Endometriosis and Problems with the Fallopian Tubes

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Endometriosis and Problems with the Fallopian Tubes

What is Endometriosis

Endometriosis, a common and painful disease that affects women, is one of the three leading causes of infertility in women.

During a normal menstrual cycle, the lining of a woman’s uterus called the endometrium¬†begins to thicken in preparation for conceiving a baby.

If a woman does not become pregnant during that month, the endometrium is drained by the body during menstruation and the cycle begins again.

Occasionally, tissues resembling the endometrium begin to grow outside the uterus in areas where they should not, which is known as Endometriosis.

This state can affect the ovaries, fallopian tubes, the numerous structures supporting the uterus, as well as the lining of the pelvic cavity.

Sometimes, it affects the cervix, vagina, anus, bladder, intestines, and other areas.

This tissue acts like normal endometrial tissue, which builds up and breaks down with the menstrual cycle causing problems.

However, during periods it may not be shed like natural endometrial tissue.

Therefore, this troublesome tissue causes discomfort and swelling, preventing the egg from exiting the ovary or being fertilized by a sperm.

This condition can also be caused by scarring and blockage of the fallopian tubes and obstruction of the egg and sperm. 

In addition to infertility, some of the common signs and symptoms of endometriosis include:

Pain in the lower back


Painful bowel movements

Pelvic pain

Heavy menstruation or spotting between periods

Severe abdominal pain

Painful urination

Painful intercourse

However, sometimes women with endometriosis have no symptoms.

Pregnancy & Endometriosis

In most cases, women with endometriosis can conceive normally but if someone is having difficulty getting pregnant, endometriosis can be one of the root causes.

If this happens, it can be established by laparoscopy, where a surgeon inserts a small camera through a tube to examine the abnormal endometrial tissue in a woman’s abdomen.

Sometimes a diagnosis is confirmed with a biopsy.

Women diagnosed with endometriosis have several treatment options depending on the severity of the disease.

For example, medication, either alone or with surgery, can often reduce swelling and pain.

The surgeon tries to remove as much of the diseased tissue as possible. For some women surgery significantly improves the chances of getting pregnant.

For women experiencing ovulation problems due to endometriosis, the use of fertility drugs to stimulate ovulation is another option. 

Once a woman has successfully started ovulating, the doctor may suggest artificial insemination, in which the sperm is injected directly into the uterus.

Fallopian Tube Problems

Blockage of the fallopian tubes can be one of the possible causes of female infertility.

Muscular tubes are lined with delicate hair-like structures that work in both directions, the fallopian tubes help an egg to move from the ovary to the uterus and help the sperm to move above the womb.

Each fallopian tube ends in fimbriae, which have finger-like structures. When the ovary releases the egg, it is caught and guided by the fimbriae.

The fallopian tubes play an important role in conception as it is the place where most eggs are fertilized.

Endometriosis in the fallopian tubes is also responsible for a significant percentage of infertility cases. The disease can result in blocked tubes or sores.

An egg released from one of the ovaries travels through one of the fallopian tubes, the narrow ducts that connect the ovary to the uterus.

Normally, during conception, the egg attaches to the sperm in the fallopian tube and the fertilized egg continues into the uterus.

However, if the fallopian tubes are blocked, there is no chance for the sperm to fertilize the egg.

Blockage in the fallopian tubes can sometimes lead a fertilized egg to become trapped, which is known as an ectopic pregnancy.

Pregnancy with Fallopian Tube Problems

Blockage of the fallopian tubes can be determined by laparoscopy or hysterosalpingogram (HSG).

Usually, for fallopian tube problems, surgery is recommended to repair the damage or to unblock the tubes.

But if the woman is normally ovulating, other auxiliary reproductive techniques completely bypass the fallopian tubes.

When performed by a qualified and experienced doctor like Dr. Shivani Bhutani at Eva Hospital, these techniques give the desired results which can make a woman pregnant.

There are techniques with very encouraging success rates of conceiving with blocked fallopian tubes:

  • Artificial insemination directly into the uterus (IUI) 
  • In vitro fertilization (IVF) 
  • Intracytoplasmic sperm injection (ICSI)

However, the effectiveness of these treatments may vary from person to person. Thus, it is best to let the doctor decide what is the best line of treatment for a particular patient.

If you’re having trouble getting pregnant, schedule an appointment today

About The Author

Dr Shivani Bhutani
A doctor with a rich background and high success rate, Dr. Shivani Bhutani offers the boon of parenthood to couples dealing with infertility. She has opulent knowledge and expertise in offering successful treatment for infertility in females, gynecological disorders, and family planning consultation services. Highly dedicated, concerned, and attentive, Dr. Shivani understands the bliss of parenthood and offers appropriate medical help.