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If one tube is blocked and the other is open, usually women are still be able to have normal or near normal fertility as the open tube with a normal ovary can still be functioning properly. The proximal obstruction can be overcome with the initial HSG catheter and anesthesia or with a hockey stick shaped catheter directed towards each tubal opening that follows the initial catheter. Laparoscopy A laparoscopy is considered if a patient has been diagnosed with a distal tubal occlusion See Figure 5. It is a place where the initial development of the embryo occurs until the embryo migrates to the uterus before it implants in the endometrium. Tubes that maintain their rugal folds and fimbria or are mildly damaged can be opened and patients can attempt pregnancy with a modest success rate. Fluoroscopic Guided Tubal Cannulation Procedure. Tubal cannulation procedure Figure 3: Apr 17 Blocked Fallopian Tubes? It is normal to be worried when you have been diagnosed with blocked fallopian tubes. Bilateral proximal tubal occlusion This procedure is meant for patients who have been diagnosed with a proximal tubal occlusion See Figure 3 and is done under fluoroscopic or x-ray guidance. Laparoscopy See Figure 4 Figure 4: Figure 5: Depending upon the severity of the tubal damage or the size of the hydrosalpinx fluid filled tube , the tube can be opened or removed. If the procedure fails to open either of the tubes then the patient usually considers IVF treatment as a next step. In short, the fallopian tubes are natural incubators and escalators. Hysterosalpingogram-Open fallopian tubes. Bilateral distal tubal occlusion Hydrosalpinx If you have been diagnosed with tubal disease please discuss this further with any of our experienced Board Certified Infertility Specialists, who can help you decide which testing and ultimate treatment is right for you. Tubeshere

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