Will removal of blocked fallopian tubes improve your chances for First Time IVF Success? In some cases, this can result in doubling of your chances for IVF Success. IVF expert Dr Randy Morris explains in this episode of InfertilityTV.

You may have heard that some doctors recommend removal of blocked fallopian tubes prior to embryo transfer in order to improve first time IVF success. Is this something you should consider?

Getting pregnant with #IVF requires a lot of things to be perfect. For starters, you have to have a healthy, normal embryo and the uterine lining has to be at the right stage stage of development. But there could be other things that interfere with pregnancy. For example, if there is fluid in the uterus at the time of the transfer or shortly after.

IVF experts have known for a long time that when it comes time to put an embryo into the uterus, fluid in the uterine cavity will lower the chances of success. In some cases, the cause for fluid in the uterine cavity is not known. In other cases, however, fluid in the cavity can be the result of blocked fallopian tubes.

This is important because blocked fallopian tubes is a common reason why couples need to do IVF in the first place. There are two categories of blocked tubes. Proximal blockage occurs when the tubes are blocked right where they attach to the uterus. Distal blockage is a block that occurs at the far end of the fallopian tube. Distal blockage is the kind that can result in fluid in the uterine cavity. You see, the tubes normally produce fluid that can escape out the end but if the end if blacked, that fluid can accumulate inside the tube and eventually leak into the uterine cavity. This is known as a hydrosalpinx.

This has a dramatic impact on pregnancy rates. Women with #hydrosalpinx have a 50% lower chance for pregnancy compare to women without.

So how do you know if you have a hydrosalpinx? There are three methods
1) Ultrasound can sometimes find a swollen fluid filled fallopian tube
2) An x-ray test called a hysterosalpingogram is an excellent non invasive way to find a hydrosalpinx
3) A surgical procedure, such as a laparoscopy, is invasive but is also an accurate way to find a hydrosalpinx.

At IVF1, we recommend that all women who are going to be treated with IVF should be assessed for hydrosalpinx. If found, then we recommend that she have her fallopian tubes surgically removed before attempting to have an embryo transfer.

However, women who do not have hydrosalpinx will not benefit from fallopian tube removal.

#FirsttimeIVFSuccess

Infertility TV is your weekly source for the best medical information if you have infertility, recurrent miscarriage or are just trying to conceive. (TTC). InfertilityTV covers infertility testing, fertility treatments such as Clomid, Follistim and Crinone and fertility treatments like IUI and IVF (in vitro fertilization)

One of the most popular playlists on InfertilityTV are the TTC tips which are great even you are not struggling with infertility

Dr Morris is a practicing IVF and infertility expert who sees patients at IVF! located in the Naperville Fertility Center.

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