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Fallopian Tube Problems
Many women face fallopian tube problems and need surgical assistance to correct them. These problems could range from ruptures and cysts to fallopian tube pregnancies. However, several women with fallopian tube problems may not be aware of the treatments that are available. To learn more about fallopian tube problems, take a look at the questions below that have been answered by the Experts.
What impact does a “slightly dilated” fallopian tube have on the ability to conceive?
In many cases, if one fallopian tube is clear and the other is blocked, a woman's chances of becoming pregnant may lowered by half. When a fallopian tube becomes dilated, it is often caused by an obstruction in the end of the tube, located far away from the uterus. Because there is an obstruction, fluid usually builds up in the tube causing the tube to dilate. This is known as hydrosalpinx and could be caused by an infection. Pelvic Inflammatory Disease (
) is a common cause of hydrosalpinx which will cause inflammation of the fallopian tubes. In some cases, fluid may sometimes remain in the fallopian tubes after the PID has been healed. If the blockage can be removed, the woman's chances of becoming pregnant will increase.
Can a 46 year old women become pregnant with a blocked fallopian tube?
Case details: Stopped taking
after missing a period.
Generally, only one fallopian tube is needed to ensure the sperm can reach the ovum. Therefore, while the ability to conceive is smaller with only one fallopian tube open, it is still very possible.
If a woman was taking oral contraceptives before a missed period, usually, the chances of pregnancy are small. Furthermore, a woman at the age of 46 usually has a low chance of becoming pregnant. Having said that, the only way to be sure would be to have a blood pregnancy test two weeks after the missed period.
How does someone know if their fallopian tubes are blocked? Is pain in the side a symptom?
Generally, the only way to determine if a woman has a blocked fallopian tube is by doing a hysterosalpingography. This procedure involves placing a contrast into the uterine cavity and viewing its passage from the tubes with the help of an x-ray. If there is a fallopian tube blockage, the x-ray will pick it up.
As for pain experienced in the side, this wouldn’t necessarily indicate a blocked fallopian tube. Other issues such as cysts, tubal pregnancies or Pelvic Inflammatory Disease could be the cause of this as well. However, if the woman has a problem trying to conceive, she should visit her gynecologist and examine the possibility of blocked fallopian tubes.
Can an MRI detect a blocked fallopian tube?
Usually, an MRI is a great tool when locating growths and tumors. An MRI can also determine if something is being compressed. However, an MRI cannot determine if a fallopian tube is blocked. In order to check for a blockage in a fallopian tube, a
or a chromotubation test is usually performed.
If there is no right fallopian tube, can a woman still get pregnant if she is ovulating on the left?
In most cases, a woman can become pregnant with only one fallopian tube. If the woman is ovulating on the left, the woman's egg will travel down the left tube and meet the sperm. Since it only requires one sperm out of millions to reach the egg, pregnancy is still a possibility.
While many women face fallopian tube issues, women of child bearing age are often concerned about becoming pregnant when they know they have fallopian tube problems. In this situation, it is important to fully understand the implications of the condition. If you have any questions regarding fallopian tube problems, ask an Expert for medical insights and suggestions for proper treatment based on the facts of your case.
Recent Fallopian Tube Questions
Hi, I am hoping someone can provide me with a much needed
I am hoping someone can provide me with a much needed second opinion.
Exactly two months ago, on 2nd of June, I had two 5-day blastocysts transferred after ICSI. Prior to starting the IVF cycle I had a hysteroscopy which showed a normal uterine cavity, except for a few small fibroids which were not considered to be an impediment to pregnancy. Blood work all clear. In good overall health. I am 42 years old.
Beta-hCGs and timeline following ICSI:
13 June: hCG 164
17 June: hCG 112
20 June: hCG 127 (ceased progesterone pessaries, as miscarriage indicated)
24 June: Menstruation begins
26 June: hCG 97
8 July : hCG 479 (u/s requested as hCG should have returned to baseline. Small I/U sac seen. Tubes clear. Inconclusive. Incomplete miscarriage possible and wait and see approach advised)
11 July: hCG 753
14 July: hCG 1300, progesterone 14 (ultrasound shows interuterine gestational and yolk sac. Gestational sac measures 5w2d. Still uncertain, but some suggestion I fell pregnant naturally immediately following miscarriage of ICSI embryos. Sonographer notes extrauterine fibroid that appears to be hanging near right ovary. Right ovary tucked behind tilted uterus and difficult to see. Begin 400mg Progesterone pessaries to support pregnancy)
18 July: hCG 2006
22 July: hCG 3027, progesterone 67
23 July: U/s indicates gestational sac only minimally grown. Tubes and ovaries appear normal however tilted uterus makes ultrasound images less clear. Extrauterine suspected fibroid looked at again. Fibroid shows evidence of blood flow which may indicate a cyst. Question raised as to whether the suspected fibroid could be ectopic. Heterotopic pregnancy queried.
I have been advised by the supervising doctor that, although the case is unusual, there can be no doubt that the pregnancy is not viable. I have had no symptoms of bleeding or pain, although I do still feel pregnant. Doctor advises that, although heterotopic pregnancies are rare, it would be advisable to perform a D&C to evacuate uterine contents and laparoscopy to get a better view of the fibroid and tubes.
My concern is that the diagnosis is unclear and I have no symptoms which might indicate ectopic pregnancy. I feel incredibly wary of surgery but am unwilling to question medical advice even though they cannot give a definitive diagnosis. Have been advised that the question of whether or not to remove my fallopian tube during laparoscopy will be at the surgeon's discretion. I am terribly worried about this. Terrified, actually.
Given that I have no symptoms of pain or bleeding, why can't I take the course of expectant management? I have ceased the pessaries 3 days ago and surely the miscarriage can be allowed to occur naturally. Why is the D&C necessary? And should I bother with a laparoscopy given that all 3 ultrasounds showed no evidence of tubal pregnancy? The only problem is the extrauterine fibroid which may have changed only slightly and surely poses no risks and cannot be excised during laparoscopy anyway?
I am terribly confused and utterly petrified and I dare not go to another doctor and ask for a second opinion as they will have to ask the Clinic for my records. I do not wish to anger my supervising doctor, or the clinic, as I still have 2 frozen embryos with them. I am worried that asking for another opinion will compromise my future treatment.
Surgery is scheduled in 2 days and I am really hesitant to go ahead with it. Do I have reasonable grounds for refusing surgery in the nicest way possible and just allowing everything to resolve naturally?
Hoping you can offer some insight or advice!
I have a mucus filled appendix per a ct scan. The doctor wants
I have a mucus filled appendix per a ct scan. The doctor wants to take it out and it is close to my ovary and fallopian tube. If it is attached, they will take those also. I am 62 and don't need them anyway. Have never been on HRT. What are the odds this could be cancer?
I have had my removed in 1996. The ovaries and fallopian
I have had my uterus removed in 1996. The ovaries and fallopian tubes were left. Today when I had a pelvic ultrasound I was told that I had fluid in my right fallopian tube. What does that mean? I have been in menopause for about 14 years.
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