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Is Pregnancy Possible With Blocked Fallopian Tubes?

Posted on Wed, 22 Jul 2015

Question: We just completed 2yrs marriage Not yet conceived. Visited doctor took some medicines to conceive. But, no luck. Doctor suggested HSG. After HSG treatment, noticed fallopian tubes are closed.

Doctor suggested to take 20 placentrex 2ml injections day by day and give some medicine for egg formation.

Doctor told try for 2 months, if period comes , wil follow next step of treatment.

Is there any chance of pregency, after fallopian closed. Is there any to remove the block on the tubes.

Please help me on this

Answered by Dr. Nidhi Setia (51 minutes later)

Brief Answer:
Post HSG report.sugery and IVF are other options.

Detailed Answer:
Hello,

Welcome to HCM,

I can understand your desire to conceive.

As you told that HSG finding that both tubes are blocked. Probability of conceiving depends on part of tube is blocked.kindly post your HSG report, (if possible) so that I can explain you treatment accordingly.

If medical treatment is not working there are another options like surgery, IVF.consult with your gynecologist.

Hope this helps.

Hoping to hear from you soon.

Thanks.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Nidhi Setia (2 days later)

Right now, could not have the report, It was at my home town

And one more thing, if date comes in Aug, Doctor suggested to go for Intervention Radiology.

How much it will be successful and Is it a painful process like Normal HSG, My wife scarring about this

Could you help me on this?

Answered by Dr. Nidhi Setia (14 hours later)

Brief Answer:
Less painful,success rate is high.

Detailed Answer:
Intervention radiology is minimally-invasive procedures,uses to open blockages in `proximal part` of tubes.

These blockages can be due to debris or mucus or infection or tubal spasm.

The procedure is performed at the hospital using local and IV sedation. so it is not as painful as HSG procedure.This procedure takes less than one hour, and most patients go home after being observed for one hour after the procedure.

The success rate for the procedure is high, 90%. The average pregnancy rate after recanalization, without other forms of fertility assistance, is 30%.

I advise that your wife should go for it before trying for other options like surgery or IVF.

Hope my answer helps you.

Feel free to ask any query.

Thanks.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Nidhi Setia (29 hours later)

Hello Doctor,

HSG Lab Reports are attached.

Could you please check those?

As per the Lab Report, everything is normal.

But, Doctor looked at the x ray report, said, tubes are blocked.

Thanks

Answered by Dr. Nidhi Setia (4 hours later)

Brief Answer:
report appears to be normal, second opinion from a radiologist advised.

Detailed Answer:
Hello,

Even according to me, Her HSG report is normal.I do not know why your doctor is saying that there is obstruction on both sides.

I advise you to take second opinion from your radiologist.

Hope you have gone for USG pelvis to rule out PCOS, thyroid profile, serum prolactin level, mantoux test.

Assuming these tests to be normal (as you have not uploaded these reports) and tubes to be normal (provided a second opinion from radiologist is similar), drugs like clomiphene should be used to induce ovulation. (My opinion).

If the tubes are confirmed to be blocked, then tubal recanalization would be the next step of treament.

Hope this helps.
Feel free to ask further.

Thanks.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Nidhi Setia (7 hours later)

Hello Doctor,

Please advise , what are remaining tests she need to undergo?

I have gone through semen analysis, which is XXXXXXX . ( I will attach the report shortly).

she has tyroid problem, but TSH level is correct range ( 3 months back tested, I will attach that report also).

And please advise what are the other tests she/I need to be taken?

Thanks Doctor,

Answered by Dr. Nidhi Setia (4 hours later)

Brief Answer:
Need some details.

Detailed Answer:
I need some details before suggesting you test.
1.when did she get her menses? Periods are regular or not?
2.Since how long you are trying to conceive?
3.Any past history of abortion?
4.Any other medical illness as prolonged cough or any symptoms you want to mention?
5.Since how long she has thyroid problem?Is she taking any treatment for it?

Kindly upload reports of semen analysis and thyroid profile.

Hope to hear from you soon.

Thanks.

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Above answer was peer-reviewed by : Dr. Prasad