{"id":11999,"date":"2025-12-19T21:31:32","date_gmt":"2025-12-19T21:31:32","guid":{"rendered":"https:\/\/dev-east-1.progyny.com\/?p=11999"},"modified":"2025-12-22T14:52:26","modified_gmt":"2025-12-22T14:52:26","slug":"tubal-factor-infertility","status":"publish","type":"post","link":"https:\/\/progyny.com\/education\/tubal-factor-infertility\/","title":{"rendered":"Treating tubal factor infertility"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><span data-contrast=\"auto\">Updated by the Progyny Clinical Team&nbsp;\u2014&nbsp;December&nbsp;2025.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:279}\">&nbsp;<\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span data-contrast=\"auto\">Treatment for tubal factor infertility typically involves&nbsp;<\/span><span data-contrast=\"auto\">surgery&nbsp;and\/or&nbsp;in vitro fertilization (IVF),<\/span><span data-contrast=\"auto\">&nbsp;which bypasses the fallopian tubes. The choice depends on the location and severity of tubal damage, as well as individual factors such as age, ovarian reserve, sperm quality, and other infertility diagnoses.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">IVF<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><span data-contrast=\"auto\">IVF bypasses the fallopian tubes entirely and is often preferred when tubal disease is severe or unlikely to be successfully repaired. IVF success rates are&nbsp;generally reported&nbsp;per cycle, and many people achieve pregnancy without undergoing surgery.&nbsp;However, for patients with a dilated fallopian tube, called a hydrosalpinx, surgery may be recommended to improve success with IVF.&nbsp;IVF&nbsp;involves medication injections, monitoring, and&nbsp;a minor outpatient procedure to remove eggs from the ovary, which are then fertilized in a laboratory.&nbsp;<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span data-contrast=\"auto\">Though rare, there are rare risks that can occur with IVF. These include ovarian hyperstimulation syndrome, bleeding, infection, ovarian torsion, and damage to nearby structures. The risk of&nbsp;complication&nbsp;is less than 1%.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Surgical&nbsp;options<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><span data-contrast=\"auto\">Surgery may be&nbsp;appropriate for&nbsp;select patients, particularly younger women without other infertility factors. Common surgical approaches include:<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span data-contrast=\"auto\"><strong>Selective tubal cannulation:\u00a0<\/strong>Can open a blockage near the uterus (proximal obstruction).\u00a0<\/span><\/li>\n\n\n\n<li><span data-contrast=\"auto\"><strong>Laparoscopic\u00a0fimbrioplasty\u00a0or\u00a0neosalpingostomy:<\/strong>\u00a0Can treat mild distal tubal disease or mild hydrosalpinx.\u00a0<\/span><\/li>\n\n\n\n<li><span data-contrast=\"auto\"><strong>Laparoscopic salpingectomy:<\/strong>\u00a0Recommended for severe or irreparable hydrosalpinx before IVF, as removing the damaged tube improves implantation and pregnancy rates.\u00a0<\/span><\/li>\n\n\n\n<li><span data-contrast=\"auto\"><strong>Tubal reversal (after\u00a0prior\u00a0sterilization):\u00a0<\/strong>Microsurgical procedures may restore fertility in carefully selected patients.\u00a0<\/span><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Surgery vs. IVF<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><span data-contrast=\"auto\">Direct comparisons of pregnancy rates between tubal surgery and IVF are limited. Surgery may restore natural fertility over time, while IVF typically offers higher per-cycle success rates and avoids some surgical risks. Your fertility team can help evaluate which approach makes sense based on your unique situation.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Deciding on&nbsp;treatment<span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:281,&quot;335559739&quot;:281}\">&nbsp;<\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><span data-contrast=\"auto\">When choosing between surgery and IVF, consider:<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span data-contrast=\"auto\">Your age and ovarian reserve<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n\n\n\n<li><span data-contrast=\"auto\">Sperm count and quality<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n\n\n\n<li><span data-contrast=\"auto\">Desired family size<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n\n\n\n<li><span data-contrast=\"auto\">Location and severity of tubal disease<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n\n\n\n<li><span data-contrast=\"auto\">Other infertility factors<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n\n\n\n<li><span data-contrast=\"auto\">Risk of ectopic pregnancy or complications<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n\n\n\n<li><span data-contrast=\"auto\">Your doctor\u2019s experience<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n\n\n\n<li><span data-contrast=\"auto\">IVF program success rates and cost<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n\n\n\n<li><span data-contrast=\"auto\">Personal preferences<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><span data-contrast=\"auto\">Your care team can help weigh these factors and guide you toward the treatment path most aligned with your goals.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span data-contrast=\"none\">If you have questions, Progyny is here for you. Please contact your Progyny Care Advocate for support.<\/span><b><span data-contrast=\"none\">&nbsp;<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:279}\">&nbsp;<\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span data-contrast=\"none\"><strong>Disclaimer:<\/strong>\u00a0The information provided by Progyny is for educational purposes only and is not medical advice. Always consult a qualified healthcare provider for medical guidance.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tubal disease, a disorder in which the fallopian tubes are blocked or damaged, is responsible for approximately 25 to 35 percent of all female factor infertility.<\/p>\n","protected":false},"author":25,"featured_media":30064,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[271,230],"tags":[228,225,235],"class_list":["post-11999","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-female-infertility","category-education","tag-article","tag-infertility","tag-ivf"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Treating tubal factor infertility | Progyny<\/title>\n<meta name=\"description\" content=\"Tubal disease, a disorder in which the 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