When one or both fallopian tubes are blocked, it can lead to difficulties in achieving pregnancy. Infections, masses, adhesions, and endometriosis can cause tubal blockage.
There are two fallopian tubes in women, and they must be open and healthy for natural pregnancy to occur. When one or both tubes are blocked, conception becomes difficult. Infections, masses, adhesions, and endometriosis may lead to tubal blockage. The patency of the tubes can be assessed through a uterine imaging test (hysterosalpingography). If one of the tubes is blocked, it may be opened using an endoscopic procedure known as laparoscopy.
When there is a blockage at the ends of the tubes, fluid may accumulate inside, leading to a condition called hydrosalpinx, which can prevent the embryo from implanting in the uterus. The fluid accumulated in the tube may flow back into the uterus, preventing embryo implantation or causing miscarriage after implantation. Therefore, if hydrosalpinx is detected through uterine imaging or ultrasound, the affected portion or the entire tube should be removed via laparoscopy before proceeding with IVF treatment.
Tubal pathologies can negatively affect the success of IVF treatment, and a thorough uterine imaging test can be helpful in this regard. In cases of recurrent IVF failure, careful evaluation of the fallopian tubes is necessary.
