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Blocked Fallopian Tubes

3 Replies

Hi Doctor. First, let me explain my situation a little bit. After TTC for almost 2 years, my husband and I decided to see a doctor about it. The first procedure I had done was an HSG, which showed that both of my fallopian tubes are blocked. He tried to keep pushing the dye in to try and push through the blockage to create an opening, but it did not work. He then referred me to a Fertility Specialist. I am still waiting for that appointment. I've been doing some research and found that there are some things to attempt to unblock the tubes. The first thing I want to talk to the Specialist about is the 'Fallopian Tube Recanalisation', which as you know, is like the HSG but they actually put a very thin catheter through the fallopian tube to try and push out any blockage and create an opening. If that doesn't work, then I would like to try the Laparoscopic surgery to try and unblock them. My question to you is, would you suggest just skipping the Recanalisation and going right for the Laparoscopy, or should I go ahead and attempt the Recanalisation? Could the Recanalisation lower my chances of successfully unblocking them via Laparoscopy?
Thank you very much for your time.

B. Jacobs, M. D. - December 29

If the portion of the tubes which pass throught the uterine wall is what is blocked, recanalization is a reasonable effort. If the other end of the tubeis blocked, the tube itself is damaged, and you need IVF. In fact, you may need to have damaged tubes removed before IVF, if they are distended with fluid.
Good luck.

wolffie - December 29

babydreamz-

I hope you don't mind me responding to your post. I have endometriosis which resulted in at least one of my tubes being blocked (I never had the other one checked). Anyway, I conceived naturally and that pregnancy resulted in an ectopic pregnancy (when the fertilized egg implants in the tube). We were unaware that it was ectopic b/c all my blood levels we ormal and my HCG was doubling on schedule. At 7 weeks the ectopic ruptured and I required emergency surgery which showed massive internal bleeding and I lost one of my tubes. My doc says I was lucky to get into surgery when I did. My doc at the time referred me to a fertility specialist who felt that it was too unsafe for me to conceive naturally again. My fertility doc stated that even though there are procedures which can in theory clear the tubes there is no way of knowing 100% if the entire blockage is cleared. IVF was my only option. We conceived through IVF on our first attempt and I am currently 14 weeks pregnant.

I can tell you that when we started this process one of the hardest things for me emotionally was the fact that I lost the ability to conceive naturally.

You have a hard decision ahead of you and I know how torn you are about the options. I wish you the best of luck. This forum has been so helpful to me and all the women on here are so supportive!

daniella

Marina - December 29

Hi,just want to add something.I got blocked tubes also.When we did HSG,the liquid freely went through tubes,but on the very end they were blocked on both sides,so it didn't come out.They didn't recommend any manipulations done to my tubes b/c it a very delicate organ and there is very low % os success after laparascopy(when they remove damaged part,the scar tissue can grow back in most cases and block them again).And after that it takes time before you can get PG.In my case we did'n have time to experiment with surgeries(I'm 37) and went strait to IVF,we got PG from the 1st time.

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