- Reasons for obstructed fallopian tubes
- Treating obstructed fallopian tubes
- If there are two pipes, but one is impassable
- How can the damaged tubes be fixed?
- Reasons for removing the fallopian tube
- What are the risks of tubal surgical treatment?
- What are the chances of pregnancy with one fallopian tube?
- If you can’t get pregnant, what should you do?
Most women are born with two healthy and functioning fallopian tubes. But there are cases when a woman has only one fallopian tube left. Is it possible to get pregnant with one tube and without them at all? You can get pregnant with one fallopian tube if:
- you have at least one healthy and functioning ovary;
- fallopian tubes are mobile;
- remaining tube is healthy;
- you menstruate regularly.
Fallopian tubes are female reproductive organs located in the pelvis of women. It is worth noting that every girl has two fallopian tubes since birth. The length of these organs is very small. It is no more than five (in some cases seven) centimeters. The volume of this organ is also very small. The diameter of the fallopian tube is only a few millimeters. The inner layer of the fallopian tube is represented by microscopic fingers called fimbriae. In the normal state, they are freely reduced.
Functions of the fallopian tube
Fallopian tubes have a very important transport function. After ovulation, this organ captures the egg and slowly helps it move towards the reproductive organ. At this time, the spermatozoa that enter the woman’s body fertilize the gamete. The fallopian tube with the help of fimbriae pushes the fetal egg towards the uterus. After getting into the reproductive organ is the attachment of the embryo to the endometrium. From this moment, the pregnancy took place.
Problems of the fallopian tubes
Women often have various problems with the fallopian tubes. With timely treatment, there are no consequences. However, if you are negligent about your health, some diseases can lead to irreparable complications. Consider the most common ailments that occur in the fallopian tubes.
Inflammation of the fallopian tube
This disease is diagnosed most often. The symptoms may not be present at all or maybe mildly pronounced. The acute inflammatory process is characterized by an increase in temperature, failure of the menstrual cycle, pain in the lower part of the peritoneum. The chronic course of this disease has almost no symptoms. However, the consequences of such a disease are very deplorable.
This disease is diagnosed using a normal gynecological examination and some tests. During manual diagnostics, the doctor may note an increase in the childbearing organ. The patient may also complain of painful sensations during menstruation. After such manipulation, ultrasound diagnostics is most often prescribed. During the examination, the specialist may detect an increase in the volume of the fallopian tubes. It is worth noting that in normal conditions, this organ is not visible on the monitor of the ultrasound device.
Inflammation of the fallopian tubes most often occurs against the background of hypothermia or any infection. If there is a long-term absence of treatment, the pathology can go to the ovarian area or the inner layer of the uterus. However, the consequences may be completely unexpected. Treatment of the inflammatory process is carried out in a conservative way. At the same time, the earlier the correction is started, the better the forecast will be in the future.
Obstruction of the fallopian tubes
This pathology is in most cases a consequence of the inflammatory process or extensive surgical intervention. The inner layer of the fallopian tubes is partially or completely glued together. In the cavity of the organ, spikes are formed that do not allow the egg to get into the uterus.
This pathology is detected during metrosalpingography or hysterosalpingography. Laparoscopy can also show the condition of the fallopian tubes. The obstruction can be corrected in this case. During an ultrasound examination, the specialist cannot see the internal state of the fallopian tube. Obstruction can only be suspected due to the presence of an adhesive process in the pelvis. Also, suspicion of such a diagnosis may arise in the long absence of pregnancy.
Treatment of obstruction can only be surgical. Of course, nowadays there are anti-adhesive drugs that help to break the pathological thin films, but the effect of such a correction is not always positive. Most often, the laparoscopic method is chosen for treatment. The doctor uses miniature devices to separate the adhesions and restore the patency of the pipe. It is worth noting that some cases are very complex. In this case, the adhesive process can not be cured. Sometimes this pathology requires removal of the fallopian tubes. In the presence of one organ, an independent pregnancy may occur. However, if both fallopian tubes are removed, conception can only occur outside the woman’s body.
Rupture of the fallopian tube
This pathology can occur during an ectopic pregnancy. There are also cases when damage to the fallopian tube occurred as a result of hydrosalpinx.
Ectopic pregnancy occurs when this organ does not work properly. Most often, the adhesive process leads to this pathology. Before the tube is damaged, a woman may feel a bulge, pain in the lower abdomen. There is also a slight bleeding on the background of a positive pregnancy test. Treatment in this case is only surgical. It is worth noting that with timely correction, there is a chance to preserve the organ in which the pathological embryo develops.
Hydrosalpinx is an accumulation of liquid in a pipe. It appears as a result of an inflammatory process or due to the appearance of a neoplasm, which can be benign or malignant. Treatment can be surgical or conservative. However, the choice of method depends on the complexity of the situation. If the pipe breaks, urgent surgical correction is necessary.
Reasons for obstructed fallopian tubes
Fallopian tubes are usually obstructed by scar tissue or pelvic adhesions. These can be caused by many factors, consisting of:
- Pelvic inflammatory disease. This illness can trigger scarring or hydrosalpinx.
- Endometrial tissue can develop in the fallopian tubes and trigger a clog. Endometrial tissue on the outside of other organs can likewise trigger adhesions that block the fallopian tubes.
- Particular sexually sent infections (STIs). Chlamydia and gonorrhea can trigger scarring and lead to pelvic inflammatory illness.
- Previous ectopic pregnancy. This can scar the fallopian tubes.
- These developments can block the fallopian tube, particularly where they connect to the uterus.
- Previous abdominal surgery. Previous surgical treatment, specifically on the fallopian tubes themselves, can cause pelvic adhesions that block televisions.
Treating obstructed fallopian tubes
If your fallopian tubes are obstructed by small amounts of scar tissue or adhesions, your medical professional can utilize laparoscopic surgery to get rid of the obstruction and open the tubes.
If your fallopian tubes are blocked by big quantities of scar tissue or adhesions, treatment to get rid of the blockages might not be possible.
Surgery to repair tubes harmed by ectopic pregnancy or infection might be a choice. If an obstruction is triggered since part of the fallopian tube is damaged, a surgeon can get rid of the broken part and link the two healthy parts.
If there are two pipes, but one is impassable
It happens that both pipes of a woman are preserved, but one of them is impassable. The probability of getting pregnant remains, but this requires a combination of several factors:
- a healthy hormonal background, under the influence of which the eggs will mature in a timely manner;
- a presence of a mature egg that can break the follicle and come out;
- Getting an egg into a passable tube;
- a meeting of the egg with the sperm and the successful introduction of the fetal egg into the uterine wall.
Women with one passable pipe should not despair. They still have a chance of successful conception. It is important that the ovaries are healthy, and the ovulation process occurs without disorders.
To determine the passability of pipes, you will need to pass a special study. Perform diagnostics at the beginning of the cycle. If you do this later, there is a risk of irradiation of the released egg. Methods that allow you to assess the condition of the fallopian tube:
- radiological examination;
If the doctor has doubts about the patency of the pipe, the patient is prescribed an x-ray with the use of a contrast agent or Hysterosalpingography (HSG). It is a kind of X-ray used to analyze within fallopian tubes to help detect blockages. During HSG, your doctor introduces a contrast agent into your uterus and fallopian tubes. The color helps your doctor see more within your fallopian tubes on the X-ray. An HSG can usually be done in your doctor’s office.
If the diagnosis is confirmed, the question of minimally invasive intervention should be raised.
For therapeutic purposes, laparoscopy is performed. During its implementation, the patency of the uterus appendage is restored, and adhesions or neoplasms are removed. Sometimes the pipe is plasticized.
Many women with an obstruction of one tube have heard of such a concept as cross-fertilization, that is, the egg goes out from one side, and gets and is fertilized in the opposite, passable tube. Doctors point out that this can not happen, and the process itself occurs in one oviduct.
How can the damaged tubes be fixed?
The success of surgery on tubes depends on where television is obstructed and how severe the damage is. Different surgical strategies are used depending upon the place of the tubal obstruction. The objective of surgical treatment is to open the tubal passage if possible by either eliminating scar tissue, creating a new opening in the beyond television (closest to the ovary), or opening television from the within (cannulation).
If the blockage is at the completion of television closest to the ovary, then surgery is carried out either with:
Laparoscopy (through a telescope placed through a tiny incision through your belly button).
Laparotomy (traditional open surgical treatment performed through a much larger incision made in your abdomen [tummy].
Both the surgical treatments are performed under anesthesia at the same time. If the tubal blockage is inside the tube closest to the uterus then hysteroscopy (a telescope placed through your cervix and into your uterus) is utilized to position a tiny tube (cannula) past the obstruction. This is typically done in addition to laparoscopy (see ASRM pamphlet titled Laparoscopy and.
Reasons for removing the fallopian tube
If the remaining fallopian tube is passable, and nothing prevents the normal movement of the egg along it, then the chances of conception are preserved. Doctors can remove the uterus appendage in the following cases:
- The woman was diagnosed with an ectopic pregnancy. Moreover, the pipe can be removed even when its integrity remains intact;
- Crohn’s disease, purulent processes in the organs of the reproductive system, filling the tube with liquid;
- Purulent salpingitis;
- Rupture of the cyst, twist the ovarian legs;
- Spikes in the pipe. They are not an absolute indication for its removal, but sometimes such an operation is resorted to;
- Inflammatory process.
If the first tube was removed due to an ectopic pregnancy, due to its inflammation or against the background of tumor growth, then before you start planning for conception, you need to assess the state of women’s reproductive health in general. Depending on this, the doctor makes a forecast.
When an appendage has been removed due to a ruptured cyst, it is necessary to wait several months before planning a pregnancy. Then you will need to undergo an ultrasound examination. Only after this, the doctor will allow you to try to conceive a child (against the background of the general health of the reproductive system).
Provided that the ovary from the side of the remaining tube regularly releases eggs, the ovulation process is not disrupted, and the appendage has good patency, it will be possible to get pregnant. Sometimes additional hormonal stimulation is required for the maturation of the follicle and the release of the female gamete.
The more intensively the ovary works, the higher the chances of successful fertilization. As practice shows, the left ovary is the most active, so if the left tube is preserved, the chances of conception are higher. However, we should not lose sight of the individual characteristics of each woman’s body.
Patients with a preserved right tube do not need to despair. They can also conceive a child and enjoy the joy of motherhood.
What are the risks of tubal surgical treatment?
The greatest threat after tubal surgical treatment is the possibility of a tubal pregnancy, also called an ectopic (outside the uterus) pregnancy (see ASRM fact sheet and brochure titled Ectopic Pregnancy). Ectopic pregnancy can be extremely unsafe to the mother. It is necessary for females with tubal disease/blocked tubes or women who have actually had tubal surgery to see a doctor as soon as they think they are pregnant or have missed their duration in order to be evaluated and dealt with for an ectopic pregnancy before it triggers severe complications. Irregular vaginal bleeding and lower abdominal pain prevail signs connected with tubal pregnancy, especially at later phases. If left untreated, tubal pregnancies can break and trigger internal bleeding, and even trigger the death of the mom.
Other risks related to surgical treatment for blocked tube/s are the same as with any surgery and consist of the possibility of bleeding; damage to other organs (body parts) such as blood vessels, your bladder and bowel (gut); development of new scar tissue; a response to the anesthesia; or a requirement for blood transfusion.
|If you have …||Your chance of getting pregnant after surgery is …|
|Extremely couple of adhesions (scars) between televisions and ovaries, and your tubes otherwise look healthy||Fairly great|
|Lots of thick adhesions in between the tubes and ovaries and/or the walls of the tubes look thick and rubbery||Not good, IVF may be the very best treatment to help you get pregnant|
|Only 1 tube is obstructed, the other tube is healthy, and the walls of your tube appearance normal||Fairly good|
|A blocked tube that is filled with fluid (hydrosalpinx) and the walls of your tubes look thin||Not good, IVF may be the very best treatment to help you get pregnant. The harmed tube can be treated/removed to increase your chances of getting pregnant with IVF treatment.|
What are the chances of pregnancy with one fallopian tube?
To increase the chances of conception, patients with a removed fallopian tube should be regularly monitored by a doctor. What matters is how well the remaining appendage of the uterus functions. Only a specialist can evaluate the performance of the pipe. To do this, it will conduct a series of diagnostic studies to determine the following factors:
- presence of an inflammatory process;
- a passability or impassability of the pipe;
- an intensity and frequency of ovulation;
- state of the General hormonal background;
- state of the endometrium of the uterus.
If the fallopian tube was removed due to an ectopic pregnancy, or due to an inflammatory process, then you need to plan your next conception with special care. The woman will need to see a doctor regularly. Otherwise, there are risks of losing the second fallopian tube.
If you can’t get pregnant, what should you do?
If a woman has only one fallopian tube left, then increased ovarian work is required. The chances of conception in this situation are lower than if there are two passable pipes. In a situation where pregnancy does not occur for a long time, it is necessary to resort to modern reproductive technologies.
Surgical intervention allows you to get rid of neoplasms, as well as from adhesions in the fallopian tube, restoring its patency. Modern medicine uses minimally invasive techniques, namely laparoscopy.
During the procedure, the doctor makes 2 or 3 incisions in the abdominal cavity. Their size does not exceed 2 cm. Tools are introduced through them, after which all the necessary manipulations are performed. The doctor monitors them with a microscopic video camera that will be located in the woman’s body. The removed material is sent for histology. This study allows you to determine the type of cells. After 2-3 days, the patient is discharged from the hospital. After consulting with a doctor, she will be able to start planning a pregnancy.
ICSI is a complex procedure in which specially selected male sperm fertilize female eggs. The process takes place artificially, that is, in a laboratory.
A common methodology for the implementation of a procedure:
- under the cover of hormones, doctors stimulate the growth of several eggs in a woman’s body at once;
- when the eggs are mature, they are removed from the ovaries;
- the most mobile spermatozoa are selected from the male sperm;
- a single sperm is injected into the prepared ovum;
- the embryo (one or more) is inserted into the uterine cavity.
If the fetal egg takes root, the woman will be able to bear and give birth to a child on her own. ICSI is a modern technology that has helped millions of couples around the world become parents.
In the absence of both tubes, a woman can become a mother through IVF. Fertilization takes place in the laboratory. If the doctor inserts the sperm inside the egg during ICSI, then the sperm will need to do it on its own during IVF. IVF is carried out after the stimulation of ovulation. Eggs and spermatozoa are also subject to careful selection. The doctor selects the healthiest of them and inserts them into the uterus.
You can get pregnant with one fallopian tube. It is necessary to get rid of chronic diseases and improve the functioning of the reproductive system. If a woman is healthy, then conception will definitely occur.
Write in the comments, have you ever tried to get pregnant with one tube? What tests and procedures did You undergo when planning your pregnancy? Share your experience and tips. This will help everyone else a lot. Do not hesitate to ask questions, our experts will answer them very quickly. Don’t forget to rate the article from the bottom. Thank you for visiting. Be healthy and pregnant!