Fallopian Tubes:

Fallopian tubes play a vital role in the fertilization process. The fallopian tubes are where the egg and the sperm meet and the egg are fertilized. The egg then travels through the fallopian tube, to the uterus to implant and grow. 

We receive a lot of questions from patients and from our social media about fallopian tubes and pregnancy.

  • Can I get pregnant after having a tubal ligation?
  • Can I get pregnant with only 1 fallopian tube?
  • Can I get pregnant without either of my fallopian tubes?

We have compiled all the answers to your questions in one blog, to serve as an informational guide for you.

 

Fallopian Tube Obstruction:

When a woman has blocked fallopian tubes, conception can be almost impossible and places her at risk for an ectopic pregnancy. A blockage can be in one or both fallopian tubes. When a blockage exists, sperm cannot reach a viable egg waiting in the fallopian tube to become fertilized. 

 

Blocked Fallopian Tube Causes:

The following conditions, surgeries, or diseases may be the cause of a blocked fallopian tube

  • Endometriosis – When a woman has endometriosis, the tissue that normally forms within the uterus develops outside the uterus. This can cause cysts and scar tissue to form around the fallopian tubes.
  • Fibroids – Fibroids are noncancerous growths that develop within the fallopian tubes, causing obstructions.
  • Tubal Ligation – A form of permanent birth control; some women have their tubes tied to prevent pregnancy. 
  • Pelvic Inflammatory Disease – Infections of the pelvis could cause scar tissue leading to obstruction of the fallopian tubes. 
  • Prior Abdominal or Pelvic Surgery – Surgical procedures can potentially lead to the formation of scar tissue that negatively impacts the fallopian tubes. 
  • Prior Ectopic Pregnancy – If you have had an ectopic pregnancy in the past, it could lead to damage and blockage of the fallopian tubes.
  • Certain Sexually Transmitted Diseases – STDs, such as gonorrhea and chlamydia can lead to pelvic inflammation, scar tissue, and obstruction of the fallopian tubes. 

IVF circumvents the fallopian tubes by surgically retrieving and fertilizing an egg in vitro – a controlled laboratory setting. The resulting embryos are cultured in vitro and monitored for quality development before being transferred to a woman’s uterus for implantation into her uterine lining – or – cryopreserved for later FET (Frozen Embryo Transfer).

 

Tubal Ligation and Pregnancy:

Tubal ligation is a surgical procedure, where the fallopian tubes are either blocked or cut to prevent pregnancy. This procedure has also been referred to as “getting your tubes tied”. Tubal ligation is a permanent form of birth control, and can oftentimes be reversed.

Some women decide to have a tubal ligation after pregnancy or before having children. There have been cases where women want to get pregnant after having a tubal ligation. There are a few options if you want to get pregnant after tubal ligation:

  • Undergo a reversal surgery.
    • Although the reversal is not always successful, about 50%-80% of women can become pregnant after having their fallopian tubes reattached. 
  • Undergo IVF.
    • Patients who have had their tubes tied have a higher chance of getting pregnant through IVF because nothing needs to travel in or out of the fallopian tube.

 

Pregnancy with One Fallopian Tube:

Pregnancy with only one fallopian tube is possible. The fallopian tube is where the sperm meets the egg. As long as a woman has one fallopian tube that is open and functional, it can receive an egg from either ovary and become fertilized. Although pregnancy is possible, a decrease in fertility should be expected with just one fallopian tube. 

 

Fertility with No Fallopian Tubes:

There have been cases where women with no fallopian tubes are looking to become pregnant. A woman may have had her fallopian tubes removed for various reasons:

  • Ectopic pregnancy 
  • Endometriosis 
  • A severe infection
  • Prevention/treatment of ovarian cancer

Regardless of having no fallopian tubes, a woman can get pregnant with no fallopian tubes, but you will require fertility treatment. 

With IVF treatment, a woman without fallopian tubes will be able to become pregnant. During the IVF process, the egg is collected from the ovary and fertilized with sperm in vitro or outside of the body. The fertilized egg is then fertilized and implanted into the uterus to grow. 

Choose New Hope:

New Hope offers the following IVF treatments that can help women with obstructed fallopian tubes, women with one fallopian tube, and even women with no fallopian tubes:

New Hope Fertility Center is the home to a patient-focused fertility care team that is dedicated to helping all patients. Our fertility specialists have helped many patients who were suffering from fallopian obstructions and even infertility due to having one fallopian tube. With our customized IVF protocols, we can successfully help you on your journey to parenthood.

If you have fallopian tubes that are obstructed or missing one or both fallopian tubes and are considering pregnancy, schedule an initial consultation with one of our fertility specialists today! You can visit our website or call us at (212) 517-7676.