Infertility is a heartbreaking experience. A couple's desire to have children is often very strong, and having difficulty reaching that goal can break them emotionally. There are many different causes for infertility, from blocked tubes to polycystic ovarian syndrome to unknown reasons. The first step in overcoming infertility is obtaining an official diagnosis. When there is blockage in one or both Fallopian tubes, a woman's egg will not be able to meet with the man's sperm to result in a pregnancy. Unblocking the tubes is necessary in order to become pregnant naturally.
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Visit your fertility doctor for a hysterosalpingogram (HSG) test, an x-ray that determines if your Fallopian tubes are blocked. A dye is injected into the uterus and the x-ray is used to monitor how the dye progresses through the tubes. This test can not only give answers but also can clear minor obstructions and open the tubes completely. This procedure has been found to slightly increase the chance of pregnancy within a few months of the procedure.
Undergo an HSG with selective salpingography. This procedure is generally performed after a questionable HSG result. Sometimes a muscle spasm causes the incorrect conclusion that the tube is blocked. An HSG with selective salpingography can tell the difference between a muscle spasm and a truly blocked tube. The catheter for this procedure is placed right at the base of the tube in question. The dye is then injected directly into the tube. If this dye does not progress, the tube is blocked. Due to the increased pressure of this procedure, a minor blockage can be cleared with this procedure.
Take antibiotics if you have been diagnosed with pelvic inflammatory disease (PID). An infection can cause swelling of the Fallopian tubes, thus blocking them. Completing a full round of antibiotics prescribed by your doctor will reduce or eliminate the swelling.
Make an appointment with a fertility physical therapist. Physiotherapy techniques have been developed that work to open blocked Fallopian tubes naturally, without surgery. This type of therapy works on about half of women who try it.
Undergo tubal infertility surgery. This is often used as a last resort, as it is the most invasive option for opening the tubes. Your doctor will use surgical tools to remove scar tissue and, if necessary, create a new opening in the Fallopian tubes. This surgery, however, has a high recurrence of blockage and is generally a temporary solution.
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