fertility treatments

Causes, Diagnosis and Treatment of Blocked Fallopian Tube

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Fallopian Tube Blockage can be caused due to fibroids, endometriosis and infections. It can be diagnosed with HSG test and Sonohysterography. Some of the most effective fallopian tube blockage treatment includes Tubal re-anastomosis, Fimbrioplasty, Salpingectomy, Salpingostomy and Tubal Cannulation.

Let’s Discuss in More Details About Blocked Fallopian Tube:

Fallopian tubes are a crucial part of the reproductive system. The proper functioning of the fallopian tube is essential for a successful pregnancy. These tubes aid in the transportation of the mature egg from ovary towards the uterus. If sperms are present, then the fertilization of sperm and egg takes place in the fallopian tube itself. Hence you know how fallopian tubes function and act as essential components for a successful pregnancy. At times, fallopian tubes have certain types of blockage that hamper the occurrence of normal pregnancy in a smooth way. Due to such blockages, it gets difficult for a woman to conceive as the fertilized egg and sperm (zygote) is not transported into the uterus for implantation.

Causes of Blocked Fallopian Tubes

These days there are various reasons that lead to medical disorder in reproductive system or its specific organs. The treatment of a certain type of medical disorder depends on the factors that cause it. Here are some of the commonly found causes of fallopian tube blockage.

1. Pelvic Inflammatory Disease (PID)

Pelvic inflammatory disease is one of the most commonly detected causes of the fallopian tube blockage. In this disease, there is an inflammatory effect, which causes the reproductive organs including the fallopian tube to get swelled up. This inflammation stops a woman from conceiving; it can also result in miscarriages or even an ectopic pregnancy where the embryo is implanted inside the fallopian tube. In an ectopic pregnancy, the embryo gets stuck inside the tube instead of traveling towards the uterus due to the scarring of fallopian tubes.

2. Fibroids

Fibroids are the abnormal uterine growths that can grow either inside or outside the uterus. Along with causing symptoms like heavy, frequent vaginal bleeding, they can also distort or block fallopian tubes. When a fibroid occurs, it hinders the path of the eggs or sperms towards the uterus. This leads to the necessity of the fallopian tube blockage treatment.

fibroids

3. Endometriosis

A woman experiences endometriosis when there is a lack of normal shedding during menstruation indicating indefinite growth in the endometrial cells. There is also the presence of endometrial cells outside the womb in the form of a lining. This tissue creates pressure on the fallopian tubes from outside, thus obstructing the transport of eggs, sperms or fertilized embryo to the uterus.

Other causes of fallopian tube blockage include infections, ruptured appendix, genital tuberculosis, and ectopic pregnancy.

Diagnosis of Blocked Fallopian Tubes

There are various medical tests to detect the presence of blockage in the fallopian tube.

1. Hysterosalpingogram (HSG)

It is a basic X-ray test. Here, a thin tube is inserted into the uterus via vagina. Then, a dye is injected into the uterus with the help of this tube. The dye is kept injecting until it spreads into the fallopian tubes. The X-ray is then taken and the presence of blockage in the fallopian tube is detected successfully.

2. Chromotubation

In this medical test, a blue color dye is injected into the uterus. This is done at the time of laparoscopy. It helps the doctors to see the spillage of the dye inside the fallopian tubes and detect if a blockage is present or not.

3. Sonohysterography

This is basically an ultrasound exam. During this test, the fluid is passed to the uterus. This is done via cervix. Then, sound waves are utilized to create images of the lining of the uterus. The combination of fluid and ultrasound provides finer details of the fallopian tubes.sonohysterography

Treatment of Blocked Fallopian Tube

Treatment of the fallopian tube blockage is essential to ensure that the chances of conceiving can increase peacefully without any delay. Your doctor will suggest one or a combination of the following treatments for the successful removal of the blockage of the fallopian tube.

1. Tubal re-anastomosis

Tubal re-anastomosis is also known as a tubal reversal, tube ligation reversal or tube sterilization reversal.

  • Before the commencement of the procedure, certain tests are done as mentioned above.
  • General anesthesia is given to the patient.
  • Then, the doctor places a laparoscope by making a hole below the belly area. The laparoscope is then guided to the pelvic area.
  • The fallopian tubes are then monitored and accordingly the procedure is commenced.
  • Any rings or clips in the tube are removed. Then, the ends of the tubes are reconnected with the help of small stitches.
  • This procedure takes around 2-3 hours. Proper rest is recommended to the patient for the next 3 days at the hospital itself. The doctors monitor the progress in the health of the patient.

2. Fimbrioplasty

Fimbrioplasty is a procedure where fimbriae are reconstructed along with the removal of damaged or functionless fimbriae. Fimbrae basically are small, finger-like projections present near the ovaries.

  • This treatment is preferred in women who have low fertility levels due to fimbrae problems.
  • Moreover, after the successful completion of fimbrioplasty, it is noted that women conceive naturally in a short time.
  • But you need to know that there are more chances of having an ectopic pregnancy if the pregnancy is achieved after fimbrioplasty.

3. Salpingectomy

This procedure mainly involves the removal of a part of the fallopian tube. It was earlier done with the help of laparotomy. In the recent times, it is done with the help of laparoscopy.

  • Nowadays, laparoscopic salpingectomies are more commonly utilized as a part of the minimally invasive procedures.
  • One of the common ways utilized is to use a pre-tied surgical loop. It is used to tighten a knot around the fallopian tube and a part of the tube is removed from its place.
  • Doctors take care that the surrounding areas and nearby reproductive parts are not affected during the removal of a part of the fallopian tube.

4. Salpingostomy

Salpingostomy is also known as neo salpingostomy. It is a procedure, which is used when the hydrosalpinx (blocked and swollen tube) obstructs the end of one or both the fallopian tubes.

  • Then, the surgeon makes another opening near the end of the fallopian tube. This opens to the ovary.
  • This helps in the removal of the blockage and successful occurrence of a pregnancy. The doctor opens the fallopian tube. Then, he removes the blockage. The tube is left intact.
  • The doctor leaves the incision open as it heals on its own.
  • He/she advises the patient to take proper precautions to avoid increased chances of infections after the completion of the surgery.

5. Tubal Cannulation

In the procedure of tubal cannulation, the doctor inserts a tube known as a catheter through the vagina of the patient.

  • Ultrasound is utilized for viewing the fallopian tubes. This helps the doctor to insert the catheter in the right location.
  • The blocked area in the fallopian tube is opened up with the help of a balloon at the end of the catheter or wire.
  • It can be done after the completion of the procedure known as hysterosalpingography.
  • Mild sedative and anesthesia are given to the patient before the commencement of the tubal cannulation procedure.

Thus, these are the best and most recommended treatments for the blocked fallopian tubes. If your doctor is suggesting any one of the above treatments, then you need to make sure that you are not procrastinating any further.

If you want to take the second opinion for the treatment of your blocked tube, call at +917899912611. You can also read regarding different fertility treatments for the successful pregnancy at Elawoman blog.

Dr. Sohani Verma

About The Author

Infertility Specialist Dr. Sohani Verma
Delhi

Dr. Sohani Verma is an infertility specialist, gynecologist and obstetrician specializing in Infertility treatments like IUI, IVF, Endometriosis treatment and Menopausal problems treatment. She completed MBBS from Jabalpur University in 1976 and then pursued MRCOG from Royal College of Obstetricians and Gynecologists, United Kingdom in 1983. She has also pursued FRCOG, FICOG, FIMSA, PGDMLS, PGDHHM, FMAS. Dr. Sohani has treated several patients with different types of health problems successfully and helped them achieve the desired results. Dr. Sohani is presently practicing at Indraprastha Apollo Hospital, Sarita Vihar, Delhi.

6 Comments

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Shilpa Rao

Women with blocked fallopian tube should always have hygienic food and discarding smoking and drinking is the most important step. Otherwise blocked fallopian tube can grow again even after surgery.

Oct. 10, 2018, 6:58 p.m. 4.5

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Aullipriya Banerjee

I have Pelvic Inflammatory Disease, which treatment option should I opt? Please suggest!

Oct. 2, 2018, 4:34 p.m. 4.5

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Rajeshwari Thakur

The blocked fallopian tube seems to be very critical problem. Thanks for enlightening us as I got everything about the blocked fallopian tube in this article.

Oct. 1, 2018, 12:11 a.m. 5.0

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Ayushi Bedi

I am unable to conceive from last 2 and a half year, I don't have any pain and irregular cycle. Does that mean I have a blocked fallopian tube?

Sept. 29, 2018, 1:14 p.m. 4.5

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Mansi Gulathi

I have a blocked fallopian tube and I am going to have Fimbrioplasty surgery. Hope it goes well. Thanks for sharing this as I learned a lot.

Sept. 13, 2018, 6:11 p.m. 5.0

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Sushruta Madan

Sept. 1, 2018, 6:40 p.m. 4.5

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