I have only one fallopian tube. Is it possible for me to get pregnant?Answer From Yvonne Butler Tobah, M.D. Show
Yes. The fallopian tubes are a pair of tubes that eggs travel through to get from the ovaries to the uterus. Each month, during a process called ovulation, one of the ovaries releases an egg that travels down one of the fallopian tubes, where it may or may not be fertilized by a sperm. You might have only one fallopian tube if you've had pelvic surgery for an infection, a tumor or a past ectopic pregnancy. Occasionally, some women are born with only one tube. However, you may still be able to get pregnant with only one tube if:
If you're unable to get pregnant after trying to conceive, or if you have a known history of problems with your fallopian tube, see your gynecologist or a reproductive endocrinologist for evaluation. With Yvonne Butler Tobah, M.D. Sign up for free, and stay up to date on research advancements, health tips and current health
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. Salpingectomy is the surgical removal of one or both fallopian tubes. After this procedure, getting pregnant is usually more difficult. There are several reasons to get a salpingectomy, such as preventing ovarian
cancer, ectopic pregnancy, tubal blockage, or infection. Recent research has shown that many cases of ovarian cancer actually begin in the fallopian tubes. This research also shows that the most aggressive types of ovarian cancer have origins in the fallopian tubes. So, some people with
uteruses who are at high risk of ovarian cancer elect to have their ovaries, fallopian tubes, or both removed as a preventative measure. Studies show that a salpingectomy can reduce the risk of ovarian cancer by 42% to 78%. Additionally, getting a salpingectomy with a hysterectomy reduces the risk of ovarian cancer by 50%. Oophorectomy is the surgical removal of the ovaries. Removing the fallopian tubes but leaving the ovaries may be beneficial. This can delay premature menopause or hormonal changes that follow ovary removal. Studies have shown that the combination of salpingectomy and an oophorectomy results in the
lowest cases of ovarian cancer. However, salpingectomy followed by an oophorectomy later resulted in the best quality of life. Salpingectomy comes with the risks of any surgery, which include the following: Doctors aren't completely sure how the removal of just the fallopian tubes affects hormone production. Studies show that when the tubes are removed for sterilization, hormone production levels of the ovaries don't seem to be affected much. However, if the tubes are removed due to ectopic pregnancy, removal
may disrupt the hormone production. As it is not fully clear how hormone levels can be affected after a salpingectomy, there is a chance of going into premature menopause. But it is lower than that after ovary removal. Many people with the BRCA1 or BRCA2
gene mutations, which cause an increased risk of ovarian and breast cancer, get a salpingectomy. About 13% of people with breasts can get breast cancer. However, people with BRCA gene mutations have a 45% to 72% risk of breast cancer. The risk of ovarian cancer is also higher. Generally, 1.2% of people with uteruses get ovarian cancer. But people with BRCA gene mutations have an 11% to 44% risk of ovarian cancer. Removing the fallopian tubes can reduce the risk of both these cancers. Otherwise, people with the following conditions may need a salpingectomy:
With laparoscopy, the procedure lasts about 1.5 hours. You may go home the same day as the procedure. Most people can go back to work after a few days. After 2 weeks, you can return to all of your normal activities. While
you are recovering, seek medical attention if you have any of the following symptoms: After having your fallopian tubes removed, you can get pregnant using in-vitro fertilization (IVF). This process involves
collecting eggs from your ovaries, fertilizing them in a lab to create embryos, and then implanting those embryos into your uterus. The success rate of IVF depends on your age and other health factors. However, one study has shown that there is little difference in IVF success rates between people who have had salpingectomies and those who have not. What are the chances of getting pregnant if your tubes are removed?Tubal ligation is an extremely reliable way to prevent pregnancy. Fewer than 1 out of 100 women will get pregnant within a year of surgery.
Can you get pregnant naturally after fallopian tube removal?Partial or complete loss of tubal function creates a hurdle that can reduce a woman's chances of getting pregnant naturally. Other women, in order to prevent further complications, must have their tubes removed, making in vitro fertilization (IVF) the only possible route to pregnancy and motherhood.
Can you have kids after fallopian tube removal?If the tubes are badly damaged or remain blocked even after surgery, a woman may be able to get pregnant through in vitro fertilization (IVF) (see ASRM fact sheet titled In vitro fertilization [IVF]). In IVF treatment, eggs and sperm are collected and joined outside the body in a laboratory.
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