‍Can I do IVF if my fallopian tubes are blocked?

When the first test-tube baby was born, many people were surprised. They were surprised that modern medical technology was so advanced that it greatly solved the practical difficulties of many infertile families. However, IVF also faces many problems, such as success rate, etc. Therefore, whether a couple should have IVF depends entirely on whether the conditions are met. So, can I do IVF if my fallopian tubes are blocked?

Is it possible to ovulate after fallopian tube blockage?

A sister once asked, "My fallopian tubes are blocked on both sides, why do you say I am ovulating?"

We need to know that the fallopian tube and ovary are two independent organs, one is the passage and the other is the place of production. The ovary releases the egg, the fimbria of the fallopian tube picks up the egg, and through the movement of cilia, sends it to the ampulla of the fallopian tube for fertilization.

If the fallopian tube is blocked, at most it will not be able to pick up eggs, but it will not affect the ovulation of the ovaries. It’s just that the egg can’t go to the fallopian tube or the uterus.

Can the fallopian tubes be recanalized?

First, we need to determine whether the blockage is at the proximal or distal end. The part close to the uterus is called the proximal end; the part at the other end of the umbrella that holds the egg is called the distal end.

If the end of the fallopian tube is blocked, it may be due to water accumulation. You can use laparoscopy to cut open the area where the water is accumulated, remove the accumulated water, and then perform plastic surgery to restore the patency of the fallopian tube. The fallopian tube is about 8-12 cm long, and the lumen is very thin, as thin as the ball of a ballpoint pen. If there is water accumulation, the fallopian tube will often be stretched larger, sometimes even up to two centimeters in diameter, which means it has been severely deformed.

How long will it take to get pregnant after re-canalization before trying IVF?

If the pelvic adhesion is very severe, it is generally better to try for three or four months, because the chances are slim and there is little point in trying for too long.

If the pelvic adhesion is not very serious and only the proximal blockage is present, you can try for about a year after recanalization. During this period, the doctor will arrange for ovulation induction, natural conception or artificial insemination. If you still cannot get pregnant, you can consider in vitro fertilization.

Doctors generally recommend that sisters with pelvic adhesions try for about half a year after restoration of cannulation before considering IVF.