A blocked tube or tubes can be a common cause of infertility in women. A blocked fallopian tube can be caused by pelvic inflammation, endometriosis or other conditions affecting the pelvic area. Pelvic inflammatory disease is the most common cause of tubal blockage.
A hydrosalpinx is a term referring to a fallopian tube that is blocked and filled with fluid. This fluid can cause the fallopian tube to swell up and dilate to a larger size than it was meant to be. Removal of the blockage can be necessary to save the fallopian tube and possibly restore fertility.
Many women are unaware that they may have a hydrosalpinx until they seek infertility treatment by an infertility specialist. In the diagnostic phase of infertility treatment, a hysterosalpingogram (HSG) test or ultrasound can show the hydrosalpinx. Laparoscopy is also used for many infertility problems and a hydrosalpinx may be discovered during an unrelated or exploratory laparoscopic procedure.
Neosalpingostomy is the type of surgery used to repair a blocked tube or tubes. It is common for a blocked fallopian tube to be adhered to an ovary or other surrounding organs with scar tissue or adhesions. Neosalpingostomy is a laparoscopic procedure and can be used to free the tube. Blockages may also be removed using the laparoscope. If the surgery is a success, then fertility can be restored. This is, of course, if the hydrosalpinx is the only cause of infertility.
This is a delicate surgery and it needs to be performed by an experienced and skilled surgeon. Inquire about success rates and experience before you decide on an infertility specialist or Reproductive Endocrinologist to perform your neosalpingostomy.
If the fallopian tube or tubes need to be removed, there is still a high pregnancy success rate by the use of in vitro fertilization (IVF). Leaving the hydrosalpinx in place could compromise your IVF efforts. Some believe that the fluid in the tube can leak into the uterine cavity having some effect on the pregnancy. The affected tube or tubes are sometimes completely removed or cut free from the uterus to improve the success rates of IVF attempts.
Tubal infertility is treatable and the treatments have come a long way. In vitro fertilization success rates vary from center to center, so in addition to inquiring about laparoscopic surgery and tubal blockage success rates, you may also want to research IVF success rates. These two things can increase your chances of choosing an infertility specialist that is right for you with the experience and expertise in this area to help you be on your way to the best infertility treatment available.
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