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Tuesday, May 6, 2025

Congenital fallopian tube dysplasia, can you still conceive through IVF?

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The pregnancy rate after surgical treatment for most cases of blocked fallopian tubes is still relatively high; if age is a factor to consider, assisted reproductive technology like in vitro fertilization can be chosen.

What are the causes of fallopian tube blockage?

1. Fallopian Tube Inflammation

Fallopian tube inflammation is a common cause of fallopian tube blockage, including salpingitis and pelvic peritonitis, which affects the lumen of the fallopian tubes and surrounding tissues, causing the luminal narrowing, damage to the epithelial cilia, scarring or fibrosis, leading to adhesions, or affecting the normal peristalsis of the fallopian tubes, thereby hindering the transport of the fertilized egg.

2. Congenital Malformation of the Fallopian Tubes

If there are congenital abnormalities in the fallopian tubes, such as being slender or twisted or having functional disorders, they can cause fallopian tube blockage.

3. Endometriosis

If diagnosed with endometriosis, it can significantly change the pelvic environment, and if the uterus remains in a state of chronic inflammation without timely treatment, it can lead to fallopian tube adhesions or blockages.

4. Gynecological Tumors

Gynecological tumors are also one of the causes of fallopian tube blockage, such as chocolate cysts or adenomyosis, which can directly compress the fallopian tubes through prominent tumor morphology, leading to adhesions with surrounding tissues, similarly resulting in fallopian tube adhesions and blockages.

In vitro fertilization cannot completely eliminate the risk of ectopic pregnancy because the embryo still needs to travel within the uterine cavity after transplantation.

However, the risk of ectopic pregnancy is relatively low, and with regular prenatal examinations after confirming the pregnancy, it is possible to have a successful birth.

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