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Our Health Library information does not replace the advice of a doctor. Please be advised that this information is made available to assist our patients to learn more about their health. Our providers may not see and/or treat all topics found herein. You may want to have a say in this decision, or you may simply want to follow your doctor's recommendation. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them. Get the Compare Your Your Quiz Your Summary There are several types of surgery to fix blocked fallopian tubes. The type of surgery you have will depend on the type of blockage, where it is, and how bad it is. Surgery may be done to: These surgeries are usually done through a small incision (laparoscopically). The success of fallopian tube surgery depends in part on the location and extent of the blockage. It may also depend on whether you have other fertility problems or pelvic conditions. Talk to your doctor about their success rates with any procedure you are considering. Fallopian tube surgery may or may not lead to a healthy pregnancy. For women age 35 or older, perhaps the greatest risk is the time it takes to recover from surgery and then try to get pregnant. If you want to try only tubal surgery, the sooner you begin, the better. If you are thinking about having IVF with your own eggs, you may want to start IVF as soon as possible, rather than having surgery. During in vitro fertilization (IVF), a woman's eggs are mixed with a man's sperm in a lab. The resulting embryo or embryos are then transferred into the uterus. Your doctor can use your eggs and sperm for IVF, or you can try donor eggs or sperm if needed. Most women begin the IVF process by having daily hormone shots to grow multiple eggs. This is called superovulation. The eggs are then collected, either through a needle guided by ultrasound or laparoscope. The best-quality eggs are fertilized with sperm, and the best embryos are placed in the uterus. Then you have a series of hormone shots to support the first days of pregnancy. Some women choose to use their own eggs naturally and not use superovulation. In vitro fertilization (IVF) was first used for women with no fallopian tubes. Now this procedure is also used to treat people whose infertility is caused by: The success of IVF depends on many different things, including age, the cause of infertility, whether the woman has given birth before, and whether the woman's own eggs or donor eggs are used. Talk to your doctor about what to expect based on these and other factors. In vitro fertilization (IVF) can be emotionally and physically demanding. You need to have several procedures to produce and collect eggs and then to transfer embryos. IVF increases the risks of multiple pregnancy and severe ovarian hyperstimulation syndrome, which can be deadly. Your doctor can reduce this risk by closely checking your ovaries and hormone levels. If you choose IVF, talk to your doctor about how to reduce your risk of multiple pregnancy. Your doctor might recommend surgery on your fallopian tubes if: Your doctor might recommend IVF if: Compare What is usually involved? What are the benefits? What are the risks and side effects? These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions. Since we learned that I have blocked fallopian tubes, we've been going back and forth about what to do. Time is ticking away, so we need to act soon. I've decided that I'm willing to have surgery and keep trying to conceive for a year. My hormone tests tell me that I'm still fertile, and who knows—maybe we could actually have more than one child after fixing the problem. If not, we're considering adopting. Karen, age 36 I was shocked to learn that my fallopian tubes were so badly damaged by the chlamydia infection I had a few years ago. My doctor says that we can try surgery to repair the tubes, but that my best bet is trying in vitro fertilization. We can't possibly afford in vitro fertilization, and we're lucky that my health insurance will cover the surgery, so I'm going to have the surgery and see if it helps. Marianna, age 26 Now that we're ready to have a child, we're really ready! We don't care what it takes. Our doctor tells us that in vitro fertilization is really our only choice, considering my age. By the time I have my tubes repaired and start trying to get pregnant, I'll be too old to have any other options if that doesn't work. So, we're going to go for it and do the in vitro fertilization. We figure we'll try it three times and hope one of them takes. Teri, age 39 I'm told that I have a small blockage in one of my fallopian tubes that can be treated without surgery. The doc says she can put a little plastic catheter in my fallopian tube to open up the blockage, and I have a good chance of getting pregnant after that. Anne, age 30 Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements. Reasons to have surgery Reasons to have IVF I want to have surgery and then wait and see if I can get pregnant. I don't want to take the time to see if surgery will work. I don't want to go through a fertility treatment each time I want to get pregnant. I want to get pregnant as soon as possible, even if I have to do IVF each time I want to get pregnant. I'm scared of having a bad problem from the hormones in IVF. I'm not worried about side effects from taking hormones. I don't mind paying for the one-time cost of surgery. I'm worried about the cost of IVF. I can't afford to have IVF each time I want to get pregnant. My other important reasons: My other important reasons: Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning right now. Having surgery Having IVF Check the facts Decide what's next Certainty 1. How sure do you feel right now about your decision? Here's a record of your answers. You can use it to talk with your doctor or loved ones about your decision. There are several types of surgery to fix blocked fallopian tubes. The type of surgery you have will depend on the type of blockage, where it is, and how bad it is. Surgery may be done to: These surgeries are usually done through a small incision (laparoscopically). The success of fallopian tube surgery depends in part on the location and extent of the blockage. It may also depend on whether you have other fertility problems or pelvic conditions. Talk to your doctor about their success rates with any procedure you are considering. Fallopian tube surgery may or may not lead to a healthy pregnancy. For women age 35 or older, perhaps the greatest risk is the time it takes to recover from surgery and then try to get pregnant. If you want to try only tubal surgery, the sooner you begin, the better. If you are thinking about having IVF with your own eggs, you may want to start IVF as soon as possible, rather than having surgery. During in vitro fertilization (IVF), a woman's eggs are mixed with a man's sperm in a lab. The resulting embryo or embryos are then transferred into the uterus. Your doctor can use your eggs and sperm for IVF, or you can try donor eggs or sperm if needed. Most women begin the IVF process by having daily hormone shots to grow multiple eggs. This is called superovulation. The eggs are then collected, either through a needle guided by ultrasound or laparoscope. The best-quality eggs are fertilized with sperm, and the best embryos are placed in the uterus. Then you have a series of hormone shots to support the first days of pregnancy. Some women choose to use their own eggs naturally and not use superovulation. In vitro fertilization (IVF) was first used for women with no fallopian tubes. Now this procedure is also used to treat people whose infertility is caused by: The success of IVF depends on many different things, including age, the cause of infertility, whether the woman has given birth before, and whether the woman's own eggs or donor eggs are used. Talk to your doctor about what to expect based on these and other factors. In vitro fertilization (IVF) can be emotionally and physically demanding. You need to have several procedures to produce and collect eggs and then to transfer embryos. IVF increases the risks of multiple pregnancy and severe ovarian hyperstimulation syndrome, which can be deadly. Your doctor can reduce this risk by closely checking your ovaries and hormone levels. If you choose IVF, talk to your doctor about how to reduce your risk of multiple pregnancy. Your doctor might recommend surgery on your fallopian tubes if: Your doctor might recommend IVF if: These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions. "Since we learned that I have blocked fallopian tubes, we've been going back and forth about what to do. Time is ticking away, so we need to act soon. I've decided that I'm willing to have surgery and keep trying to conceive for a year. My hormone tests tell me that I'm still fertile, and who knows—maybe we could actually have more than one child after fixing the problem. If not, we're considering adopting." — Karen, age 36 "I was shocked to learn that my fallopian tubes were so badly damaged by the chlamydia infection I had a few years ago. My doctor says that we can try surgery to repair the tubes, but that my best bet is trying in vitro fertilization. We can't possibly afford in vitro fertilization, and we're lucky that my health insurance will cover the surgery, so I'm going to have the surgery and see if it helps." — Marianna, age 26 "Now that we're ready to have a child, we're really ready! We don't care what it takes. Our doctor tells us that in vitro fertilization is really our only choice, considering my age. By the time I have my tubes repaired and start trying to get pregnant, I'll be too old to have any other options if that doesn't work. So, we're going to go for it and do the in vitro fertilization. We figure we'll try it three times and hope one of them takes." — Teri, age 39 "I'm told that I have a small blockage in one of my fallopian tubes that can be treated without surgery. The doc says she can put a little plastic catheter in my fallopian tube to open up the blockage, and I have a good chance of getting pregnant after that." — Anne, age 30 Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements. Reasons to have surgery Reasons to have IVF I want to have surgery and then wait and see if I can get pregnant. I don't want to take the time to see if surgery will work. I don't want to go through a fertility treatment each time I want to get pregnant. I want to get pregnant as soon as possible, even if I have to do IVF each time I want to get pregnant. I'm scared of having a bad problem from the hormones in IVF. I'm not worried about side effects from taking hormones. I don't mind paying for the one-time cost of surgery. I'm worried about the cost of IVF. I can't afford to have IVF each time I want to get pregnant. My other important reasons: My other important reasons: Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning right now. Having surgery Having IVF 1.
Which treatment can fix a problem with your fallopian tubes? 2.
Which treatment might your doctor recommend if you are 35 or older? 3.
Which treatment guarantees that you can get pregnant? 1.
Do you understand the options available to you? 2.
Are you clear about which benefits and side effects matter most to you? 3.
Do you have enough support and advice from others to make a choice? 1.
How sure do you feel right now about your decision? 2.
Check what you need to do before you make this decision. Current as of: November 27, 2023 Author: Healthwise Staff Clinical Review BoardFertility Problems: Should I Have a Tubal Procedure or In Vitro Fertilization?
Fertility Problems: Should I Have a Tubal Procedure or In Vitro Fertilization?
1
Facts2
Options3
Feelings4
Decision5
Yourself6
Get the facts
Your options
Key points to remember
What surgeries are done to fix fallopian tube problems?
What are the risks of fallopian tube surgery?
What is IVF?
What can IVF treat?
What are the risks of IVF?
Why might your doctor recommend surgery or IVF?
Compare your options
Personal stories about tubal infertility treatment
What matters most to you?
Where are you leaning now?
What else do you need to make your decision?
Your Summary
Your decision
Next steps
Which way you're leaning
How sure you are
Your comments
Your knowledge of the facts
Key concepts that you understood
Key concepts that may need review
Getting ready to act
Patient choices
Credits
Author Healthwise Staff Clinical Review Board Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.Fertility Problems: Should I Have a Tubal Procedure or In Vitro Fertilization?
1. Get the Facts
Your options
Key points to remember
What surgeries are done to fix fallopian tube problems?
What are the risks of fallopian tube surgery?
What is IVF?
What can IVF treat?
What are the risks of IVF?
Why might your doctor recommend surgery or IVF?
2. Compare your options
Have tubal surgery Have IVF What is usually involved? What are the benefits? What are the risks and side effects? Personal stories
Personal stories about tubal infertility treatment
3. What matters most to you?
4. Where are you leaning now?
5. What else do you need to make your decision?
Check the facts
Decide what's next
Certainty
By Healthwise Staff Clinical Review Board Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
Note: The "printer friendly" document will not contain all the information available in the online document some Information (e.g. cross-references to other topics, definitions or medical illustrations) is only available in the online version.
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.