Can implantation bleeding occur in a woman with a blocked fallopian tube?

Question

Hi doctor,

I have been trying to conceive and was diagnosed with a blocked fallopian tube (one was blocked, and the other was not visible on the X-ray). The doctor said that it could have resulted from the infections or lack of evacuation from past miscarriages. Later, I spotted dark and brownish blood scantily and inconsistently for three days to nine days after ovulation and had several pregnancy symptoms. I had missed periods for one week then my period came. I experienced the same thing after three months, but this time missed my period for 11 days. Before bleeding, I had stomach pains. My question is, can I have implantation bleeding if the fallopian tube is blocked?

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your feelings.

1. Have you taken a thrombophilia screen? If not, you should take the test due to a history of multiple consecutive miscarriages.

2. I suggest you take a complete check and treatment of any health issue you have. Blood sugar levels should be normal, and thyroid function tests should be normal.

3. Take Folic Acid continuously at 5 mg daily.

4. My advice is that if you feel pregnancy symptoms are overdue, take serum beta hCG (human chorionic gonadotropin) (blood pregnancy test) immediately to check your pregnancy status to know whether pregnancy or you have prolonged cycles or irregular cycles. If you have a positive pregnancy test and then bleeding, there could only be the possibility of miscarriage or threatened miscarriage. If spotting, then it could be an implantation bleed.

5. Eat a healthy diet low in salt, sugar, oil, and spice, and try to have a normal BMI (body mass index) and weight.

6. Have sex in the fertile period of the cycle.

7. Do recreational activities and quit recreational drugs, as these reduce fertility and can give congenital anomalies to developing fetuses.

8. I suggest you take a transvaginal scan. On day two of periods, have serum prolactin, testosterone, insulin, progesterone, luteinizing hormone, and thyroid function test.

9. Collect blood tests and discuss them here or with a local gynecologist.

10. You can have IVF (intrauterine insemination if the period is irregular and prolonged).