Most couples planning a pregnancy know a lot about the process of fertilization. Briefly: after the egg is released, it is fertilized by a sperm, then its path goes through the fallopian tubes towards the uterus, where implantation occurs ovum. This is where the embryo’s journey ends; it is in the uterus that the child will grow and develop until birth.
But there are situations when the embryo is attached not to the uterine mucosa, but to the fallopian tube. Such a pregnancy is considered ectopic or tubal and its final path is the same - removal of the fertilized egg. In almost every such case, the fallopian tube must be removed to prevent consequences. It upsets every woman who has had to go through this. Naturally, questions arise: “will I now be able to get pregnant after removing one fallopian tube?” Let's look at this question in detail.
Why is one fallopian tube not working?
Let's start with the fact that there can be many reasons for removing the fallopian tube. Nature created the fallopian tube very carefully. This organ is so delicate that once it is damaged, it becomes impossible to restore its functions again.
And, unfortunately, no specialist in the world is able to replace the fallopian tube with a new one made artificially.
Indications for removal of the fallopian tube:
- After an untimely or infectious disease that affects the pelvis. In such situations, the integrity of the walls of the fallopian tube or its cilia may be disrupted, and adhesions may form. Therefore, the doctor, in order to avoid ectopic pregnancy or health complications recommends removal of the fallopian tube.
- Another reason may be ordinary hypothermia experienced in the distant past, even if this age is very young. Then the pipe “sticks together” and its passage becomes impossible.
- Ectopic pregnancy is one of the most common reasons why a fallopian tube is removed.
The list of sources can be quite long. There is no point in listing everything, but the most important thing is to detect, identify and prevent health problems in time.
Conclusion: an adhesive process in the fallopian tube is an indication for removal of the organ, so that in the future you can conceive a child naturally and avoid ectopic pregnancy. Obstruction of the fallopian tubes will inevitably lead to infertility or ectopic pregnancy.
First, you should prepare yourself psychologically. Of course, after losing a fallopian tube at any age, a woman experiences stress. Plus, the misconception factor comes into play, which sounds something like this: “it’s impossible to conceive a child with just one tube.”
Such statements definitely cannot be believed. Therefore, it is better for a woman to take a short break and mentally get used to the idea that even though there is no tube, the chances of pregnancy remain quite high.
It is worth noting that if there was an ectopic pregnancy, then the girl has passed special course rehabilitation after surgery, aimed at restoring the functioning of the reproductive system.
It includes the following steps:
- Treatment with.
- Special means, resolving possible adhesive formations.
- Physical procedures to help the area heal after surgery.
- Light physical activity. They are aimed at accelerating blood circulation in the pelvis, eliminating blood stagnation and promoting tissue regeneration.
IN rehabilitation period A woman is prescribed drugs that protect against conception. The course of this period is determined by the doctor and it is not recommended to stop taking the pills yourself. During treatment, reproductive function returns to normal, the scar heals, tissues regain elasticity and the chances of a successful pregnancy increase. Usually this takes up to six months, and then the gynecologist gives the go-ahead to replenish the family.
Diagnosis of fallopian tube patency
Sometimes a couple thinks about children some time after an ectopic pregnancy, and not immediately. The fact is that any surgical intervention subsequently causes an adhesive process and after some time the fallopian tubes may lose their patency due to adhesions.
This can be done in two ways:
- By using MSG (metrosalpingography). The procedure is done using an X-ray machine. The specialist injects the contrast agent iodolipol inside the girl, after which he looks at the passable sections of the pipe on the monitor and takes pictures. The photo will perfectly document the condition of the fallopian tube. Although the procedure is quite unpleasant, plus the woman is exposed to x-ray radiation, the images can be shown to any doctor for consultation.
- You can choose a less “dangerous” method to understand the condition of the pipe - this is HSG (hydrosonography or hysterosalpingography). No photographs are taken during this procedure. For HSG, a contrast agent is also used, but with different components, and the movement of the contrast is monitored by a conventional ultrasound sensor. However, the path of movement cannot be recorded by the device, but the flow of the substance into the retrouterine space is recorded. The doctor records the result in the patient’s card and the functioning of the fallopian tube is based on this. Therefore, it is not strange that MSG is used more often.
As you can see, conception after removal of the fallopian tube is quite possible. And a woman with one working pipe is not at all a disabled person or an unhappy person.
Happening naturally. You may have to wait a few cycles until the egg matures on the right side and start “working.”
Otherwise, all girls are equal both in the process of fertilization and in the process of bearing a baby. So, don’t hang your nose and boldly plan for a child.
Women in the reproductive period sometimes encounter diseases of the genital organs, all kinds of infections and viruses, the consequences of which often include the need to remove the uterine (fallopian) tube or both at once. This situation can be triggered by significant damage to the tube tissue after an infection or inflammatory processes in the appendages, ectopic pregnancy, which led to rupture of the fallopian tube tissue. Is it possible to get pregnant with one tube? Yes, but you will have to plan your pregnancy carefully!
Fertility Preservation Methods for Tube Removal
A woman’s desire to be the mother of a healthy baby is quite feasible even after removal of the fallopian tube. Modern medicine has made great strides in the field of preserving the reproductive capacity of the female body. Many hospitals and private clinics are already able to help solve this difficult problem.
But whatever the reasons for the operation, the possibility of natural pregnancy and childbirth is significantly reduced. Therefore, it is very important to make every effort to maintain the functionality and health of the remaining fallopian tube. For this purpose, the attending physician prescribes a whole range of rehabilitation procedures, which are carried out over six to eight months, divided into three stages.
The first stage of rehabilitation lasts from the moment of surgery to two months. It includes:
- Antibacterial therapy, which is designed to eliminate or stop inflammatory processes in the tissues of the pipe near which the cutting was performed.
- Hydrotubation of the fallopian tube. Consists of insertion into the pipe cavity special liquid for the purpose of treating covering tissues, as well as to monitor the patency of the remaining healthy organ over time. This course of procedures is aimed at preventing adhesions and also prevents the formation of inflammatory foci.
- Physiotherapeutic procedures. They are aimed mainly at accelerating the healing of tissue scars after tube cutting. They increase the elasticity of the epithelium and restore the mucous layer of the organ. This treatment is also prescribed for bilateral tubal removal.
- Use of oral contraceptives. It is prescribed to exclude the possibility of pregnancy, which in this situation is very dangerous for the mother’s life.
Two to three months after surgery, the rehabilitation of the female body begins the second stage of treatment, which consists of:
- Application of biogenic stimulants. They have biological activity and stimulate the regenerative functions of the organ and the entire organism as a whole.
- Enzyme prescriptions. It is necessary to establish and restore a woman’s normal metabolism. Also, these substances have a beneficial effect on acceleration chemical reactions in the tissue system of the damaged organ.
- Preformed physiotherapeutic effects. Also aimed at the regeneration of damaged tissues and their restoration.
- Oral contraceptives.
The third stage of treatment is of a general health nature. During this period, the woman undergoes sanatorium-resort treatment, which combines physiotherapy and gynecological massage. This rehabilitation time lasts up to two months (6-8 months after surgery).
After completing this course of treatment, a woman will almost certainly retain the ability to bear children. The main thing is to strictly follow the recommendations of your doctor and maintain a calm rhythm of life, avoiding stress.
The procedure will be similar for those who are looking for an answer on how to get pregnant with one tube after an ectopic pregnancy. After all, the nature of possible infertility is the same both when the fallopian tubes are removed due to infections, and due to the rupture of the tube due to ectopic growth of the fetus.
Planning a pregnancy with only one fallopian tube
According to doctors' recommendations, you can plan a pregnancy after tube removal after about six to eight months. This is exactly how long it takes a woman’s body to recover after such a serious surgical procedure. During rehabilitation, it is important to take medications that will help avoid pregnancy during a difficult time for a woman and will give the ovaries the opportunity to “rest.”
Prescribed COCs (combined oral contraceptives) have a beneficial effect on a woman's ability to reproduce, as there is numerous evidence of. This effect is observed due to the hormonal action of contraceptives, which suppresses ovulation, thickens cervical mucus and thereby provides powerful protection for the uterus, fallopian tubes and ovaries from external negative influences. Another positive consequence of taking COCs is the balance hormonal levels, which is important in cases of reproductive dysfunction in women.
If a woman is planning a pregnancy after the time required for regeneration has passed, she should take the process really seriously, because the possibility of removing one of the tubes after surgery is very high.
Mandatory measures when planning a pregnancy with one tube
- A comprehensive examination of both women and men to determine if there are any infectious diseases which could complicate pregnancy with one tube.
- Undergo a hysterosalpingography procedure to check for patency of the fallopian tube. The mechanism of this examination is to fill the uterus and tubes with a contrast liquid, after which an X-ray is taken, from which the doctor can see the shape and structure of the internal genital organs. In the image you can see whether there is obstruction of the fallopian tubes, whether there are any adhesions in the remaining tube or neoplasms. Alternative procedures include hydrotubation and kymohydrotubation.
- Eliminate unfavorable factors affecting a woman’s body: stress, hypothermia, serious physical activity and carrying heavy objects. An essential aspect for a successful pregnancy is positive emotional condition women.
If obstruction of the fallopian tube or the formation of adhesions on it is detected, doctors recommend laparoscopy - a fairly gentle operation to remove these obstacles. Thus, natural conception is quite possible, and the likelihood of an ectopic pregnancy is significantly reduced.
We recommend reading the article. From it you will learn about the proper functioning of a woman’s reproductive system, what TPB is, what are the reasons for its development and adverse reactions as the disease progresses, as well as what methods of diagnosis, treatment and prevention exist.
If the examination results do not reveal any factors that contradict the favorable course of pregnancy, it is necessary to stop taking oral contraceptives and continue to take regular sex life. You can also take measures to speed up conception. These include tracking ovulation using measurements. IN best case scenario Conception can occur already in the first or second cycle of menstruation after discontinuation of COCs.
What to do if pregnancy does not occur?
The fact that conception is possible after removal of one or both tubes is already a reliable and verified fact. Another question is how to get pregnant with one tube, because there are quite frequent cases of lack of conception in women who have not undergone surgery and have every opportunity for fertilization. Unfortunately, a woman's fertility depends on many aspects of her health, both physical and emotional.
If pregnancy has not occurred within a year of regular sexual activity with a partner without the use of any contraceptives, this means that natural conception is almost impossible. But this does not mean that a woman will not be able to experience the joys of motherhood.
There are methods of conception that will help bypass the problem of obstruction or non-functionality of the fallopian tubes.
Many women wonder what to do if it was necessary to remove both fallopian tubes at once, and in general, is it possible to get pregnant without tubes? Leading specialists in assisted reproductive technologies, such as IVF and ICSI, have been effectively helping couples conceive for quite a long time.
ECO
In vitro fertilization (IVF) changes in case of infertility on the part of the female body and involves the fertilization of female eggs pre-collected in vitro with the sex cells of the partner. After this, the embryos are cultivated, the most viable of which are subsequently transferred to the woman’s uterus. For this procedure, the presence or patency of the fallopian tubes does not matter. That is why this method of fertilization is ideal for women who have undergone surgery to remove one or both tubes.
ICSI
ICSI is a method of artificial insemination, prescribed to a couple in which infertility has been diagnosed and with. The mechanism of the procedure is similar to IVF, but male reproductive cells are carefully selected. The selected active sperm is injected under a powerful microscope into an egg removed in a test tube, which greatly increases the possibility of successful and healthy fertilization.
Thanks to modern medicine, motherhood is possible even in such difficult and critical situations as the absence of one or both fallopian tubes. Therefore, we can safely say that pregnancy and successful childbirth with only one tube are quite possible. But it is important to understand that the qualifications and professionalism of the attending physician are a decisive factor in the successful outcome of the operation and subsequent pregnancy.
Pregnancy after an ectopic pregnancy (if surgery was performed and one fallopian tube was removed) most often does not occur on the first or even on the second try... Still, the chances of becoming a mother after such an operation drop by half, but for some women the statistics does not apply. Much depends on the woman’s health, preparation for subsequent pregnancy, and the patency of the remaining tube. But first things first.
Features of preparation for pregnancy after VB
The first thing doctors recommend to all women who have survived surgery is to protect themselves from pregnancy for about six months. Moreover, it is recommended to use as protection birth control pills- oral contraceptives. Firstly, this guarantees almost a 100th result (pregnancy will not occur; today oral contraceptives are the most reliable means of contraception, except for the Mirena coil, but you should not use the coil). Secondly, there is evidence that after “rest” the ovaries begin to work with redoubled force - pregnancy after an ectopic pregnancy and the removal of one tube can occur sooner. And you can take modern low-dose oral contraceptives without interruptions for as long as you need, of course, if there are no contraindications to taking them.
Assign different women may be different. There is a myth that the choice depends on the individual hormonal background of the woman. However, it is not. The first choice drugs are combined oral contraceptives with a dosage of ethinyl estradiol - 20-30 mcg. These include Logest, Novinet, Janine, Lindenet 20 (and 30), Yarina, etc. You can choose depending on your financial capabilities. The price of tablets can vary quite a lot. Let's say a pack of Lindenet 20 (30) costs about 300 rubles, and its analogue Logest (the composition is the same, but the manufacturers are different) is 2-2.5 times more expensive. It is recommended to start taking the pills at the beginning of the next menstrual cycle after the operation (you cannot make love for 1 month after the operation).
But the female gender is not always “to blame” for the absence of children. And this must be taken into account. The spouse must also be examined. And if conception does not occur due to some “male” pathology, such as too few live sperm capable of fertilization, the ICSI procedure can be performed. What it is? In short, the procedure is similar to IVF, but with ICSI, active sperm can be isolated from a man’s sperm, even if they are present in minimal quantities. Both IVF and ICSI are practically the only ways (not counting surrogacy) to continue the birth for infertile couples. The presence or absence of fallopian tubes no longer plays any role here. The eggs are taken directly from the woman's ovary and fertilized in vitro.
As you can see, it's not all bad. And pregnancy after an ectopic and removal of one tube is possible. You just need to be thoroughly examined, follow all the doctor’s instructions, monitor your health and well-being, and just... believe that everything will work out.
However, despite good patency of the tubes, normal hormonal levels, youth and general health, some women cannot become pregnant naturally. In the case when, with regular sexual activity without any means of contraception, conception does not occur with one fallopian tube within a year, the woman is diagnosed with infertility and is offered to use assisted reproductive technologies.
It’s another matter when both tubes are missing at once, since in this case it is completely impossible to conceive naturally. However, modern medicine claims that pregnancy in the absence of fallopian tubes is still possible, although there is only one option - in vitro fertilization (IVF), the so-called in vitro conception. Using this method, all processes that normally occur in the fallopian tubes are performed by fertility doctors in the laboratory, after which an embryo is placed into the woman’s uterine cavity, ready for implantation (introduction into the uterine wall).
The probability of pregnancy with one fallopian tube is somewhat reduced, but it remains quite high, therefore, after successfully passing all the tests, treatment and the preparatory stage before the planned pregnancy, it is necessary to direct your efforts to psychological support for the expectant mother.
In order to avoid problems with pregnancy, it is necessary to exclude the presence of inflammatory processes and adhesions in the remaining fallopian tube, which can become an obstacle to the fertilized egg entering the uterus for further proper development.
Modern medicine gives a good chance of getting pregnant even if one fallopian tube ruptures as a result of an egg implanting in it. What should women do who do not lose hope for a happy and fulfilling pregnancy? We undergo a full examination for the presence of infections. You should also check if there are any adhesions in the fallopian tubes. If there are adhesions, you should get rid of them through surgery or another more gentle method (laser or taking phytomedicines).
In this case, you should ask your doctor to prescribe an effective contraceptive, which must be taken for a year. During this time, the reproductive system will rest and restore its functions. Thus, after an ectopic pregnancy, you can become pregnant if you follow all the doctor’s recommendations. It is clear that sometimes it is difficult to engage in endless examinations and analyses. However, everything is not so tragic. After all, every day brings you closer to the most important event - the birth of a child. And this is worth a lot!
For some, pregnancy is an undesirable event, while others cannot wait to become a mother. Problems with conception can be caused by many reasons, primarily the health status of the partners. Quite often, the reason for the inability to conceive is obstruction of the fallopian tubes, which can be caused by certain gynecological diseases, surgery or abortion. Many people are interested in whether there is a chance of getting pregnant with one tube patency, which is normal or is an IVF procedure necessary for conception? In cases where it is not possible to conceive a child for a long period of time, experts recommend laparoscopy, as a result of which the adhesions are separated, the functioning of the ovaries is normalized and ovulation is restored. This procedure is one of the most effective methods infertility treatment in the modern world.
To begin with, it is worth immediately noting the fact that the possibility of becoming pregnant after an ectopic pregnancy is quite real. It all depends on where the ovum was located and the degree of damage to the female reproductive organs after surgery to remove it. Of course, in cases where the tube along with the egg was removed, the likelihood of getting pregnant again decreases by about 2 times. But even if the tube is preserved, the woman’s fertility will never be at the same level. Therefore, it is very important to approach planning after an ectopic pregnancy with more responsibility than ever before.
The embryo enters the uterus, which is quite normal. When nagging pain in the lower abdomen occurs in the third or fourth month of pregnancy, this is usually evidence of softening of the ligament and tissue of the growing uterus. implantationSo, pain that most often occurs in the lower abdomen is a woman’s usual adaptation to pregnancy. pains accompany
Recovery from an ectopic pregnancy is very important and should be considered as an initial stage of planning or preparation for it. Rehabilitation activities include the following steps.
From all of the above we can draw a brief conclusion. Removing one of the fallopian tubes is not a death sentence. Compliance with all rules and regulations regarding medical examination, as well as unconditional adherence to the recommendations of specialists, will allow a woman to experience all the joy of motherhood.
The egg is fertilized by sperm in the fallopian tube. After fertilization, the egg develops into an embryo, which continues to grow while moving through the tube to the uterus for 3-4 days. The embryo enters the uterine cavity already on days 5-6, when it is most ready for implantation into the uterine wall. But, if the normal functioning of the fallopian tube is disrupted or if its patency is reduced (mainly due to inflammation), then the embryo can remain in the tube and implant into its wall - an ectopic develops tubal pregnancy. After a few weeks, such a pregnancy may rupture the tube and the patient will have to undergo urgent surgery.
As you can see, it's not all bad. And pregnancy after an ectopic and removal of one tube is possible. You just need to be thoroughly examined, follow all the doctor’s instructions, monitor your health and well-being, and just... believe that everything will work out.
If an ectopic pregnancy was removed by laparoscopy (punctures through the anterior abdominal wall with the smallest incisions) and without removing the organ where the fertilized egg was attached (tube or ovary), then you should plan a pregnancy no earlier than six months after the operation. During this time, it is necessary to do a full examination to find out the reasons that led to the development of an ectopic pregnancy and undergo the necessary treatment, otherwise there is a high chance of repeating the situation.
No matter how good everything is, a certain proportion of women who have undergone this operation cannot get pregnant on their own. You need to start looking for other solutions after a year of unprotected sexual activity, if conception has not occurred. In this case, a diagnosis of infertility is already made.
In a normal pregnancy, after ovulation, the egg enters the fallopian tube. Here it meets the sperm, fertilization occurs and an embryo is formed. After this, within seven days, the embryo moves through the fallopian tube into the uterus and attaches to its wall. Thus, fertilization occurs not in the uterus, but in the fallopian tube.
The video demonstrates how the patient, thanks to qualified medical care, was able to become pregnant after an ectopic pregnancy and after a frozen pregnancy. Office flexible hysteroscopy played an important role in this story. Conclusion: you can get pregnant with one uterus.
But there are cases when the embryo does not move anywhere, and after seven days it attaches to the wall of the fallopian tube. This can happen for various reasons. This pregnancy is called an ectopic (or tubal) pregnancy.
Despite the fact that the fixation of the fertilized egg outside the uterine cavity is a pathological process, the body receives signals that there is a pregnancy and it is developing. Of course, in response to these signals, the woman’s body begins to produce certain hormones that change the entire hormonal background. It is as a result of this change in hormonal levels that all the symptoms of pregnancy arise. However, also remember that they are not always present, not only during an ectopic, but also during a normal pregnancy. It all depends on individual characteristics the body of each individual woman.
2. More a budget option to speed up the onset of pregnancy after an ectopic and removal of one tube is the measurement of basal temperature. Mountains of literature have already been written about this. And although many modern doctors consider this method to have exhausted its usefulness, that is, to be uninformative, it is still worth a try. This method can be used not only as an independent one, but also as an addition to existing ones. For example, you can very accurately determine the onset of ovulation using an ultrasound examination. But you will have to do it for several days in a row, which is not financially feasible for everyone. Therefore, you can use basal temperature to identify the desired day, and use an ultrasound to confirm or refute your doubts. But you can do without an ultrasound if the diagnosis of infertility has not yet been made, and there is a chance that pregnancy after an ectopic pregnancy will occur quickly and easily.
Pregnancy after an ectopic pregnancy (if surgery was performed and one fallopian tube was removed) most often does not occur on the first or even on the second attempt... However, the chances of becoming a mother after such an operation drop by half, but for some women statistics are not distributed. Much depends on the woman’s health, preparation for the next pregnancy, and the patency of the remaining tubes. But first things first.
When the female reproductive cell is ripe and ready for fertilization, it moves from the ovary into the fallopian tube. There she meets the sperm and fertilization occurs, so the fallopian tubes have high level significance in pregnancy.
