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Diagnosing and Treating Tubal Factor Infertility

Although some women experience pelvic pain or fever, most women don’t know they have blocked or scarred fallopian tubes until they have problems getting pregnant.

Diagnosis of Scarring or Blockages

Several tests are available to diagnose blocked or scarred fallopian tubes:

  • Hysterosalpingogram (HSG). A hysterosalpingogram (HSG) is an X-ray that shows the inside of your fallopian tubes. The radiologist injects dye into the tubes and monitors its flow. If you don’t have a blockage, the dye goes through the tubes and into your belly. If you do have a blockage, the dye doesn’t leave the fallopian tubes. This test not only shows the location of the blockage. Even if there’s no blockage and the dye flows freely, an HSG shows any scarring or defects inside the tubes which can cause fertility problems.
  • Sonohysterosalpingogram. A sonohysterosalpingogram uses sterile saline and air, which is passed through the cervix into the uterus and visualized by transvaginal ultrasound. The test allows the fertility doctor to assess the uterine lining, shape and texture, as well as the fallopian tubes. The test may cause some cramping as it is being performed.
  • Hysterosonogram. A hysterosonogram is similar to a hysterosalpingogram but uses ultrasound to get a more detailed picture. A sterile saline solution (salt water) is injected into your uterus to expand it and increase visibility. This test gives a more detailed picture than HSG and may detect problems the other test might miss.
  • Laparoscopy. A laparoscopy uses a small telescope-like tube called a laparoscope to examine the fallopian tubes. Unlike HSG and a hysterosonogram which reach the uterus through the vagina, a laparoscopy involves a small incision near your navel and requires general anesthesia.

Treatment of Scarring or Blockages

If you have blocked or scarred fallopian tubes, the surgeon may use the laparoscope to treat them. The doctor can cut away scar tissue from the tube or make a new opening at the end of the tube. To maximize your chances of a successful outcome, be sure to get a referral to a specialist in tubal surgery.

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Comments

Hello I'm 42 years old and been told my tubes are blocked. I'm not sexually active as of 2007. I wanna know if I have surgery now, when my husband come home will my tubes still be unblock. I need to know so like that I have an idea on when I'll do my surgery. please help me with a response. Thank You

hi
my name is simi and i am 28 years old.i had marrige in 2005 and after 02 yeras i came to know that my right tube are blocked and left are bledded.after so many tretment and laproscopic still i am not get pregnent.and last my doctor are advice me to go for test tube baby.is there is no other option to other than test tube baby.if no what is the succses ratio of test tube baby.please help me with responce

thank you

Hi

My Doc said, my falopian tubes (both) are blocked, where as another Doc in year 2008 said, right side tube was blocked, they did not make it clear to me, what it is blocked with, is it blocked with fluid? or scar tissue? I have no clue. Now, my surgery is scheduled for Hystroscopy and Laproscopy. I asked my Doc is she going to fix the problem of falopian tubes blockage, I got a reply, if it is a scar tissue problem they would twist and can be fixed. Prior to this My Doc did HSG and Hysterosonogram , how come they do not know what is causing tubes blocage? Would appreciate any help.

Thank you,

Sounds like our stories are similar. Have you received any feedback at all?
This is really worrying me....

Hello...I know your pain all to well, My husband and I have been trying to conceive for "ummmm" a very long time. I had surgery to remove the blockage from my tubes and my dr. said I should be pregnant within a year. Well, here we are 15 years later and still no children. We have seen other dr.'s to get a second opinion. He never ran any tests or anything, the only answers we have recieved are " we would have to do IVF". This is very devastating because that just tells us there are no guarantees.

Sincerely...

Im am a 37 year old female who wanted nothing more than to become a parent. Several year ago I suffered a near death eptopic pregnancy. They removed one fallopian tube. Recently I was told the other is blocked. I asked the dr what was blocking it she said she didnt know and left the room. This led me to believe nothing could be done. I recently went to get an endometrio ablasion and that went bad. Now they want to give me They said my appendix are stuck to my vagina, intestines are tangled, etc. What do you think? What caused that? What should I do? Scared and Confused

It sounds like you have Pelvic Adhesions. Its scared tissue that binds your organs together from you uterus. I recently had an ectopic pregnancy and my right tube removed. Also, my Dr .said that I had Pelvic Adhesions from an old infection that caused scared tissue that bind my uterus and liver together. She went in an removed it all. But, I also read that it can reoccur over a period of time. However it can help increase the chance of fertility.

Im 29 yrs old thought i could never have children...ive been with my boyfriend for 10 yrs and nothing...i went to the dr today n he seemed to be pretty sure my fallopian tubes were blocked n thats what is causing me not to concieve

Dear jillr1202 Hi!

Please post your concerns on the message boards – there are many of us out there that are going through the same things. On the boards you will be able to post specific questions and get replies to your concerns. Other members can also give you their input or suggestions.
Here is a direct link to the boards
http://www.fertilityauthority.com/community/index.php

Big hug Zoe your board admin :-)

I am 29 trying to concieve & recently had hsg test that confirmed both of my tubes are blocked. I am taking antibiotics (doxycycline) to kill the infection. I need to know if the antibiotic is just going to kill infection, & then I will need surgery? Or will it also unblock my tubes? Please help

Hey everyone,
I am so upset that I allowed this one doctor to remove my right tube after three ectopic pregnancies. Then to find out that my left tube was also blocked. My right tube was the working tube, and this other doctor told me I should have never removed it. My boyfriend and I are so upset at the decision. We will probably now have to consider IVF which is about $10,000. I don't know how that money will be raised, but in the meantime, I found an herbal medication that cleans out the uterus and other parts. It made me bleed very heavy during my period. It also made my period late. We are praying everyday, but my biggest fear is that my boyfriend will leave me and find someone else that CAN have kids naturally. He already has two, but not living with us. Don't want to go looking for a new partner. Too many diseases out there. Just looking for support right now. Live in a small island in the caribbean.

HI HOW ARE YOU IT LOOKS LIKE WE ALMOST GOT THE SAME THING GOING ON THE ONLY THING IS I GOT MY TUBES BECAUSE I HAD MY LAST BABY AND HIS FATHER RAN OUT ON ME AND NOW MY BOYFRIEND I HAVE NOW WANTS A BABY AND MY TUBES ARE TIED HE HAS ONE BUT HAVE A SOMEWHAT HARD TIME SEEING HIM AND IM SO SCARED HE GONE LEAVE ME BECAUSE I CANT HAVE NOMORE KIDS BUT IM DOING EVERYTHING IN MY WILLPOWER TO HAVE ONE IM SO HURT AND I FIGHT THIE EVERYDAY IM SO SCARED.

i just want to tell any one here that we who are going through this fertility not to lose faith,God is in control at all times and i am 34 and i had a tubal reversal in 2010,and then had an etopic in october,and i've waited to try after 3 months and had a hsg,and basicly nothing happend,it seemed blocked,but i am not losing hope my husband and i have just one terrific girl she is 13 years old and so supportive with us trying again after some years,and i think i'm ready for another one and i trust in the word of God it will be possible at His time,i use to think maybe my husband should leave me,but that's not the answer he wants to have the baby with you because he loves you,so never think your boyfriend,husband,or partner will leave you,he loves you and that's why we try,keep on trying and pray God knows your situation and mine and all in this somewhat incredible journey we will see a way out a better option is out there,don't discourage it will happend and all of you will be in my prayers,please include me in yours too,my name is Diana.

after I had my last child in 98 I desIded that I dIdnt want anymore kIds so I got my tubes tIed but the thIng Is I cant remenber If I got them clIpped to. now that my boys are all teenagers and Im In a relatIonshIp and Im happy I want to try for a lIttle gIrl besIdes It wIll be hIs 1st chIld...how do I fInd out If I can have another baby

Hi Tiff, For you to have a little girl, you would need to do IVF with PGD. Give us a call at 1-855-955-BABY (2229) or email carecoordinator@fertilityauthority.com and we will connect you with a fertility doctor in your area. Best, Kim

I had my tubes cut after i had my little girl. My doctor asuerd me that i can not come out pregant anymore and that is what wanted to happen. I sdont want any more kids. Is this 100 percent accurate for a women not to become pregant or can u still come out pregnant with this fallopian tube blockage and is it the same thing as geting ur tubes cut so u cannot have anymore kids?

I AM 35 YEAR OLD BLACK WOMAN. I HAVE BEEN TRYING TO HAVE A BABY SINCE I WAS 25 WITH NO LUCK. I FOUND OUT FROM MY MOTHER THAT I HAD A BLOOD CLOT IN MY FALLOPIAN TUBES WHEN I WAS ONLY 3YRS OLD. AND I WAS SENT TO A DOCTOR IN ALABAMA, NO ONE REMEMBERS HIS NAME, BUT IT WAS IN THE 70'S AND I RECENTLY READ ABOUT HOW SOME DRS. PERFORMED STERILIZATION METHODS ON THE BLACKS AND HISPANICS AND I AM WONDERING IF IT HAPPENED TO ME. I HAVE BEEN TESTED AND TESTED AND NO ONE CAN FIND A REASON FOR THIS. MY UTERUS IS IN TACT, MY EGGS ARE THERE, BUT THEY DO NOT MATURE, I DON'T OVULATE, I DON'T HAVE MY MONTHLY MENSES. I DON'T KNOW HOW TO FIND OUT IF I HAVE BEEN STERILIZED OR NOT.

I FEEL U ON DAT I JUST WENT IN YHE HOSPITAL TO HAVE A D/C N LIPOSCOPIC I WOKE UP I ASK THE DOCTOR TO TELL ME ABOUT THE SURGERY SHE TOLD ME UM SORRY WEN I WAS DOING YOUR SURGERY I NOTICED YOUR RIGHT TUBE WAS SWOLLEN SO I REMOVED IT THE LEFT TUBE SHE CUT IT FROM THE UTERUS I ASK Y SHE SAID IT LOOKED SUSPICIOUS TELL ME HOW WOULD U FEELCALL ME SO WE CAN TALK 9044826189

U need to specifically see a fertility doctor and they can perform those tests.

Hey! I need some help. I have just come home from lap surgery and found out that I have really damaged tubes on left and right side. They are both blocked and I have a infection in both tubes. All the doctor said was a long term name for the infection and I can't remember what it was. He said also know as SNI infection. Someone please help me find a website or just the correct name for it cause I wanna know what all I am dealing with here. I can't find anything for just SNI infections. Thanks!

While I was researching my own dianoses i ran into what you mentioned. It is called Salpingitis Isthmica Nodosa (SIN) Hopefully this helps

I am 31 years old, had 2 c-sections 1 in 2001 and the other in 2007 along with a tubal. I have been cramping and had a ultrasound done to find out there was something in my right fallopian tube. What could it be? Thanks!

Hi I am 37yrs and have been trying to have a baby since I was 24 I have had 3 ovarian cyst. I have lost one of fallopian tube and the other one is blocked with scar tissue. I can not afford IVF so what can I do to unblock my only fallopian tube?

In some instances a laparoscopy can be used to both diagnose and treat blocked fallopian tubes. But every situation is unique. You should really see a fertility doctor - also known as a reproductive endocrinologist - who can discuss treatment options with you. There's a "Find a Doctor" search on every page of FertilityAuthority. I encourage you to find a fertility doctor in your area. Good luck.

Claire

hi i am 27 yrs old and my dr said both of my fallopian tubes are blocked,what can i do to unblock them?

I think it's better for you to meet the doctors to get their advise and any possible treatment they give. I am 27 too and I will get married in few next months, so I feel very worry about issues that women may have for pregnance.

Tony is Webmaster at notary classes

I had a reverse tubal done about 8 months ago. My husband and I are trying to have a baby and its like nothing is working. This month I was 4 days late (which I'v never been that late before) so I took a hpt and it come up negative, I did start my period later that day. I was so upset because I thought this was it that I was pregnant all I could do was cry. What should I try or do?

i too had a tubal reversal 2 yrs. ago. I also had a test (ultrasound or something) where they insert the dye. Well one of my tubes was unblocked and the other was blocked. I also had another procedure done laproscopy and that dr. told me both tubes were blocked and my only chance was IVF. i was so upset. Well this last month i was 7 days late, never have I been late, took pregnancy test NEGATIVE. started my period the next day. very upset to say the least. i dont understand why 3 different doctors have told me 3 different things. SO CONFUSED AND FUSTRATED. patty

I work at a pain management facility dr. called me in room to help him. He states we were going to break down scar tissue on a new patient with this laser machine we have. I coukdn't believe my ears. i machine is called the D-actor 100. used to break down scar tissue. i can't believe this machine has been sitting in my office for over a year, and i had no idea what it was used for. i started treatment yesterday 5-23-2011, im praying this is the answer to my problems. i have been trying to get pregnant for over 2 yrs. now. ill keep you all informed of this works..be blessed all. patty

Is it available in Canada? It would be great if it is

Is it available in Canada? It would be great if it is

I am 36 years old and I have been trying to conceive with my husband for over 13 years now. Last year I finally decided to see a fertility specialist to determine the causes of my not getting pregnant. To my surprise, I found that my tubes were blocked and scared according to my doctor. The doctor actually told my husband who was there following my surgery. I asked if my tubes can be repaired and she responded with a definite no. So I believed her and went through the expensive in-vitro procedure that not only landed me in serious debt but, left me childless as well. I am slowly getting over the shock of the negative pregnant test and wanted to know if it would be wide for me to try the holistic approach to infertility or should I go to another doctor regarding surgery to repair my tubes? I feel as though my clock is ticking fast and I don't wont to ruin my chances of becoming a mom. I dream and pray about it every night!

i am in need of help ive had 2 ectopic pregnancies and lost both of my tubes...is ivf the only way to have a bby i really want to be a parent and im scared my boyfriend will leave me for someone who can have kids naturally....is it possible for people to donate tubes?

I am 32 and I had a lap done and the results are that my tubes are scarred so bad the dye wont got through. That is why I can't get pregnat. They removed some scares but it was hopeless to much. What can I do besides invitro or adoption?

My daughter-in-law, 24, just found out that her tubes were blocked due to scaring and the doctor said she cant get pregnant. is there anything that she can or someone else she can see that can help her?

Thank you for writing. Has your doctor seen a fertility doctor (reproductive endocrinologist)? There may be surgical options to unblock the tubes or assisted reproduction technology options, such as IVF, that can help your daughter get pregnant. To find a fertility doctor in your area, go to the find a doctor search on each page of the website and put in your zip code. Good luck!

i am 27 years old and have been trying for a baby now for 3 years, i went to the doctor's and explained that nothing was happening, they sent me to the hospital to have some test and found out that both my tubes was blocked, they said it was though scar tissue, i was told that the only way to have a baby was ivf however i can not afford ivf and have been looking for other ways to have a baby, i have found a web site saying there is a 7 step program to unblock fallopian tubes and reduced the scar tissue!!! its natural way to open up the fallopian tubes and conceive, i dont know if it works yet but i would love to give it ago, its based on techniques from Traditional Chinese Medicine and Aryuvedic Medicine. when i was looking for more information t on this it gave a hope as reading all the other women stories helped when they was told the same thing as me and had tryed this method and became pregnant!!!! do u know anything about this???? I find i can go out, sounds silly but everywhere i look i see new born babies and my hearts hurt really bad, please help in anyway! thanks

I had a reversal of sterilisation done in september 2009 And we had been trying for 6months And then the doctors did Android hsg told me I had blocked tubes but they won't do anything else for me.

Hi Jaydeb74 - Is your doctor a fertility doctor - a reproductive endocrinologist? It is important that you are seeing a doctor who specializes in infertility. If your tubal reversal wasn't successful, or if your tubes are blocked, a fertility doctor can provide treatment, such as IVF, to help you get pregnant. Let me know if you have any questions.

Best,
Claire

Hi love,

How are you tracking your ovulation? You have to keep in mind that you are only ovulating from the left side, if you are in fact ovulating. You might not be ovulating monthly, but bimonthly as women typically ovulate from one ovary each month (example: right side one month, left side next month). Also, has your partner had a semen analysis done? It is possible for there to be a male factor infertility issue.

Best of luck,

Kim

Last year I had some fribroids removed and because of the location I had to remove one of my tubes, now its really heard to get pregnant. I am going to see a specialist with my husband to make sure everything is ok. To all you ladies get a second and or third opinion before making a decision..

Hi Older Woman,

It sounds like you might be a candidate for IVF. Give us a call at 855-955-2229 and we can connect you to a fertility doctor in your area. I personally struggled with infertility for nearly 3 years, so I know how difficult it can be to go through the process. It is often confusing to know which doctor and procedures are right for you.

Best wishes,
Kim

Ok I started this process in 2008 and now we are in 2013. Am 41 5mth away from being 42. I had two miscarriage and four days ago I had an hsg done, the dr said ur tubs are blocked. The dr called me at work so the convo was mot too much and am left with so so many question.. now how can this happe after getting pregnant twice?

Hi Sandee,

It is possible that one tube was open until recently. Your doctor can try to remove the blockage or do IVF. I would recommend IVF with PGD for a woman over the age of 35 who is trying to conceive, though I am not a doctor. Best of luck!

Kim

Like many of the other women posting, I too dreamed of bearing a child. My husband and I had been trying for years until I finally made an appointment with a fertility specialist. At first I was devastated to find out the HSG showed I had one blocked tube. Surgery would be required. I had my left tube removed along with some fibroids. I felt hopeful and was anxious to begin trying to conceive after I healed. I went to my post op to be told I had a "pretty serious case" Apparently I must have had some kind of infection at some point in my life because my other tube was not good either. (Guess a yearly pap, STD screening, and health exam cannot find everything) I broke down in tears at the appointment. They recommended IVF. $15,000 for only a 60% percent chance of conceiving. After thinking long and hard about it, my husband and I decided not to take the IVF route. Creating a life in debt was not the route for us. It's been 6 weeks since the surgery. In the immediate beginning I felt sooo angry, cheated by life, undesirable (in my eyes, not my husbands) and really felt so devastated because I wanted nothing more than to have and give my husband a daughter or son. I'm still trying to make peace 6 weeks later. My libido has decreased a ton. Sex seems less fun in my head because the excitement of trying to create life has been taken. When we are having sex, I'm picturing my once infected fallopian tubes. Sad but true. There is an emptiness that I believe will forever live inside me. I am slowly trying to accept fully but it will take some time. Something to think about..I suffered from chronic BV a few years back. Besides an occasional yeast infection this is the only problem I ever had in my life? I sometimes wonder if there is a correlation between the BV and infected fallopian tubes? My fertility doctor had no answers for me about that-

My tubes are really hurting

my right tubes are block, doc suggest me to do iui.....pls pray for me

I also had BV that Infected my tubes. I had lap surgery 2 weeks ago with hsg. The doctors said I had a cyst on my ovary. Turned out not to be on my ovary but on my tube.The dr drained the water from it but said it could possibly come back. Like most woman Ive been infertile for many yrs. Im thinking about ivf considering that my ovaries and uterus are great. I guess Im let down cause my heart is broken. What a let down. im torn on what to do. ivf or not.:(

Just recently had a hysterosalpingogram and found out my right fallopian tube is blocked. I am 33 yrs old now and both me and my husband are heart-broken and crying out in dispair. All that's happened is we now owe tons of money. I feel all hope is gone and all anybody out there cares about is money. I am desperate. Please help.

I am 30. After two years of ttc i finally get pregnant to find out 2 month later it was a ruptured ectopic that cause me to lose my right tube. They said my left tube was in bad shape too. Now what! I cried and cried. Now we are ready to try again. But im terrified. I am starting to save money towards IVF terrifyed of that too. Have you looked into grants or financial assistance for fertitlity treatments. I read different states have laws making insurance companys pay fo fertilty treatment. In NY i know theres a grant you can apply for if you qualify for the help. Try doing research online for help.

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