions will depend on factors such as the cause and location of the blockage, overall fertility health, and individual preferences.