Bilateral Closed Tubes And Infertility

In order for pregnancy to occur, the egg cells released from the woman’s ovary every month must meet in the tube with the sperm entering the vagina with sexual intercourse. In this way, fertilization occurs and the resulting embryo passes through the tube and comes to the uterus. If the tubes are partially or completely closed, the meeting of the sperm and the egg cannot occur and pregnancy cannot ocur.

What are the Causes of Blocked Tubes?

Some previous intra-abdominal operations, ovarian cyst, fibroids, appendicitis, endometriosis, cesarean delivery, chlamydia and tuberculosis infections are among the causes of tube obstruction. These conditions can cause damage to the tubes and prevent pregnancy.

Due to the deterioration in the movement of the tube, the embryo may not reach the uterus. This may cause the fertilized embryo to remain in the tube and cause an ectopic pregnancy.

Should at least one of the tubes be open for pregnancy to occur?

For pregnancy to occur, at least one of the tubes must be open. If the obstructions are closed from the region where the tubes exit the uterus, the operation is more difficult than other types. However, the success rate is high in obstructions close to the ovary. It is even possible to cut out this area and rejoin the tubes. After this operation, pregnancy can be achieved naturally.

Especially if the expectant mother’s age is over 35, IVF surgery is recommended rather than the operation of opening the tubes. Because in this age group, the number of eggs is less and the egg quality is lower.