Every woman once feels an irresistible desire to become a mother, to press a defenseless lump to her chest, to see herself reflected in his eyes. But, unfortunately, in order to have a child, one desire is not enough. You also need good health. Sometimes women have to remove the tubes. What happens then? Is it possible to get pregnant with one tube and without them at all?
The structure of the female reproductive system
First of all, you should understand what the fallopian tube is for in order to answer an exciting question. So, the female consists of the vagina, and the ovaries. The fallopian tubes with ovaries make up the appendages of the uterus. The latter is usually protected by a mucous plug, which prevents sperm from entering it. This cork softens during ovulation and menstruation. During these periods, spermatozoa are able to penetrate from the vagina into the uterine cavity. The egg begins its journey from the ovary and travels through the fallopian tube to the uterus, where it contacts the sperm. That is, the fallopian tube is the only place where the egg and sperm meet.
So, if a woman has one tube removed, is it possible to get pregnant? Undoubtedly yes! But the chances are reduced by 50%, since only one ovary releases a mature egg per cycle. This means that not every month an egg will be released by the ovary that has the fallopian tube.
When can a woman lose her fallopian tube?
The fallopian tubes are removed when the patient's life is threatened. This happens in several cases:
- Ectopic pregnancy. The sperm cell fertilizes the egg in the fallopian tube. And from there, already fertilized, it moves into the uterus. But it happens that some reasons do not allow her to complete her journey. As a result, the embryo begins its development in the tube. As it enlarges, the tissues will stretch and tear, causing severe pain and bleeding.
- Inflammatory processes in the tissues of the pipes may lead to the need for their complete or partial removal.
- Adnexitis. Disease associated with the uterus. Most often it is caused by pyogenic bacteria. If the disease is started, infertility may develop or there will be a very difficult course of pregnancy.
- Filling pipes with liquid.
- The fallopian tubes have changes in their structure.
Is it worth it to remove them?
Concern about whether it is possible to get pregnant with one fallopian tube raises doubts. Is it worth taking such a step? But be sure: the doctor will not prescribe an operation without a good reason.
Removal of the tube is carried out in case of danger to the life of the patient, such as an ectopic pregnancy of more than 4 weeks. In the case of severe inflammation, a damaged tube will interfere with the bearing of the fetus, since microbes will constantly enter the uterus from it.
How difficult is the operation?
After the appointment of the operation, the doctor will definitely answer the question of whether it is possible to get pregnant with a removed fallopian tube, and tell you how much it complicated operation. Currently, laparoscopy is used to perform it. That is, the patient will not make a large incision, but only two small holes. This method is the least traumatic. It takes about one week for patients to recover.
Tube obstruction
Quite often obstruction develops fallopian tubes if a woman suffers from inflammation of the appendages. As a result, an adhesion is formed - an area covered with thin connective tissue. If there are many of them, the lumen of the fallopian tube will simply be blocked or the walls will stick together.
As a result, the egg is blocked and cannot be fertilized. Can you get pregnant with one blocked tube? Yes, if the ovaries do not have pathologies and there is a second tube.
The most common causes of the disease:
Sexually transmitted infections;
artificial termination of pregnancy;
Operations on the pelvic organs;
Ectopic pregnancy.
What to do to solve the problem?
How to deal with obstruction of the fallopian tubes?
First, you can leave everything as it is. Obstruction does not threaten the life of a woman. Most often, she does not even know about her diagnosis, if there are no problems with pregnancy.
Secondly, you can remove the obstructed pipe. Usually this is done only in the case of aggressive inflammatory processes in it.
Thirdly, an impassable pipe can be "glued". To do this, use specialized equipment, namely the da Vinci robot. With its help, the surgeon dissects the adhesions and eliminates the problem.
Chance of conceiving with one tube
Is it possible to get pregnant with one right tube or the left if an obstruction is found in it? In this case, the woman has several options - artificial insemination or rehabilitation of the problem area.
Is it possible to get pregnant with one tube if all other functions are in order? In this case, the long-awaited event will definitely come, you just need to wait.
How to conceive a child in the absence of one fallopian tube
The presence of not all reproductive organs suggests some problems with conception. Therefore, the doctor must first check the safety of the function of childbearing. For this you need:
Check for ovulation
Identify possible risks;
Eliminate possible threats;
Carry out treatment.
After these procedures, it will become clear whether it is possible to get pregnant with one fallopian tube in a particular case.
Checking for ovulation
Every month, an egg matures in one of the ovaries, which is released into the fallopian tube. There it is fertilized by a spermatozoon and stays until the fifth day of embryo development. After that, the embryo enters the uterine cavity and attaches to its mucous layer. If a woman has a disorder menstrual cycle, then, perhaps, the egg does not have time to mature.
First of all, it is necessary to measure the basal body temperature. It rises at ovulation by 0.11 degrees Celsius. In addition to this method, use ovulation tests.
Possible risks
Can you get pregnant with one tube? Available only perfect health future mother. If the tube was removed along with one ovary, then there is a doubling of the load on the second. Because of this, the cycle becomes irregular, and reproductive function is sharply reduced.
Against this background, the risk of having a child with a chromosomal abnormality increases. This is mainly due to Down syndrome. The second risk is an ectopic pregnancy. Therefore, ultrasound is prescribed in the early stages.
Possible threats to conception
There are no specific risks after removal. Only if there is an obstruction or problems with the second ovary, then the chances of spontaneous conception are reduced to zero. With the normal functioning of the remaining appendages, you should not even wonder whether it is possible to become pregnant after removing the tube.
Treatment when planning conception
After an examination and determination that there is no threat to pregnancy, the couple is given a year to try to conceive a child on their own. If this does not happen, therapy begins. They stimulate ovulation, check the partner's sperm and the like.
They can also resort to IVF. The procedure is also performed for women with one ovary. In this case, resort to enhanced stimulation of ovulation.
What threatens the absence of two fallopian tubes?
Sometimes women have to agree to the removal of both fallopian tubes at once. Even before the operation, such a patient may develop depression, especially if she does not have children. Even that woman, for whom the presence of offspring is not very important, will surely feel hurt.
But should you panic? Can you get pregnant without tubes? Do not amuse yourself with empty hopes: independent conception is impossible in their absence or obstruction. But the chance to become a mother remains. To do this, resort to modern methods.
How IVF is done
IVF is an artificial insemination procedure in which a woman's egg and a man's sperm are taken. Fertilization is carried out by a doctor, and then the resulting embryos are planted in the uterus of the expectant mother. IVF is a chance to become parents for couples who for some reason are deprived of this opportunity, because for sure many of them asked themselves the question “Is it possible to get pregnant with one tube?”.
Preparing for artificial insemination takes a lot of time and places a great responsibility on future parents. First of all, a woman should take care of her own health.
It is recommended to get rid of excess weight, cure infections, if any. And no less important factor is to set yourself up for a positive result. Nervousness, anxiety - all this affects negatively general condition women and can become an obstacle to carrying embryos. For a good mood, doctors advise walking more, watching good films and smiling.
When the tests show the readiness of the body, the doctor prescribes hormonal drugs that promote stimulation. You should follow the recommendations of the specialist very precisely, because the result will largely depend on your organization.
The next step is egg retrieval. A woman is immersed in anesthesia on a short time. After the procedure, the embryologist immediately starts to work, and a week later the embryos are planted in the woman's uterus. After that, it remains to be seen whether they take root. The exciting period lasts 3 weeks. At this time, it is recommended not only to rejoice and dream of a wonderful future, but also to tune in to a possible failure so that it is not a strong blow and you do not give up. It is noted that in the vast majority of cases the first attempt does not end with a positive result.
Like not expecting a baby
It is already clear whether it is possible to get pregnant with one left tube or right one. But how to accept that pregnancy will not come instantly, and not wait for a delay every cycle? Experienced women in this matter are advised to let go of the situation, and then everything will happen. Just accept yourself as such, learn to consider your behavior as normal in this segment of life, and do not be shy about your problem. Don't forget to tell yourself that everything will work out. Medicine is making huge strides forward and giving women more and more opportunities to become mothers.
The uterine or fallopian tubes are one of the elements of the female reproductive system that transports a fertilized egg to the uterus. Pregnancy without tubes in a natural way is impossible, but it is quite acceptable if at least one of them is present, or if an artificial insemination procedure is performed.
Functions and obstruction
They are a paired organ located in female body on both sides, symmetrically to each other, and connect the ovaries to the uterus. The egg matures in the follicle, and after reaching its maturity and rupture of the membrane, it penetrates into the fallopian tube, where it is fertilized by the sperm. Then, the cell divides and grows within a week, after which, already at the stage of the embryo, it enters the uterine cavity.
The most common pathology is obstruction. With a similar disease, normal pregnancy is diagnosed in only 5% of women. In most cases, an ectopic pregnancy occurs, requiring its artificial interruption, through surgical intervention. Otherwise, rupture may occur and internal bleeding may occur.
Initial treatment for obstruction medicines, and in the absence positive result required surgical intervention. Having decided on the operation, it is important to understand that a natural pregnancy after the removal of the tubes is impossible. Then the only way to have a baby is the IVF procedure, in the absence of fallopian tubes.
Sometimes, due to medical reasons, or at the request of a woman, for example, during surgery caesarean section, they are bandaged. In this case, due to poorly performed manipulations, with a minimal, almost zero probability, a natural pregnancy may occur. But, if you want to have a baby, you can carry out the IVF procedure with your tubes tied.
Artificial insemination in the absence
For entry into the protocol, their is not a contraindication. After the removal operation, the woman is left without tubes.
Is it possible to do IVF without fallopian tubes? With in vitro fertilization, the presence or absence does not matter, since they are not involved in the procedure. To a certain extent, their absence contributes to a more successful implantation of the embryo. This is due to the content of fluid that prevents the embryo from staying in the uterine cavity, which is why pregnancy does not occur.
IVF after removal of the pipes is carried out according to the same scheme as if they were present. The patient undergoes a full examination, tests, and based on the data obtained, treatment is prescribed.
If the cause of infertility is a tubal factor, IVF may be successful the first time or the second time, since the fertilized egg is transplanted immediately into the uterine cavity, bypassing the previous steps. The positive chances of IVF with one tube are the same as with two, or none at all.
Removal before protocol
It has been observed that in patients diagnosed with obstruction, the success rate of embryo transfer varies. Studies have shown that hydrosalpinx disease plays a significant role in the result of the procedure, which, when the embryo is transplanted, almost halves the chances of pregnancy.
Do tubes need to be removed before IVF? If the patient had several attempts at an unsuccessful protocol, then the removal of the tubes before IVF will solve the problem of embryo survival in a positive way. Mothers who have managed to get pregnant after repeated unsuccessful attempts, in most cases, note that this happened after the removal operation.
According to statistics, mothers who removed tubes before IVF were able to give birth to a child in 60% of cases, against 25% of women who did not agree to the operation.
When can I do IVF after removal? Recovery period after surgical intervention usually is 2-6 months. For each patient, the time of entry into the protocol after surgery, the attending physician specifies individually.
Is it possible to do IVF without removing the tubes? The decision to remove is taken only by the woman. But, it should be remembered that the chance for a successful embryo transfer after the operation is much higher than before it, since the focus of infection that interferes with the normal development of pregnancy is removed. This is especially true if hydrosalpinx is diagnosed, which increases the risk of a negative result.
Today, almost every woman has a chance to give birth to her own child. Since cases of pregnancy in a natural way, in the absence of tubes, are impossible, attention should be paid to the procedure of artificial insemination. This is the only opportunity to experience the feeling of motherhood in a situation like this.
Hello Olesya!
The fallopian tubes in a woman’s body perform a very important function, it is through the fallopian tubes that the egg moves when the follicle bursts, during the period of ovulation in a woman, the egg goes straight into the fallopian tube, moreover, most often the fertilization of the egg occurs in the fallopian tube.
Spermatozoa also move towards the egg through the fallopian tube, if the egg and sperm meet, then fertilization occurs. Violation of the functionality of the fallopian tubes can cause infertility. For example, as a result of some inflammatory diseases of the uterus, adhesions may develop in the fallopian tubes, in such a situation there is a high risk of either infertility or ectopic pregnancy.
In addition, quite often the reason for the removal of the fallopian tubes is precisely an ectopic or “tubal” pregnancy. A woman's ovaries ovulate alternately, that is, in one cycle, for example, ovulation occurs in the right ovary, and in another cycle - in the left, when one fallopian tube is removed, a woman has a chance of pregnancy in a natural way, but they are significantly reduced when both fallopian tubes are removed. tubing the chances of pregnancy in a natural way, wound virtually zero.
Pregnancy is impossible due to the fact that the egg and sperm cannot meet, the egg during the period of ovulation cannot enter the fallopian tube, because, it simply does not exist, the sperm cannot reach the egg and fertilize it.
Removal of the fallopian tubes is an extreme measure and is quite used for women of reproductive age who do not have children, but nevertheless, if such a procedure has been carried out, then pregnancy is possible only with the help of Extra Coronal Fertilization or, in other words, IVF.
Tubing is also used in gynecology as a means of contraception, in some cases, the procedure may not be effective enough for certain reasons, for example, in this case, the likelihood of pregnancy in a natural way still remains.
The preservation of the fallopian tubes and their integrity is a rather, not unimportant fact when planning a pregnancy, if the patency of the fallopian tubes is impaired, if the fallopian tubes are partially or completely absent, then the question of pregnancy may be called into question, if the woman’s fallopian tubes are removed, she is automatically diagnosed with infertility, and this kind of infertility is not subject to medical or surgical treatment.
If, in case of violation of the integrity of the fallopian tubes, theoretically, the chance of pregnancy in a natural way, after adequate treatment, nevertheless, remains, then in the absence of fallopian tubes, a woman has a chance of pregnancy only after IVF.
The level of modern medicine is quite high, but despite this, in the absence of a woman's fallopian tubes, pregnancy in a natural way is definitely considered impossible, depending on your preferences, you can contact the gynecology and ask to be registered for infertility and on the waiting list for the IVF procedure or give preference to surrogate motherhood.
Sincerely, Veronica.
Recently, more and more women have to hear about the obstruction of the fallopian tubes. You may never encounter this problem, but it's important to be aware of it.
Obstruction of the fallopian tubes is a condition when, for one reason or another, an egg released from a ruptured follicle cannot reach its goal and descend into the uterus.
“I have blocked fallopian tubes. How to get pregnant? - this is the question gynecologists often hear in their office.
Normally, a woman has two tubes that run from the uterine muscle to the ovaries. It is through this passage that the female cell moves after ovulation. Fertilized or not, she achieves her goal. If this does not happen, it may be a blockage of the passage.
Signs of obstruction of the fallopian tubes
By itself, this disease does not make itself felt. It practically does not affect the life and health of a woman. It is worthwhile to understand in more detail what is obstruction of the fallopian tubes, how to determine its presence.
Pain in the lower abdomen
One of the indirect symptoms of blockage of the fallopian tubes is the discomfort that appeared after the inflammatory process. In this case, adhesions could form - thin films that glued together already thin passages.
Prolonged infertility
If a woman leading a regular sexual life without the use of contraceptives, cannot become pregnant for a long time, there is a suspicion that there is an obstruction of the fallopian tubes. For a more accurate diagnosis, other factors that may interfere with the onset of conception are first excluded.
When confirming such a pathology as obstruction of the fallopian tubes, no one will tell you how to get pregnant without treatment. That is why medical correction of this disease is necessary.
Diagnostics
How to find out about the presence of obstruction There are several methods for diagnosing this pathology.
Ultrasound procedure
A rather unreliable method by which one can only assume the presence of adhesions in the abdominal cavity by the displaced position of the organs.
Hysterosalpingography (metrosalpingography)
During this study, a catheter is inserted into the woman's uterus, through which a liquid that has a certain color enters. If the contrast agent has passed from the tubes into the abdominal cavity, then they are passable.
This procedure is carried out under the control of ultrasound or
Laparoscopy (or fertiloscopy)
This diagnostic method involves manipulation through incisions in the abdominal cavity or vagina. The advantage of this method is that if a pathology is detected, it can be immediately corrected.
Treatment
Of course, like any other pathology, obstruction of the fallopian tubes requires medical correction. An examination should be carried out as early as possible and an appropriate tactic should be chosen. There are several ways to cure blocked fallopian tubes.
conservative method
Usually, if an inflammatory process is detected, it is eliminated by taking the necessary medications. After that, the patient is prescribed anti-adhesion drugs and physiotherapy procedures aimed at resorption of thin films in the female tubes.
It should be noted that this method is effective only when the age of adhesions does not exceed six months.
Perturbation (hydroturbation)
This method of medical correction is rather outdated, but it is still carried out in some institutions. It can also be quite painful for the patient.
The essence of the manipulation lies in the fact that a woman who is on a tube is inserted into the uterus, air or a special liquid is supplied through the catheter. Under strong pressure, the fallopian tubes straighten, and an independent rupture of adhesions occurs. Manipulation is carried out under the sensor.
The disadvantage of this method of treatment is that there may be a strong stretching of the fallopian tubes and displacement from their usual place.
Surgical method
If, after conservative treatment, the woman does not feel better or pregnancy continues to be absent, surgical correction is indicated. With the diagnosis of “Obstruction of the fallopian tubes”, the operation can be performed in two ways:
- laparoscopy;
- laparotomy.
Both the first and second treatment options are performed under general anesthesia of the body.
Laparoscopy is a microsurgical operation. A camera is inserted into the patient's abdominal cavity, thanks to which the doctor sees everything that happens on the screen. With the help of additional incisions, manipulators are introduced into the abdomen, which dissect the adhesions. If the films have formed in the center of the tube, the surgeon cannot physically reach the desired area. In this case, the fallopian passages are dissected in two places, after which the blocked area is removed, and the healthy ends are sutured.
Laparotomy is a more traumatic operation. During its implementation, a horizontal or vertical incision is made in the lower abdomen, after which the doctor finds the adhesions formed and dissects them.
The prognosis after the surgical treatment is favorable, but the effect of the manipulations does not last long. After a year, repeated adhesions may appear. That is why a woman is recommended to start pregnancy planning as soon as possible after the obstruction of the fallopian tubes has been eliminated. Folk remedies, however, also cannot be discounted, although you should be careful with them.
What does traditional medicine offer?
Many healers and grandmothers claim that a variety of decoctions and tinctures can cure such a pathology. Herbs such as chamomile, boron uterus, red brush are frequent companions of patients with obstruction of the fallopian tubes.
It is worth recalling that the neglect of medicine and the advice of a doctor in favor of folk remedies can turn into quite deplorable consequences and complications. That is why you should not take a variety of tinctures and decoctions in order to cure obstruction of the fallopian tubes without the recommendation of a doctor.
The fallopian tube is the organ in which the egg is fertilized. Very often, during an ectopic pregnancy, a woman has one organ removed. Therefore, some of the fair sex are interested in the question of whether it is possible to get pregnant without tubes.
Possibility of conception
If one fallopian tube remains, then you can get pregnant. But the chances are greatly reduced. After all, the probability that the egg will mature in the right ovary is only 40%.
This is due to the fact that 1-2 anovulatory cycles per year are the norm. Pregnancy is possible only in the case of the patency of the remaining organ and the mobility of its cilia. If there are adhesions or inflammation, then pregnancy may not occur.
Is it possible to get pregnant naturally?
No, pregnancy is not possible. Indeed, in this case, the full-fledged work of the entire reproductive system is disrupted. The fallopian tubes perform the following functions: 
- ensure the fusion of male and female cells;
- transfer the zygote to the uterus after fertilization.
In the absence of organs, the meeting of sperm and egg is impossible, so conception does not occur. Unfortunately, doctors do not yet have the tools and materials for the restoration or transplantation of these organs. After all, it is a very thin and fragile organ that has a complex structure. Sometimes, even after the restoration of patency, pregnancy does not occur due to the immobility of the cilia.
How to conceive a child without tubes?
There is only one way to get pregnant in this case - IVF. With artificial insemination, the presence of fallopian tubes is optional.
Before fertilization, a woman takes a whole list of hormonal drugs. This is necessary so that not one egg, but several, has matured in the ovaries. After they are removed, the woman continues to take hormones. In the second phase of the cycle, progesterone is prescribed, which loosens the uterine mucosa. This is necessary for the successful implantation of the fetal egg.
The egg is removed from the ovary and combined with sperm in a test tube. A few days later, the embryo is transferred to the uterus. Unfortunately, such an operation does not always end in pregnancy. After all, it is possible that the walls of the uterus are not able to accept the fetal egg.
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