The fallopian tubes play a critical role in conception, serving as the pathway for eggs to travel from the ovaries to the uterus. When these tubes are blocked or damaged, natural conception becomes difficult or even impossible. At Boston IVF, we specialize in diagnosing and treating fallopian tube-related infertility with advanced reproductive technologies like in vitro fertilization (IVF).

Understanding Fallopian Tubes & Fertility

Fallopian tubes are hollow structures through which eggs travel after ovulation. Fertilization occurs within these tubes before the resulting embryo moves to the uterus for implantation. Any condition that obstructs or damages the tubes can lead to infertility.

Common causes of fallopian tube infertility include:

• Adhesions – Scar tissue from surgery, endometriosis, or infections can block the tubes.
• Salpingitis – Inflammation of the fallopian tubes due to pelvic infections (PID).
• Structural abnormalities – Some individuals are born with missing or malformed tubes.
• Endometriosis – This condition can cause scarring and blockage.
• Previous Surgeries – Surgeries involving the pelvic area may lead to scarring that affects tube function.
• Salpingitis Isthmica Nodosa (SIN) – A rare condition that thickens and blocks the fallopian tubes.
• Tubal Ligation – A surgical procedure for permanent sterilization that prevents egg and sperm from meeting.

How Are Fallopian Tube Issues Diagnosed?

The most common diagnostic tool for assessing tubal health is the hysterosalpingogram (HSG). This X-ray test involves injecting a dye into the uterus to observe if it flows through the tubes. If the dye does not pass through, the tubes may be blocked.

Other diagnostic methods include:

• Sonohysterogram/Saline Infused Sonogram (SIS) – Uses fluid and ultrasound to assess blockages.
• Laparoscopy – A minimally invasive surgical procedure to directly view the tubes and pelvic organs.

Treatment Options for Fallopian Tube Infertility

In Vitro Fertilization (IVF)

At Boston IVF, we recommend IVF as the primary treatment for tubal infertility. IVF bypasses the fallopian tubes by retrieving eggs directly from the ovaries, fertilizing them in a lab, and transferring the embryo to the uterus.

IVF vs. Tubal Reversal: Which Is Right for You?

Many patients inquire about tubal reversal surgery after tubal ligation, but its success depends on factors like age (highest success under 37), the type of ligation, remaining tube length, and scar tissue. While reversal can restore fertility, it requires major surgery, has a higher ectopic pregnancy risk (2-10%), and isn’t always effective—meaning IVF may still be needed, increasing costs.

Why Boston IVF Recommends IVF Over Tubal Reversal

IVF offers a safer, more efficient, and cost-effective alternative with several advantages:

• Comparable or higher success rates than tubal reversal.
• Minimally invasive—no major surgery or hospital stay.
• Lower ectopic pregnancy risk
• Faster time to pregnancy compared to reversal surgery.
• No future birth control needed—tubal reversal may require additional procedures if contraception is later desired.

Cost Considerations: IVF vs. Tubal Reversal

A single IVF cycle at Boston IVF costs about the same as a tubal reversal, but if reversal fails, additional IVF cycles may be needed, increasing expenses. IVF also allows for embryo freezing, making it a more cost-effective long-term solution.

If you're considering your options, our fertility experts can help guide you toward the best treatment for your goals.

Next Steps: Schedule a Consultation at Boston IVF

If you’re struggling with fallopian tube-related infertility, Boston IVF is here to help. Our fertility experts have performed thousands of successful IVF cycles, helping individuals and couples build their families.

Schedule your consultation today to discuss the best fertility treatment for your unique needs.