Blocked Fallopian Tube Treatment
What is the fallopian tube & its part?
Fallopian Tubes basically if one has to simply understand is a pipeline that connects the Ovary and the Abdominal cavity also called the Peritoneum to the Uterus.
Fallopian Tubes are typically 10-12cms in length, and consist of fimbrial end which is close to the ovary, then comes the ampulla, which is a broad portion of the tube, followed by the mid tubal region and finally ending in the cornua, which is the connection of the tube to the uterus.
Each of this part is unique to the fallopian tube as they carry out unique functions.
Role of the Fallopian Tubes
The Fimbrial end of the fallopian tubes are important to ensure that the ruptured egg during ovulation, is captured and pushed inside the tube. It also contains cilia, which are small hair like structures which push the egg towards the inside of the tube. Patients should know that when we do a Diagnostic Hysteroscopy and Laparoscopy for the assessment of Fertility, we look into the microstructure of this part of the fallopian tubes in great details and this is called as Salpingoscopy. This requires special instruments to assess the internal structure of the fallopian tubes.
The next part as described is the ampulla, where the process of Fertilization actually occurs. Now, here its important to note that the Egg usually stays viable for fertilization for only about 12 hours following the ovulation.
Usually, if the couple has had natural intercourse or IUI in this window, there are would be a good concentration of sperms present inside the fallopian tubes and this would allow for the fertilization in this window. Contrary to this, the patients should note that, sperms will stay viable in the female reproductive system for about 48- 72 hours.
After Fertilization, what happens next is that, this embryo begins its slow journey towards the uterus. Amazingly this takes about 5 days to cross this 7-8cms. Slow, isn’t it…!!.
It’s inside this fallopian tubes, that the fluid secreted from the fallopian tubes also called as the Human Tubal Fluid, nourishes this embryo, allows it to grow and provides the energy for the division of the cells. The embryo would grow from Fertilization to become a 120 cell Day 5 Blastocyst Embryo inside the Fallopian tube. Due to this, all the IVF Media which is commercially available usually will correspond to the Human Tubal Fluid (HTF).
Finally comes the narrowest part of the Fallopian Tube which is called as the Cornua. From here, the fertilized Day 5 Embryo or the Blastocyst, enters in the uterus and goes ahead for Implantation in the uterus.
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What Tests Check for Blocked Fallopian Tubes?
Fallopian tubes are to be assessed in every patient who is planning for a conception. The traditional method of assessment is by performing something called HSG (Hysterosalpingography). This involves pushing a medical dye inside the uterus. The passage of this dye through the uterus is assessed on an X-ray. This X-ray plate is then assessed by a doctor who will visually the spill.
The problem associated with HSG is pain. And as a result of this, HSG or Tubal Testing, this word itself makes a lot of women uncomfortable and so they try to avoid it. A lot of support groups related to Fertility also spread a lot of things maybe correct or incorrect regarding this HSG which makes the couples even more uncomfortable. However, what I am going to say now is going to be surely more comforting.
These days, HSG is considered outdated. It’s now replaced by Saline Sonosalpingography (SSG). So the commonest question that comes is, isn’t that painful too? Well, the trick is here in SSG, the dye itself is made up of local anesthesia. So the pain is virtually absent and women who do SSG usually come out very comfortable.
The other advantage is, that SSG also offers the study of the fallopian tube in 3D and this also simultaneously allows for the examination of the Internal Structure of the Uterus. This adds to a lot of vital information for the overall assessment of the Female Reproductive System. We have presented the illustration of the SSG in a photo.
Fallopian tubes through this play a vitally important role in fertility. Because this is also one of the structures which is connected to the Peritoneum as well as to the Uterus, this organ is usually exposed to a risk of getting blocked, in any case of infections. Most of the time when the fallopian tubes get blocked, it’s due to silent infections, typically in women Chlamydia and Gonorrhoea. In fact, Indian women are usually highly susceptive to having a Tubal Block. And this is mainly due to a lot of endemic Pelvic infections in our country.
Types and Treatments for Blocked Fallopian Tubes
Fallopian tube blocks are typically classified into Cornual Blocks, Mid-tubal blocks and Fimbrial Blocks. Out of these, it’s the Cornual Blocks that are the easiest to treat and have the best outcomes. One is required to perform a fallopian tube cannulation, a procedure that requires precision and control to prevent the tube from getting perforated out. When done with expert hands, it is this procedure that gives the maximum benefits as in Cornual Blocks post-surgery, many patients become pregnant naturally.
In patients who have a mid tubal block or a Fimbrial block, laparoscopic surgery is mandatory, however, the outcomes in them are about 45% or so, and that too if an expert operates upon the patient.
Fimbrial Blocks require a supremely effective procedure for Fimbrial repositioning and is performed in India by very few experts like Dr Jay Mehta who give extremely high success rates in the same, due to the massive surgical skill and expertise involved in this.
Mid-tubal blocks don’t heal effectively even with laparoscopy and this is mainly due to an intraluminal compromise which leads to very very poor outcomes. The mid-tubal blocks that arise out of adhesions and endometriosis again require expert surgical hands to delicately reopen them.
Antibiotics are often given to patients after these surgeries. Many patients also try Alternative therapies (Ayurvedic Treatment) like Uttar Basti in the cases of Fallopian Tube blocks and one must remember that this also requires a skilled preparation of the decoction and multiple sittings for the therapy to work. The success rates of these therapies however remain suboptimal.
More so, there are no magic therapies like diet and exercise or nutrition which may open the tubal blocks and patients must refrain from such emotional gimmicks. A healthy tube plays a massive role in the optimization of fertility outcomes for a patient.
Dr. Jay Mehta
MBBS, DNB – Obstetrics & Gynecology
IVF & Endometriosis Specialist, Laparoscopic Surgeon (Obs & Gyn)
Dr. Jay Mehta is a renowned IVF specialist and fertility-preserving surgeon in Mumbai, India. He is the Director of Shree IVF and Endometriosis Clinic, as well as the Director of Uterine Transplant in Global Hospitals, Mumbai. He is a leading laparoscopic gynecologist in India for endometriosis and adenomyosis..
He is a well-known Fertility and IVF Specialist and also among few doctors in the country who specializes in Embryology and Andrology. He operates India’s major cities including Mumbai, Pune, Chennai, Hyderabad, Bangalore, Ahmedabad, Agra, Delhi etc.
To book an appointment, call: +91 - 9920914115 or fill out our contact form
Google Reviews
Sandhya Yadav
I got pregnant through ivf done by Dr Jay mehta, even though my husband had azoospermia with my own eggs and his sperm. NO DONOR PROGRAM done. I am 5 months pregnant and even the pregnancy progress and checkups are great… Best IVF and PREGNANCY hospital in India… Dr Jay is a magician
Vikas Maurya
We concieved with Dr Jay Mehta with his superlative natural medications and therapy. He micromanages the cases. We have spent 6 years with other speciliasts.
With due respect, dr jay mehta is the best fertility expert in mumbai city. He is very honest to patients. He gives everything in writing. He gives very frank hopes. He is possitive in attitude which helps patients.
He also give concession to us considering the financial problems due to virus pandemic. I cannot imagine to have met such a doctor, who doesnt think of money at all. I dont know about all doctors as i have had some bad experiences, but dr Jay Mehta is definitely next to GOD. He gets results out of absolute honesty and for anyone trying for infertility, he is a must meet person.
Shefali Parekh
Dr Jay Mehta is an excellent IVF specialist. He and his wonderful team are responsible for excellent results here. The great thing is that Dr Jay does the egg pick up and embryo transfer himself for all patients. They are very good with the financial counselling of the procedure. The cost will almost never escalate. We are very happy with the services of the premises.
Swadha Kotpalliwar
Dr Jay is definitely one of the finest laparoscopic surgeon and ivf specialist. His surgeries are a treat for many many Gynecologist to watch. Kind by heart and his teachings are valuable , one can’t afford to miss !!
Blogs
7 Steps to getting pregnant with blocked fallopian tubes
Latest technologies are often embraced by couples who are facing fertility issues. They are always ready to pursue new inventions even if they have little hope for any positive outcome.
Video
Blocked Fallopian Tubes Causes and Treatment
The fallopian blockage which is spasmodic or due to anxiety is the easiest to treat. Apart from this, there are various other causes of the blocked fallopian tube. The causes which are extremely difficult to treat are the causes due to infections because predominately they cause mid-tubal or distal tubal blockages.