Tubal Factor

Tubal Factor

I like to refer to the fallopian tubes as small but mighty. They are so small that they cannot be seen during a normal pelvic scan; a more specialized kind of x-ray is used to examine them.

The fallopian tubes are tubes that allow the passage of eggs from the ovaries to the uterus. They are also the structure that transports the egg to meet the sperm after sexual intercourse.

Tubal factor infertility occurs when there are adhesions or blockage in the fallopian tube which prevents the egg released during ovulation from meeting the sperm.

There are different types of tubal blockages depending on the location of the blockage.

* Proximal tubal blockage: This blockage occurs very close to the uterus

*Mid-segment blockage: Blockage at the middle of the tube

*Distal blockage: Blockage located far from the uterus


*Untreated infection which results in a pelvic inflammatory disease (PID)

*Retained pregnancy tissue during a miscarriage

*Ectopic pregnancy

Unfortunately blocked tubes do not have any symptom, the only way to know their patency is by undergoing a procedure called hysterosalpingography; popularly known as hsg.

Treatment can be done surgically to open the tubes depending on the severity and location of the blockage.

Doctors sometimes recommend cutting of the tubes (tubal ligation) when they are damaged beyond repair. Conception in this case can only be achieved through intro vitro fertilization (IVF)

Fallopian tube obstruction, illustration. Adhesions are blocking the fallopian tubes.