Silvia Azaña, an embryologist at inviTRA, explains in this video what the treatment for female infertility due to tubal factor is:
Treatment for fallopian tube conditions will depend on the underlying cause.
Bacterial infections must be treated with antibiotics. However, if the fallopian tubes are already damaged, the medication will treat the infection, but it won't be able to fix the damage caused.
On the other hand, it will also be important to consider whether the tube involvement is unilateral or bilateral.
In the case of unilateral tubal factor, natural pregnancy would be possible, although the chances may be reduced. However, the couple can turn to assisted reproduction techniques if they have difficulty achieving pregnancy.
Since in these cases only one tube is damaged, artificial insemination or in vitro fertilization (IVF) could be indicated. The choice of one assisted reproduction technique or another will depend on the specific situation of each woman or couple.
In the case of bilateral tubal factor, if both fallopian tubes are affected, surgery to repair and recanalize the tubes would be possible depending on the cause of the blockage and its severity.
However, it can be difficult for the woman to fully regain her fertility after the procedure. And that's because fallopian tube repair is a complex surgery. For this reason, many women with bilateral tubal factor turn directly to assisted reproduction to become mothers.
Specifically, the treatment that doesn't require tubal functionality to achieve pregnancy is IVF.
Despite this, in cases of hydrosalpinx, surgery to remove the damaged fallopian tube is recommended. This procedure, called a salpingectomy, would be performed prior to the IVF cycle. This would increase pregnancy rates, as it would prevent the flow of accumulated fluid into the uterus.
