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The fallopian tubes are two thin tubes, one on each side of the uterus, which help to move the mature ovum from the ovaries to the uterus. If an obstacle prevents the egg from getting into these tubes, a woman has a blocked fallopian tube, also called the oviduct fertility disorder. This can occur on one or both sides and is the cause of infertility in 40% of infertile women.
It is very unusual to feel the symptoms when women have blocked fallopian tubes. Most women assume that their fertility is okay with regular menstrual bleeding. But it's not always the case.
Each month, when ovulation occurs, an ovum is released from one of the ovaries. The ovum wanders out of ovary, through fallopian tubes and finally into uterus. The sperm must flow from cervix, through uterus and through fallopian tubes to get to egg. Fertilization usually takes place while the egg is traveling through tube.
If one or both fallopian tubes are blocked, the ovum can not reach uterus and the sperm can not reach egg. This prevents fertilization and pregnancy.
It is also possible that the tube is not completely blocked but only partially blocked. This can increase the risk of ectopic pregnancy.
If you have open tubes and are otherwise healthy, you may be able to get pregnant without too much help. Your doctor may prescribe fertility supplements to increase the likelihood of ovulation on the side of the open tube. However, this is not an option if both tubes are blocked.
The major principle of reproductive specialists in Germany is simple: using the newest, but clinically safe and reliable methods to open tubes. If it is not possible to open the tubes, the specialists recommend assisted reproductive techniques to restore fertility.
In case of tubal factor of infertility in a woman an oocytes simply cannot get through the tube to become fertilized, which prevents a woman from getting pregnant. There are insignificant symptoms, pointing out at blocked tubes. Pain in lower abdomen occurs only in severe cases of tubal patency disorders. Pain due to blocked fallopian is an alarming signal, since it means that blood cannot circulate through the tube blockage.
Pregnancy with one open tube is possible, but risky for a woman. In many cases an occluded (blocked) tube leads to such complicated cases as:
- Miscarriage (embryo cannot get to the uterus because of blocked fallopian tubes)
- Tubal pregnancy
- Ectopic pregnancy because of blocked tubes
In some cases natural methods and remedies help to open the locked tubes. In other cases minimally invasive surgery, medication or in vitro fertilization, performed by a qualified and experienced specialist, is a key to awaited pregnancy after blocked fallopian tubes.
Diagnosis of blocked fallopian tubes
Diagnosis of blocked fallopian tubes at German clinics is a multi-level process, which involves the cooperation of specialists from different fields of medicine. One of the most informative ways to examine tubal patency are:
- Hysterosalpingography of fallopian tubes: A little balloon catheter is introduced through the cervical canal and the contrast solution is injected into the tubes. In case of polyps, fibroids, adhesions or inflammatory process the contrast will not be able to pass the fallopian tube, which is a direct sign of blockage.
- Ultrasonography of blocked fallopian tubes: Special saline solution is injected into the uterus under sonographic control and the specialist examines the fallopian tubes with a special sensor.
- Blood test in a woman (to exclude infection, chlamidia or trichomoniasis in case of suspected blocked fallopian tubes).
- Diagnostic laparoscopy: Diagnosis and opening the tube during a minimally-invasive procedure.
The overall diagnostics of infertility for a women at a German fertility clinic costs around 1,500-2,000 euro.
Is it possible to open the blocked fallopian tubes?
The German specialists are famous for minimally invasive procedures, which help to open the blockage in a safe and painless way. In most cases surgical opening leads to pregnancy within the next months.
In Germany tubes can be “unblocked” (opened) within a minimally-invasive surgery, which is performed under general anesthesia and lasts about 30 minutes. The most effective opening method, which is most favored by the German fertility specialists, is laparoscopy. During this procedure a specialist introduces a telescope-like instrument through the dorsal vagina wall and opens the blockage. The laparoscopic surgery for opening the tubes at German clinics costs about 7,000-10.000 euro.
Conservative treatment of blocked tubes
It is not always easy to answer the question, what causes blocked fallopian tubes. In more than 30% of all patients tubes get blocked because of hidden infection. Surgical methods to open tubes may prove to be inefficient in this case, since the blockage will occur again and again. Intensive medication course is needed to eliminate the pathological process.
Fallopian Tubes Surgery
According to World Health Organization, currently there are about 13% of fertility-challenged couples trying to get pregnant without success. The major infertility reason in women is tubal obstruction or the absence of uterine tubes due to surgeries. Childless couples, who underwent the course of treatment, but all the attempts to get pregnant failed, should not give up. A solution for such situation is fallopian tubes surgery in Germany. The European specialists are doing their best in trying to detect the most suitable method in each case individually. In most cases specialists can bypass problems that make it impossible to get pregnant in natural conditions even without the fallopian tubes surgery. In other cases, however the fallopian tubes surgery, performed at a specialized German clinic can solve the infertility problem within a day.
Hysterosalpingography – a reliable test for tubal patency
Hysterosalpingography is a surgery on tubes, which allows specialists to estimate the tubal patency. A special catheter is introduced into the endometrial cavity. A special dying substance is injected. In case of blockage the dye will not be able to flow down through the fallopian tubes, which is an indication of blocked fallopian tubes and tubal infertility. When the blockage is determined, special minimally invasive procedures are implemented in order to open the tubes. Laparoscopic techniques help to dissect the adhesions around the fallopian tubes and ovaries, isolating them from each other. The cost of such procedure at the reliable European centers makes up about 1,500-2,000 euro.
Recanalization of tubes—minimally invasive fallopian tubes surgery
Recanalization of tubal patency is performed in case when the tubal lumen is closed with the internal adhesions. Infertility treatment via tubal recanalization consists in introducing into the tube the thin conductor, which is followed with the balloon catheter. The body cavity of the balloon expands and thus leading to a significant extension the tubal lumen. A catheter with a balloon is advanced through the pipe as long as its permeability is not fully restored. The intervention is done under X-ray control and lasts about 20-30 minutes. The success rate of such a recanalization makes up about 70%. The minimally invasive recanalization of one tube would cost at least 2,500-3,000 euro.
Getting pregnant without fallopian tubes surgery
Did you know that you can get pregnant even in case your both tubes are blocked? Another way to get pregnancy with blocked fallopian tubes is using of reproductive medicine. Medical centers specialized in reproduction in Germany help couples trying to get pregnant, offering the assisted reproduction techniques, such as intrauterine insemination (if trying to get pregnant with tubal obstruction) or in vitro fertilization. These methods help to exclude the tubal factor from the fertilization process.
The number of successful results in trying to get pregnant with in vitro fertilization methods in Germany is 55-70%. About 1500 best European fertility specialists perform their daily job on the highest level in order to help patients trying to get pregnant. Do not miss your chance to eliminate the problem of infertility and call us for more information about fallopian tubes surgery.
If tubes cannot be opened...
In case of recurrent blockage of both fallopian tubes (due to chronic infection or endometriosis) the methods of assisted fertilization may help to achieve pregnancy without opening the tubes. Such methods as IVF or intrauterine insemination proved to be most efficient in female patients whose blocked fallopian tubes cannot be opened. Success rates of intrauterine fertilization or IVF makes about 40-70%.
Assisted methods: No opened tubes needed for infertility treatment in a woman
The methods of assisted reproductive medicine are especially suitable in those cases, when tubes are damaged or affected with endometriosis. Many women have an artificial insemination done at German clinics. Before the procedure the Oocytes cell maturation is stimulated by medications (FSH-containing). The German doctors usually stimulate ovulation by HCG injection. Sperm cells of the partner are prepared in the laboratory and then inserted into the uterine cavity. The success rate of this alternative treatment of blocked fallopian tubes makes up about 30-40%.
Another way to achieve pregnancy in case of tubal occlusion is IVF. It is a more complicated procedure, which implies the following steps:
- A woman gets special medication to achieve hyperovulation
- Oocytes cells are retrieved after ovarian stimulation
- Oocytes are fertilized in a special dish with sperm of a partner
- Embryo is cultivated up to the blastocyst stage (3-5 days)
- Embryo transfer into the uterus
The IVF treatment is effective in 70% of all cases. During the insemination and IVF tubal factor is excluded from the fertilization process. This infertility treatment procedure occurs outside of the patient’s body and is absolutely safe.
Why is opening of blocked fallopian tubes so efficient in Germany?
According to our internal research, patients who managed to combat ovarian infertility (impassability of tubes) and to get a child after treatment of blocked tubes in Germany highlight the following benefits:
- Complex and highly informative diagnostics of tubes
- Treatment in compliance with medical, judicial and psychological aspects
- Implementation of the most progressive technologies (computer-assisted microsurgical techniques) in opening the blocked tubes
- Extended experience, high professionalism of fertility specialists in Germany
- No relapses after opening the tubes
- High pregnancy rate after IVF (more than 60%)
Treatment of blocked tubes (tubal opening or IVF) is performed in a comfortable atmosphere, using high-quality equipment.
Blocked fallopian tubes? Open the fallopian tubes or try IVF in Germany!
German Medical Group cooperates closely with the best clinics and highly authoritative doctors who not only determine the reasons of blocked fallopian tubes, but also find a treatment, which is 100% suitable and efficient for your individual case. We usually request a variety of treatment offers from the top fertility centers, and you will be able to compare the terms and prices. We will also assist in translating all your documents, running visa procedures and organizing your stay in Germany. You can read more about treatment of blocked fallopian tubes in Germany in “Fertility clinics” section on our site. To get detailed information about costs of surgical treatment of blocked fallopian tubes (opening the tubes) or IVF and ICSI, please, call us or write an E-Mail.