In some cases, obstruction of the fallopian tubes can be eliminated, and then pregnancy occurs very soon. But if for some reason this is not possible, IVF becomes the solution to the problem. It is worth analyzing the possibilities and advantages of this method, which is what our article is devoted to.
Is it possible to get pregnant without IVF if the fallopian tubes are blocked?
If the diagnosis is made, first of all, it is necessary to find out the causes of tubal obstruction. The main reasons include inflammatory, tumor, and adhesive processes inside the pipe, as well as in nearby organs that compress it. Therefore, first of all, it is necessary to start treatment under the supervision of a specialist.
When is IVF prescribed for obstruction of the fallopian tubes?
For a patient diagnosed with obstruction of the fallopian tubes, IVF is recommended under the following circumstances:
The treatment did not bring results and did not restore the patency of the fallopian tubes.
Surgery to eliminate obstruction of the fallopian tubes is contraindicated.
Should the fallopian tube be removed?
IVF for obstruction of the fallopian tubes is almost identical to the procedures in other pathological cases, however, more and more doctors recommend removing the affected fallopian tube. This measure increases the chances of a favorable conception if infections are the cause of infertility since the pathology of the fallopian tube can affect the general condition and functioning of the uterus. And this is a threat not only to pregnancy but also to the state of the female reproductive system as a whole.
Among other things, obstruction of the fallopian tubes can cause ectopic pregnancy, and this condition is extremely dangerous for a woman. In most cases, the enlarged fallopian tubes are removed.
It should be noted that even when the patency of the pipe is restored, its properties are violated, especially when it comes to an older woman. An only partial obstruction can be treated, but even with it, the chances of getting pregnant naturally are reduced.
Removal of the affected fallopian tube increases the likelihood of pregnancy during IVF, but subsequently, the woman will never be able to become pregnant naturally. And this is the only negative. Therefore, when deciding on IVF with obstruction of the fallopian tubes, it is very important to undergo a thorough examination and make the right decision.
IVF procedure for blocked fallopian tubes
If the ovaries release viable eggs, there are no obstacles to pregnancy through IVF with obstruction of the fallopian tubes. It remains only to prepare the materials. Let’s consider the IVF procedure in stages, in all detail:
It is performed with hormone therapy and may be required if ovulation does not occur naturally. This procedure is also indicated for older women when egg production is reduced.
With the help of hormone therapy, the mucous membrane of the uterine cavity is prepared – this is necessary to create favorable conditions for fixing the fetus on it.
This procedure is carried out for the collection of mature eggs (according to indications). Ovarian puncture for IVF in case of obstruction of the fallopian tubes is carried out under ultrasound control using microsurgery methods.
Depending on the viability of sperm or eggs, the doctor may prescribe IVF or ICSI. These procedures are the same and are carried out more often for cultivation. However, in the second case, spermatozoa are injected into the egg using a microscopic instrument.
This is an important step that takes time – on the third day, fertilized eggs are examined for anomalies and sorted.
Transfer of an embryo into the uterine cavity
The most viable zygotes are used to transfer embryos into the uterine cavity. The actual procedure takes no more than five minutes, after which the woman needs to be immobile.
What are the chances of success?
How great are the chances of a successful onset and pregnancy during IVF against the background of obstruction of the fallopian tubes, depends on many circumstances. Here are the most common:
The reason for the violation of patency: some pathological conditions affect the reproductive system as a whole, which cannot be ignored.
Woman’s age: Over time, the ability of the ovaries to produce eggs decreases.
Women’s health status: may limit the use of drugs and hormonal therapy.
“Age” of infertility: the longer attempts were made to conceive naturally before adequate treatment or IVF, the less chance of conception and successful gestation.
As a rule, with obstruction of the fallopian tubes, the IVF procedure may be unsuccessful, but pregnancy does not always occur on the first attempt. But, as the medical practice has shown, with each IVF cycle, the chances of pregnancy and bearing a child increase. This is a natural consequence of targeted professional treatment.
Pregnancy with blocked fallopian tubes: what you need to know
It must be understood that the fallopian tube is necessary not only for transporting eggs into the uterus but also for the normal functioning of the female reproductive system. Therefore, its dysfunction or absence inevitably affects pregnancy.
After a successful pregnancy as a result of IVF, with obstruction of the fallopian tubes, the following conditions must be observed:
- attend scheduled consultations accurately;
- undergo medical examinations recommended by the attending physician;
- comply with the prescribed hormonal and drug therapy.
No matter how successful the IVF procedure is, it is worth remembering that even a pregnancy that occurs naturally and proceeds without pathologies requires strict medical supervision. Therefore, it is necessary to strictly follow the instructions of the attending physician.
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