Trouble conceiving can be caused by a blockage or damage to one or both fallopian tubes. In order for an egg to be fertilized, sperm must travel through the fallopian tubes to meet the egg. If the sperm and egg cannot meet, fertilization can not occur.
Reasons fallopian tubes may be damaged, blocked or cause infertility:
- STIs- Sexually transmitted infections (STIs) such as chlamydia and gonorrhea have been known to cause damage and scar tissue to form in the fallopian tubes and could be a contributor to infertility. PID (Pelvic Inflammatory Disease) is most commonly caused by the progression of chlamydia or gonorrhea and can cause damage to other reproductive organs as well.
- Ectopic pregnancy- An ectopic pregnancy occurs when a fertilized egg (embryo) implants in the fallopian tube (most common) or other abnormal areas such as ovary or cervix instead of the uterus. An ectopic pregnancy, if caught early enough, can be treated medically with Methotrexate to successfully cause dissolution, or if recognized later, may need to be surgically removed from the fallopian tube before tubal rupture occurs. If one or both fallopian tubes have been removed due to a previous ectopic pregnancy, assisted reproductive technology can still help to become pregnant.
- Tubal Irregularities- Abnormalities in fallopian tubes can be the result of birth defects, previous pelvic surgeries, scar tissue, inflammation, endometriosis, and other less common issues. All of these tubal irregularities potentially can hinder conception.
At your fertility evaluation appointment, we will discuss if you are at risk for tubal issues and discuss next steps to help you conceive. Click here to schedule your appointment.
