Fallopian Tube Block

When the fallopian tube gets blocked, the sperm cannot get to the egg to fertilize it, and the fertilized egg will not be able to reach the uterus for implantation. When both the fallopian tubes are blocked, it causes infertility. Some of the conditions that can result in a blocked fallopian tube are pelvic inflammatory disease, endometriosis, ectopic pregnancy, fibroids, and abdominal surgeries.

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My HSG report says I have bilateral hydrosalpinx. Will this cause trouble for conceiving?

Query: Hi doctor, My HSG report says bilateral hydrosalpinx noted with a free peritoneal spill on the left side. What does this mean? Can I conceive normally? If yes, then how? I have hypothyroidism, which is under control. I take Eltroxin 100 mcg and 75 mcg on alternate days. Please help.  Read Full »


Dr. R Balakrishnan Menon

Answer: Hi, Welcome to icliniq.com. How are you doing? I have seen your report (attachment removed to protect patient identity). In HSG (hysterosalpingogram), only the right tube looks dilated showing no spill of dye. But the left tube is tortuous and shows the spill of dye very well. Let me explain, the t...  Read Full »

If hydrosalpinx in one fallopian tube is left untreated, will another tube also get affected?

Query: Hi doctor, If hydrosalpinx in one fallopian tube is left untreated, will another tube also get affected?Thanks.  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. The most common causes of hydrosalpinx are pelvic inflammatory disease or pelvic infection. It is advisable to take antibiotics for two weeks before planing salpingectomy. Also, there are high chances that when one fallopian tube is affected, the other tube will ...  Read Full »

Can hydrosalpinx be treated without surgery?

Query: Hello doctor, I have been diagnosed with bilateral hydrosalpinx, and the doctor suggested a bilateral salpingectomy as a treatment option. I just wanted to know the treatment option other than the mentioned one. Kindly help.  Read Full »


Dr. Nikitha Murthy

Answer: Hello, Welcome to icliniq.com. I went through your reports (attachments removed to protect the patient’s identity). Your hysterosalpingogram (HSG) shows dilatation on both sides of the tube with fluid-filled in it. This is called hydrosalpinx. Both the tubes are therefore blocked. ...  Read Full »

After I started trying for pregnancy, my menstrual cycle has become long. Why?

Query: Hi doctor, I am a 25 year old female, and we are trying to conceive from the last six months, but so far no luck. But, I have noticed a change in my menstrual cycle, it used to be very regular and last for 28 days. But, since we started trying for a baby, my menstrual cycle has gotten longer (35 to...  Read Full »


Dr. R Balakrishnan Menon

Answer: Hi, Welcome to icliniq.com. Let me start on a positive note, a young lady of 25 years, whose gynecologist says there is no problem, means she has very high chances of pregnancy. The right time for pregnancy is from 19 to 35 years. Kindly see if the following checklist of investigations has been done...  Read Full »

I am trying to get pregnant for two years. How to achieve it?

Query: Hi doctor, I have been trying to conceive for about 2 years now. My prolactin is 31.8 ng/mL, progesterone is 4.1ng/mL, not opacified left fallopian tube and no free peritoneal spillage of contrast noted. My partner has varicocele. I had a shot of progesterone. Please provide some advice on how we ca...  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. It is evident from HSG (hysterosalpingogram) that you have a left tubal block and only the right tube is patent. Secondly, considering that your partner has varicocele, it is important to get his semen analysis done to check for sperm count and quality if it is adeq...  Read Full »

Does low hCG levels with brown spotting show intrauterine pregnancy?

Query: Hi doctor, My wife has brown spotting and mild abdominal pain since a few days. We did beta hCG test three times, and the results were 257 mlU/ml, 437 mlU/ml, and 657 mlU/ml respectively. Once in a while, she feels a sharp pain on the left side lower abdomen. So, we checked for ectopic pregnancy by...  Read Full »


Dr. Aishwarya Parthasarathy

Answer: Hello, Welcome to icliniq.com. Human chorionic gonadotropin (hCG) is very specific to pregnancy because hCG level when more than 1500 mlU/ml will reveal a pregnancy in a scan. Now you must understand that beta hCG doubles in cases of intrauterine pregnancy once in two days. Since the hCG value is l...  Read Full »

After an abortion, my wife is facing difficulty in conceiving. Why?

Query: Hi doctor, We are trying to conceive for the past two years. My wife had an abortion two years back during the second month of her pregnancy. The doctor said both of our reports are normal (HSG and sperm count). My wife underwent IUI two months back without any luck. She is taking Fertisure F and D...  Read Full »


Dr. Rajesh Deshwal

Answer: Hi, Welcome to icliniq.com. There are many causes for difficulty in conceiving. They are as follows. Intrauterine adhesions. Adhesions around fallopian tube. Genital tuberculosis. Sperm quality. Weight gain. Endometriosis, etc. I would suggest you consult a gynecologist and resolve any of these ca...  Read Full »

I had a large number of clots in my regular periods. Can it be a miscarriage?

Query: Hi doctor, I am 26 years old and sexually active. Last month, I anticipated getting pregnant and hence, was sexually active during my ovulation. I started having funny symptoms like bloating, cravings and headache. I so much felt like I was pregnant. A day before my expected date of the period (27th...  Read Full »


Dr. R Balakrishnan Menon

Answer: Hi, Welcome to icliniq.com. The symptoms you mentioned could be due to pregnancy which may not have been healthy, and we cannot predict. If it had been healthy, you would have had a weak positive urine pregnancy test. So, most probably you were not pregnant. We have other possibilities like pel...  Read Full »

Kindly suggest the symptoms of blocked fallopian tubes.

Query: Hi doctor, My wife has a painful menstrual cycle. Also before marriage, she took Femilon pills for six months for irregular menstrual cycle. We have been trying for a baby for around six months. My sperm analysis report is normal. Her HSG abdomen ultrasound is also normal. Is she having any serious...  Read Full »


Dr. Dattaprasad Balasaheb Inamdar

Answer: Hi, Welcome to icliniq.com. Simply tubes do not get blocked, and even when tubes are blocked, it will not cause any symptom. If there was no history of PID (pelvic inflammatory disease) and no pelvic operation done in the past, then there is no need to worry about tubes. If her menstrual cycles are ...  Read Full »

Can you suggest any alternative medicine for tubal blockage and infertility?

Query: Hi doctor, We have been trying to have a baby, but I have a block in my fallopian tube. As a result, eggs cannot reach the uterus from my ovary. And my endometrium is too thick or too thin at times, so my doctor is also confused. My AMH level is 0.9 ng/mL. I had an abortion four years back and w...  Read Full »


Dr. Alka

Answer: Hello, Welcome to icliniq.com. I have read your query very carefully. You did not mention your previous reports, your age, weight, and other medical histories. Are you taking thyroid medicine continuously? What is your husband's health status? As infertility is a complicated procedure and a lot of f...  Read Full »

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