Fallopian tube
                                 MOHAK  INFERTILITY CENTRE
     Our Location
SAIMS  
Campus,Indore-Ujjain  
state  highway, Near  
MR-10  crossing,Indore  
Dr. Shilpa Bhandari (M.P.)-453111
MD Gynaecology
DM Reproductive Medicine and Surgery
 Fallopian tube
The Fallopian tubes, also known as uterine tubes or salpinges are tubes that stretch from 
the uterus to the ovaries, and are part of the female reproductive system. The fertilized egg 
passes through the Fallopian tubes from the ovaries of female mammals to the uterus.
Parts of fallopian tube: -
A uterine tube contains 3 parts. The first segment, closest to the uterus, is called the 
isthmus. The second segment is the ampulla, which becomes more dilated in diameter 
and is the most common site for fertilization. The final segment, located farthest from the 
uterus, is the infundibulum.
Blocked fallopian tube: -
Blocked fallopian tubes don’t often cause symptoms. Many women don’t know they have 
blocked tubes until they try to get pregnant and have trouble.
In some cases, blocked fallopian tubes can lead to mild, regular pain on one side of the 
abdomen. This usually happens in a type of blockage called a hydrosalpinx. This is when 
fluid fills and enlarges a blocked fallopian tube.
Conditions that can lead to a blocked fallopian tube can cause their own symptoms. Only 
one fallopian tube is blocked, the blockage most likely won’t affect fertility because an egg 
can still travel through the unaffected fallopian tube. Fertility drugs can help increase your 
chance of ovulating on the open side.
Cause of blocked fallopian tube: -
The most common cause of blocked fallopian tubes is PID.Pelvic inflammatory disease is 
the result of a sexually transmitted disease, although not all pelvic infections are related to 
STDs. Also, even if PID is no longer present, a history of PID or pelvic infection increases 
the risk of blocked tubes.
Diagnosis: -
Blocked tubes are usually diagnosed with a specialized x-ray called a hystero 
salpingogram, or HSG. An HSG is one of the basic fertility tests ordered for every couple 
struggling to conceive. The test involves placing a dye through the cervix using a tiny 
tube. Once the dye is in place, x-rays of the pelvic area are taken.
If all is normal, the dye will go through the uterus and fallopian tubes and spill out around 
the ovaries and into the pelvic cavity. If the dye doesn’t get through the tubes, then you 
may have a blocked fallopian tube.
It’s important to know that 15% of 
women have a “false positive,” 
where the dye doesn’t get past the 
uterus and into the tube. The 
blockage appears to be right where 
the fallopian tube and uterus meet. 
If this happens, the doctor may 
repeat the test another time, or 
order a different test to confirm.
Laparoscopic Surgery: -
In some cases, laparoscopic surgery can open blocked tubes or remove scar tissue. 
Unfortunately, this treatment doesn’t always work. The chance of success depends on how 
old you are the younger, the better how bad and where the blockage is, and the cause of 
blockage. If just a few adhesions are between the tubes and ovaries, then the chances of 
getting pregnant after surgery are good.
Prevention: -
The majority of blocked fallopian tubes are caused by pelvic infections. Most—but not all
—of these infections are caused by a sexually transmitted infection.Regular screening for 
STIs, as well as getting worrisome symptoms checked out right away, is an important step 
in preventing tubal infertility. If the STI or pelvic infection is caught early enough, treating 
it may help prevent the development of scar tissue.
However, most infections are not acute, and often do not result in any signs or symptoms. 
But “quiet” doesn’t mean harmless. The longer the infection is present, the higher the 
risk of scar tissue forming and creating inflamed or blocked tubes.
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