Tubal surgery has been the traditional treatment of choice to diagnose and repair fallopian tube abnormalities. However, surgery has limited success for all but mild tubal issues.
Doctors opt for tubal surgery rarely these days, since IVF is a much better alternative treatment for tubal disease, with better success rates -- especially for diseased tubes. On the other hand, if fallopian tubes have been “tied” for sterilization, a patient may prefer tubal reversal because it has high success rates and allows for spontaneous conception without the use of hormones, although the success rates vary based on maternal age.
If surgery is needed to repair damaged or diseased tubes, then it is recommended to cut any scar tissue, burn any endometriosis, and generally try to improve the health of the pelvis. If one tube is closed and dilated (hydrosalpinx), removal of that tube may improve pregnancy rates, both naturally and with IVF. If both tubes are blocked, it may be necessary to remove both tubes. Repair of a damaged tube allows for the possibility of a spontaneous conception, but can be associated with an increased risk of a pregnancy in that tube (ectopic pregnancy).
Our experienced doctors are committed to helping you reach your fertility goals. We will do a thorough examination to help determine the health of your fallopian tubes, and design a custom treatment plan should an issue be found.