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Fertility Issues Topics..

 
You are here : home > Fertility Issues > Female Infertility > Tubal Surgery

Tubal Surgery


Tubal surgery is one of the treatments that can help women to deal with infertility problem. Read on to find more about the significance of tubal surgery for treating infertility.


Fallopian tubes play an important role in helping women to conceive. However, if these tubes are blocked due to some reason, a successful conception may not occur. In the process of conception the fallopian tubes are responsible for transporting an egg from the ovary to the uterus. The fertilization of an egg takes place in one of the parts of fallopian tube itself. This portion of the fallopian tube is known as ampulla.

Once the egg is fertilized by a sperm, it shifts to the uterus where it continues to develop into a baby till the time it is born. In case if these tubes are blocked the successful conception procedure may not take place. In this case tubal surgery can help. Let us take an in-depth look at tubal surgery.


When is tubal surgery recommended?

In order for a normal pregnancy to occur, at least one healthy patent tube is required. Each tube forms a passage from the uterus to the ovary. The tubes are lined with many specialised cells. Some of these bear little hairs called cilia that set up currents to facilitate the movement of the sperm towards the egg in order that fertilisation may occur. A current in the opposite direction combined with tubal movements conducts the early embryo towards the uterus.


Can this surgery treat all tubal obstruction cases?

The causes of tubal obstruction were discussed in the section on tubal patency. Surgery is done to unblock the tubes. However, if the infection that caused the obstruction in the tubes was very severe, the delicate lining of the tubes may have become irreversibly damaged.


What is the success rate of this surgery?

Pregnancy success rates can be higher than 70% in cases of sterilisation reversal and when there are only fine adhesions distorting the tubes or covering the ovaries. Also with advances in surgical techniques, the introduction of the operating microscope, the use of finer instruments and non-reactive suture materials the success rate of surgery has improved greatly. Apart from the essential requirement of surgical skill, another factor that will affect the success rate will be the degree of the tubal problem.


Are there any risks to this surgery?

Tubal surgery can result in an increased risk of a tubal (ectopic) pregnancy. It must be remembered that even if the success rate is as low as 30% for the more severe cases of tubal obstruction, this is still better than the success rate of in-vitro fertilisation.


What are the causes behind the blocked tubes?

Here are some of the common causes for the blockages in the fallopian tubes.
  • The growth of non-cancerous tumours inside or outside the uterus which are known as fibroids.
  • Uterine infection caused due to miscarriage or abortion.
  • Past abdominal surgery or surgery on the fallopian tubes causing the tubes to block.
  • Building up of endometrial tissues due to the condition known as endometriosis. Growth of such tissues can cause adhesion thereby blocking the tubes.
  • Scaring of the fallopian tubes due to the previous ectopic pregnancy.
  • Infections like Chlamydia and Gonorrhoea can cause pelvic inflammatory disease due to scarring.
  • Scarring caused due to pelvic inflammatory disease.
  • Ruptured appendix.
  • Any other surgery affecting the fallopian tubes.
There is no particular sign or symptom of the blockage in the fallopian tubes other than that of the disorder due to which it is caused. Most of the women are also not aware of this condition. In fact they get to know about it when the causes of infertility are investigated after unsuccessful attempts of getting pregnant naturally. Although, it is one of the factors causing infertility, tubal surgery is an option preferred by fertility specialists for dealing with it. 

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41 Comments
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julie horn.8 years ago
i am due to go for tubal surgery
 
 
 
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Pepe Swift.8 years ago
i have tubal damage due to endometriosis. i am due to have surgery both to remove the endo and also, i hope, to sort out my tubes. it is heartning to read that tubal surgery offers a better chance of pregnancy than ivf, a not much publicied fact!
 
 
 
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Amanda.8 years ago
i believe that you are correct in that it's easier for doctors to send you away in that when the problem should be treated as any other surgical matter. i don't see why they don't try to make you better first and then go to further steps. i mean you probably weren't born this way, so there for it should be treated as any other medical condition.
 
 
 
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robin smith.8 years ago
i have had my tubes tied about a year now. i had some problems with my heart after having my little girl, karley. the only thing i wish i could prevent is bad cramping when it is time for my cycle.
 
 
 
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CLAIRE MCINTOSH.8 years ago
i want my tubes unclamped can this be done
 
 
 
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alexis.8 years ago
i'm 22 years old, i'm due to have my second child in august, and i think i want to have my tubes tied. i don't know much about the surgery or the side effects it may cause, could someone please give me advice.
 
 
 
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Venus.8 years ago
i have endo and i'm 31 my husband and i having been trying to conceive for about 1.5 years i have had two ectopic pregnancies and two laporscopies and my doctor wants to do a laparscopic to remove my left fallopian tube which doesn't look damaged but that's where all of my unviable pregnancies happen at. any advise i hear alot of women talking about tubal surgery what exactly does that entail? i want to thank everyone for sharing their stories its making me feel a 1000% times better and that i'm not alone bless you all and much my prayers are with you :)))
 
 
 
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mel.8 years ago
i just found out that both my tubes are blocked due to severe adhesion on my abdomen. i desperately want to get pregnant but don't know where to start..pls help
 
 
 
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Hayley Campbell.8 years ago
i am 26 and have been trying to conceive for the last 5 years, i had a miscarridge, it then took me 3 years to all pregnant again and it was ectopic,i ended up having my tube removed. after a year of trying again i have been told i have slight scaring on my 1 remaining tube, i am due to have tubal surgery in march this year, any coments or advise would be helpful. thanks hayley
 
 
 
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iwanta4thchild.8 years ago
i am a proud mother of 3 boys. my youngest is 15 months. i had my tubes clamped the day after he was born and have regretted it ever since. i want to get them unclamped. does anyone know how much this procedure is? or what my chances are of being able to conceive after such a reversal? any comments appreciated!
 
 
 
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