The Advanced Fertility Blog

Getting Pregnant With Only One Working Tube

The fallopian tubes may be blocked as a result of a number of issues. If a fallopian tube is blocked, it won’t be possible for an egg from that tube to get fertilized. If only one tube is blocked, getting pregnant with one tube working may be possible. However, if both tubes are blocked, treatment will be needed before it’s possible to get pregnant.

About Fallopian Tube Blockage

The fallopian tubes can be blocked for a number of reasons. Common causes include:

  • Abdominal infection, such as peritonitis or appendicitis
  • Endometriosis
  • Pelvic inflammatory disease (PID), caused by chlamydia, gonorrhea, or other pelvic infections

If your doctor suspects fallopian tube blockage, he or she will perform testing to determine whether or not that’s the case. For example, a dye may be injected through the cervix, and the doctor will evaluate whether or not the dye is able to easily pass through the fallopian tubes.


Each month, one of the ovaries produces an egg, which then passes through the fallopian tube to the uterus. It’s in the fallopian tube that the sperm will fertilize the egg; the egg then travels to the uterus for implantation. If both tubes are blocked, then, there is no potential for pregnancy.

If only one fallopian tube is blocked, it should be possible to get pregnant as long as the ovary is functioning well. For that reason, your doctor will evaluate your ovarian function when getting pregnant with one tube working.


If you unsuccessfully try to conceive for several months to a year with only one tube working, then it may be time to reevaluate your fertility. If you have trouble conceiving naturally, several treatments are possible. Your doctor may prescribe medication to stimulate your ovaries to produce more eggs. There could also be a problem with your partner’s sperm count or motility, so intrauterine insemination (IUI) may be used. If you have tried other treatments without success, IVF may be the solution to your fertility problems.

To schedule a consultation about your fertility, please give us a call at (212) 369-8700 or click below and we will get right back to you.