Experiencing difficulties with fertility can be overwhelming, particularly when confronted with concerns about your reproductive health.
Knowing what the fertility treatments available are can provide some clarity during this challenging time and what is best for your unique situation.
What are fallopian tubes?
Fallopian tubes are a pair of hollow, muscular structures that connect your ovaries to your womb. Each tube serves as a pathway for eggs to travel from your ovaries during ovulation.
When you have intercourse during ovulation, the sperm can then swim up to the tube, and fertilisation will occur. Afterward, the fertilised egg will continue its journey to your womb, where it can implant anddevelop into a foetus.
The role of fallopian tubes in conception
Egg transport:
After ovulation, the egg is released from the ovary and enters the fallopian tube.
Fertilisation site:
Sperm meets the egg in the tube, where fertilisation usually occurs.
Passage to uterus:
The fertilised egg then travels down the tube and implants itself in the inner lining of your womb (uterine lining), marking the beginning of a pregnancy.
Can you get pregnant without fallopian tubes?
Yes, it is possible to get pregnant without fallopian tubes. However, it will require medical interventions, such as in vitro fertilisation (IVF).
Without functioning fallopian tubes, natural conception is unlikely. This is because the egg cannot meet the sperm, nor can it reach the uterus for implantation.
Can you do IUI without fallopian tubes?
No, intrauterine insemination (IUI) cannot be performed if both fallopian tubes are absent or completely blocked.
IUI involves placing washed sperm directly in the uterus, but fertilisation still needs to occur in the fallopian tube. Without tubes, the sperm and egg cannot meet, making the procedure ineffective.
What happens if only one tube is open?
If there is only one open fallopian tube, it is still possible to get pregnant as long as it is healthy. However, it is important to note that the chances of a successful pregnancy may be reduced.
IUI can still be considered if at least one tube is open, as the egg and sperm can meet in that tube.
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What are the alternatives to IUI without fallopian tubes?
If you do not have functioning fallopian tubes, there are other alternative fertility treatments you can partake in.
The main alternatives are:
IVF (in vitro fertilisation):
IVF involves retrieving eggs from the ovaries, fertilising them with sperm in a laboratory, and transferring the resulting embryo directly into the uterus.
This process bypasses the fallopian tubes entirely, making it the primary option for women without tubes.
ICSI (intracytoplasmic sperm injection):
ICSI is a specialised form of IVF, where a single sperm is injected directly into an egg.
This technique is especially useful for couples with male-factor infertility but is also an option for those without fallopian tubes, as it also bypasses the tubes.
If you’re considering fertility treatment in Singapore, request an appointment with Thomson Medical. Our fertility specialists can help by providing a consultation to discuss your treatment options and offer personalised care tailored to your needs.
Success rate of alternative fertility treatment
The success rates of alternative fertility treatments such as IVF and ICSI are as follows:
IVF:
IVF success rates in Singapore vary, but generally, younger women under 35 tend to have higher success rates, while women over 40 may see success rates drop.
Overall, success rates are influenced by factors like age, egg and embryo quality, and any underlying fertility issues.
ICSI:
The success rates of ICSI are similar to those of standard IVF; however, the outcomes depend on individual circumstances and the expertise of the clinic.
FAQ
Can you perform IUI after having your tubes removed?
No, IUI cannot be performed if both tubes are removed, as the egg and sperm cannot meet without them.
Can you conceive without fallopian tubes?
Natural conception is not possible without fallopian tubes. However, IVF or ICSI can help you achieve pregnancy, as these methods do not require tubes.
Can IUI be done with blocked fallopian tubes?
If both tubes are completely blocked, IUI is not effective. If only one tube is blocked and the other is open, IUI may still be an option.
Which is more painful, IUI or IVF?
- IUI:
- IUI is generally considered a mild procedure with minimal discomfort.
- IVF:
- More invasive, involving injections, egg retrieval under sedation, and embryo transfer. Some women experience mild to moderate discomfort, but pain is usually manageable.
Will I still get my period without fallopian tubes?
Yes, you will still have periods if your ovaries and uterus are intact. The fallopian tubes do not affect your menstrual cycle.
Should I do IUI or go straight to IVF?
If you have no functioning fallopian tubes, IVF is the recommended option. If at least one tube is open, IUI may be considered, but your doctor will advise based on your unique situation and fertility assessment.
The information provided is intended for general guidance only and should not be considered medical advice. For personalised recommendations and tailored advice based on your unique situations, please consult a specialist at Thomson Medical. Request an appointment with Thomson Medical today.