HSG blocked fallopian tubes - What now?

If your HSG showed blocked fallopian tubes could you still be able to get pregnant without IVF or surgery? Learn how from Dr Randy Morris MD-The BOARD CERTIFIED fertility expert with weekly TTC tips on InfertilityTV

You’ve just had an #HSG and your doctor told you that you have #blockedfallopiantubes and you can’t get pregnant on your own. What do you do now? First, don’t panic! There may be a number of options for you.

First step, get more information. How many tubes are blocked?
If only one tube is blocked, it is still possible to get pregnant on your own without any treatment. Although the chance for pregnancy is a little lower than for women with two open tubes, it is not 50% lower.

If both tubes are blocked, then the location of the blockage is important. There are two common locations for blockage.

-- Proximal blockage is where the tube is attached to the uterus.
-- Distal blockage is at the far end, near the ovary.

Proximal blockage may not even be a real blockage. Sometimes, during an HSG, the muscle around the tube may contract, pinching off the tube. This may look like a blockage but it isn't real. A repeat HSG will often be normal.

At IVF1, we can also put a catheter into the tube so the spasm doesn’t impact the dye flow.

**A real blockage can sometimes be fixed - without surgery.**

This technique uses a wire which is pushed through the tube to clear the blockage from the tube. This technique has allowed many women to avoid having the more expensive #IVF treatment.

Distal blockage cannot be fixed without surgery. Surgically opening the end of a tube is possible but the pregnancy rates are low and there is a higher risk for a tubal pregnancy to occur afterward.

If all else fails, patients with tubal blockage generally will do well with IVF.


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Music: Divider - Chris Zabriskie (CC BY 3.0)