When Should You Get Your Tubes Checked?

Trying to conceive for a long time without success often makes you question your fertility. In such cases, you must get your fallopian tubes checked if everything else is normal. The blockages in your tubes may prevent pregnancy even without any severe symptoms or signs. This blog explains when you must get your tubes checked and how it is done. You will also learn about several options if there are any issues.

Pregatips
The conception journey can be an exhausting experience for many couples. You may often find yourself asking the same question again and again. Is something wrong with me? You are not alone, as many women share a similar concern when it comes to fertility health.



A common cause that many overlook is the blockage in the fallopian tubes. So, how do you know if you should get them checked? Understanding the probable reasons will help you get them checked and treated on time.

Understanding the Role of Fallopian Tubes

Your fallopian tubes connect your ovaries and uterus. They act as a passage between them and transfer the egg from the ovary after it is released every month. The sperm reached your tubes to fertilise an egg. However, when there is a blockage in your tubes, fertilisation does not happen. Pregnancy is not possible without fertilisation.

You may never find out about the blockages in your tubes because there are no clear symptoms unless they are checked.

When Should You Consider Getting Your Tubes Checked?

The following situations make it necessary to get your tubes tested.

You’ve Been Trying to Conceive for a Year Without Success

You must get your tubes checked if you have been trying to conceive for more than 12 months but with no positive results. The blocked tubes make up for about 20-25% infertility issues in women. Also, it is not advisable to wait for more than 6 months if you are over 35.

You’ve Had a History of Pelvic Infections or STIs

Your risk of blocked tubes increases if you have ever had pelvic inflammatory disease (PID) or untreated sexually transmitted infections (STIs) like chlamydia or gonorrhea. These infections cause scarring of tissue inside the tubes.

You’ve Had Surgery in the Abdomen or Pelvic Area

Previous surgeries, especially those involving your appendix, ovaries, or uterus, may lead to internal scar tissue (called adhesions). Even C-sections may occasionally cause such issues.

You’ve Had an Ectopic Pregnancy

An ectopic pregnancy happens when a fertilised egg implants inside the fallopian tube instead of the uterus. Your tube may be damaged if you have had an ectopic pregnancy in the past. You may also face complications in future pregnancies.

You Have Endometriosis

Endometriosis is a severe uterine condition in which your endometrial lining tissues may grow somewhere else instead of your uterus. They lead to inflammation, scar formation, and blockage of the fallopian tubes.


How Are Fallopian Tubes Checked?

There are several ways to examine the health of your tubes and their patency (open).
Hysterosalpingography (HSG)
This is the most common test that is recommended first for many women. A dye is used to create X-ray images as it fills up your uterus and goes to your tubes.
  • What to expect: The test takes under 30 minutes to complete and may even cause mild cramping, like period pain.
  • When it’s done: Usually between days 7 and 10 of your menstrual cycle.
Sonohysterography or Saline Infusion Sonography

In this test, sterile saline is used instead of dye, and an ultrasound tracks its flow. Although it is safe and free from radiation, it may not provide clear views like an HSG.

Laparoscopy

This is a surgical test done under general anaesthesia. It allows clear views of your tubes and other reproductive organs with the help of a small camera inserted through a small cut in your abdomen.
  • When it’s used: Usually done in case other tests are inconclusive or if your doctor suspects endometriosis.
  • Advantage: If a blockage or scar tissue is present, it may be treated in the same procedure.

What Happens If Your Tubes Are Blocked?

You can still conceive naturally if one tube is blocked but the other is open and healthy, though it may take longer. A natural pregnancy becomes very difficult when both of your tubes are blocked or damaged due to infections. In such cases, you may have to go through the following options.
  • Tubal surgery: The blockage can be removed through surgery.
  • In Vitro Fertilisation (IVF): Viable eggs are fertilised in a lab and then placed directly in your uterus.

Why Early Testing Is Important

Detecting blockages early will lead to better chances of treating them on time and avoiding complications. You cannot afford to lose time if you are over 35, as fertility starts to decline naturally after this age.
Please remember that checking your tubes does not always imply something is wrong. The test may clear your mind and provide peace of mind.

Key Takeaways

  • Your fallopian tubes are essential for natural pregnancy, but blockages are often overlooked.
  • You must get your tubes checked if you have been trying to conceive for over a year, have had pelvic infections, surgery, or an ectopic pregnancy.
  • HSG is the most common test to check for tubal blockage and is also quick and painless.
  • Various options, such as surgery or IVF, can help you conceive if blockages are found.
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 When Should You Get Your Tubes Checked?


  1. Can blocked fallopian tubes be treated?
    In some cases, surgery can open or remove the blockage, depending on the severity of your condition. IVF may be recommended as a more suitable option to conceive if the tubes are damaged beyond repair.
  2. Can I still get pregnant with one blocked tube?
    When one of your tubes is healthy and open, you can conceive naturally, though it may take longer. Tracking your ovulation is your best choice to improve your chances of pregnancy.
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