TUBAL PROBLEMS / TUBAL FACTOR INFERTILITY

Tubal Factor Infertility Centre in Shaikpet

In a normal pregnancy, the fallopian tube is the pathway for the eggs released from the ovaries to travel into the uterus where they will meet with the sperm for fertilisation. If the fallopian tube is blocked or prevents the sperm from traveling to meet with the eggs, it results in a condition known as a Tubal Factor Infertility.

WHAT CAUSES TUBAL FACTOR INFERTILITY?

  • Previous surgery in the abdomen or pelvis.
  • Pelvic  inflammatory disease that infects the fallopian tubes and the uterus as a result of sexually transmitted diseases such as chlamydia or gonorrhea.
  • Endometriosis Pelvic tuberculosis Ectopic pregnancy

WHAT ARE THE SYMPTOMS?

  • Inability to conceive
  • Damage to the fallopian tube Infertility accompanied by chronic lower abdominal pain

HOW IS IT DIAGNOSED?

To determine if one or both of your fallopian tubes are blocked or damaged, our doctors would employ two methods:

HYSTEROSALPINGOGRAM (HSG)
This technique is an X-Ray examination performed by a radiologist. The catheter is inserted into the cervix leading to the uterus and a liquid is injected into the uterus. If this liquid passes through one or both the tubes, we can identify the tube that has the blockage. It is vital to note that even if the tube is open, it doesn’t necessarily equate to a functional tube. The lining could be scarred or damaged. Additionally, this test may also sometimes provide a false positive of a blockage and can occur in about 15% of women.

LAPAROSCOPY
This minimally invasive procedure involves creating a small incision and our doctor will use a laparoscope to view the fallopian tubes to identify any signs of a blockage and any other problems such as scar tissue.

Tubal Factor Infertility Treatment in Shaikpet

HOW IS THIS TREATED?

Our fertility specialists may employ one of the following methods depending on the location and the extent of the tube damage.

TUBAL CANNULATION
This method is an outpatient procedure and can only be used if the imaging test shows proximal damage in one or both the fallopian tubes. The procedure involves inserting a catheter guided by a wire and attached to a balloon into the fallopian tube to unblock them.

FIMBRIOPLASTY
This method is a good choice for patients with minimal damage to their tubes but also increases the chance of ectopic pregnancy and has a low success rate. Fimbrioplasty is a laparoscopic technique used to open the fimbriae that are finger-like projections found at the end of the fallopian tube near the ovary.

SALPINGECTOMY
This technique is used to surgically remove the fallopian tube affected by damage or disease.
This method allows us to surgically create an opening in the fallopian tube without the need to remove the tube and is primarily performed to treat an ectopic pregnancy.

Our fertility specialists may recommend tubular surgery if the damage to the fallopian tube is the only fertility issue and the damage is minimal. IVF may be a surgically invasive solution for women aged 35 and older or for those with severely damaged tubes. The only downside to this method is the cost and the need for hormone injections.