If you have a condition that has caused damage to one of your fallopian tubes but still have another functioning fallopian tube, then it is possible to get pregnant in most cases. Below, we will explore the basics of fallopian tube blockage and getting pregnant with one fallopian tube, as well as when you should see a doctor for help.
Causes of Fallopian Tube Blockage
In cases where one fallopian tube is blocked or damaged, then there may be only one healthy fallopian tube. The fallopian tubes may be blocked for reasons such as:
- Ectopic pregnancy – An ectopic pregnancy is a pregnancy that occurs outside the uterus, most often in the fallopian tubes. Ectopic pregnancies can scar and block the fallopian tubes, a process which is more likely the farther the pregnancy progressed.
- History of abdominal infection – If you have had an abdominal or pelvic infection, such as a postpartum infection or a perforated appendix, fallopian tube blockage can occur.
- Pelvic inflammatory syndrome – PID is an inflammatory condition that occurs when the reproductive tract is infected. Diseases such as chlamydia and gonorrhea are the most common cause, but infections such as postpartum infection may also be responsible. The more times PID flares up, the more likely a blocked fallopian tube becomes.
- Past tubal ligation – If you had your tubes tied at one point and had the procedure reversed later on, it is possible that some damage occurred to one of the tubes.
Getting Pregnant with One Fallopian Tube
Getting pregnant with only one fallopian tube is a definite possibility, although it can be a challenge in some cases. The reproductive system contains two ovaries and two fallopian tubes, both of which are attached to the uterus. Each month, one of the ovaries matures an egg and releases it into the fallopian tube, where fertilization by a sperm can occur.
If you have one blocked fallopian tube but one healthy fallopian tube, and if the ovary associated with the healthy fallopian tube is functioning properly, then it is still perfectly viable to get pregnant. In fact, some women with a blocked fallopian tube are never aware of the fact because they are able to get pregnant without problems. It may take longer to get pregnant since ovulation does not occur on the same side every month.
When to See a Doctor
If you are not ovulating properly from the ovary associated with the healthy fallopian tube, then you may have difficulty getting pregnant. If you have been trying to conceive for some time without success, it may be time to see a physician, especially if you already know that you have at least one blocked fallopian tube.
It is recommended that most women see a doctor after trying to conceive for 12 months without success. If you have issues such as a history of reproductive problems, a history of multiple miscarriages, or are over the age of 36, then you may consider seeing a doctor earlier on in the process.
There are many possible treatments for getting pregnant with one fallopian tube. In fact, most of the same treatments used to treat typical cases of infertility can also be used if you are struggling to get pregnant with only one tube.
If tests show that you are not ovulating, the first course of treatment is to jump-start ovulation. This can often be accomplished with medications such as Clomid, which has facilitated many women getting pregnant with one fallopian tube. In addition, you may be prescribed injectable fertility medications, which directly stimulate the ovaries to produce eggs.
Sometimes, advanced reproductive technologies (ART) such as IVF may be required to get pregnant, but the majority of women do not need such intensive treatments.
If you are struggling with infertility, Dr. Hugh Melnick would be happy to hear from you. To schedule your consultation today, please click below and enter your information or call Advanced Fertility Services at (212) 369-8700.