In this article:
You may be aware that these tubes are critical for fertility and achieving pregnancy. They act as a passage for your egg to travel from the ovaries to the uterus and allow sperm to meet the egg.
In case of blockage in tubes, this process cannot happen. So, how do you find out if this issue is preventing your pregnancy? Well, there are various tests to identify such issues and get the correct treatment on time.
You can move forward in your fertility journey after seeking guidance from your doctor.
Why Should You Check for Blocked Tubes?
You must get your tubes checked if a whole year (or six months when you are over 35) has passed since you have been trying to conceive without success. The issue of blockages in the fallopian tubes is a common reason for female infertility.In some cases, a blocked tube also leads to an ectopic pregnancy, when a fertilised egg implants itself into your tubes rather than the uterus. This is a severe pregnancy case and must be treated immediately.
Your doctor can decide the best possible steps to move ahead after understanding more about your tubal health.
Hysterosalpingography (HSG)
What it is: HSG is the most common and least invasive test to check whether your fallopian tubes are open.How it works: A dye (contrast medium) is released into your uterus through your cervix using a thin tube. X-ray images are taken as the dye fills up your uterus and passes through your fallopian tubes.
What to expect: You may feel mild cramping during the procedure, similar to period pain. It usually takes around 15 to 30 minutes to complete, and you can even go home the same day.
Why it’s useful: It provides a clear view of your uterus and fallopian tubes. Your tubes are considered open if the dye flows freely.
Sonohysterography (Saline Infusion Sonography)
What it is: This is an ultrasound test that examines your uterus and fallopian tubes.How it works: Sterile salt water (saline) is gently injected into your uterus using a thin tube. Your doctor will check the flow of this solution if it reaches your tubes through a vaginal ultrasound.
What to expect: Although this procedure is painless, you may still feel slight pressure or discomfort. It is also considered a safer and simpler option because it does not emit radiation.
Why it’s useful: This test helps identify blockage in tubes along with the presence of other uterine conditions, such as polyps or fibroids.
Hysterosalpingo-Contrast Sonography (HyCoSy)
What it is: HyCoSy is similar to a sonohysterography test, in which a special contrast agent (usually a foamy or bubbly liquid) is used instead of saline for better images.How it works: The contrast liquid is released in your uterus, and its flow is checked as it moves through the fallopian tubes.
What to expect: You may feel discomfort, but there is no pain.
Why it’s useful: It is a good alternative to HSG because it does not use X-rays and can be done in an outpatient clinic.
Laparoscopy with Chromopertubation
What it is: Laparoscopy is a surgical procedure that allows your doctor to look at your fallopian tubes and other reproductive organs directly.How it works: A camera is inserted through a small cut made in your stomach. A blue dye is injected through your cervix to see its movement through your fallopian tubes.
What to expect: General anaesthesia is necessary to perform this procedure to avoid pain. You may also need a day or two to recover.
Why it’s useful: This is the most suitable method to diagnose blocked tubes and other conditions like endometriosis, pelvic adhesions, or ovarian cysts. It is also possible for your doctor to treat other minor conditions in the same surgery.
Chlamydia Antibody Test (CAT)
What it is: A CAT is done through a blood test to check whether you have had a sexually transmitted infection, Chlamydia. Your fallopian tubes may get blocked due to scarring of tissue from this infection.How it works: You have to give your blood sample so that antibodies can be checked.
What to expect: It is a simple blood test, which is quick and painless.
Why it’s useful: Your doctor may suspect tubal damage and recommend further tests like HSG or laparoscopy if you test positive for this infection.
Checking for blockages in your fallopian tubes is a crucial step in your fertility health. Therefore, consult your doctor for the most suitable test based on your condition.
A blocked tube does not always mean that you cannot get pregnant. You can get the correct treatment depending on the severity of the blockage for a positive outcome.
Whether you’re trying to conceive or navigating IVF, you’re not alone. Join our supportive communities to connect, share, and find strength with others on the same journey.
FAQs on Different Ways to Check if Your Tubes Are Blocked
- Can a blocked fallopian tube be treated?
Your doctor can treat the blockages in tubes through surgery in some cases. However, they may suggest fertility treatments like IVF if you have severe blockages in both tubes. - Is the HSG test painful?
The HSG test causes mild to moderate cramping, which feels similar to menstrual pain. However, it is usually temporary, and you can return home the same day. - Can I get pregnant if only one tube is blocked?
You can conceive naturally even if one tube is blocked, but the other one is open. Remember that regular ovulation and sperm health also play a crucial role in such cases.
