Fallopian tubes are tiny pipes which connect the ovaries to the side of the uterus.

In this anatomical structure, the spermatozoon reaches the ovum (fertilization) and the embryo begins to grow.

If the function of fallopian tubes is the proper one, the embryo travels to the uterus, where the implantation of the embryo takes place and the pregnancy begins.

In case of blocked fallopian tubes, fertilization cannot occur and a pregnancy is impossible

In case of abnormal function of the fallopian tubes, there is a high risk that the fertilized egg stays and implants in the tube (tubal ectopic pregnancy)

What are the causes of blocked fallopian tubes?

Fallopian tubes can become blocked or non- functional (damaged) for the following reasons:

• Genital tract infections by microorganisms which cause salpingitis (infection in the fallopian tube). These microorganisms are usually sexually transmitted. The most common one is Chlamydia trachomatis. Infections may lead to inflammation of fallopian tubes or to pyosalpinx (collection of pus within the tubes)
• Acute appendicitis. The infection may spread to the fallopian tubes
• Endometriosis
• Adhesions after an abdominal surgery

If the fallopian tubes are blocked and the active infection has been treated, watery fluid may be accumulated in the tubes (hydrosalpinx)

How could laparoscopy procedure help me?

Laparoscopy gives us more accurate information about the patency of the fallopian tubes compared with hysterosalpingography (HSG).

Moreover, during laparoscopy could be performed:

• Resection of adhesions
• Excision of endometriosis
• Restoration of a blocked fallopian tube using forceful injection of contrast material into the tube
• Surgical manipulations which could help in the restoration of blocked fallopian tubes

The above practices have as a result the restoration of fallopian tubes function.

Laparoscopy provides the ability of close abdomen examination (due to high definition images and the visual magnification); and delicate surgical maneuvers that small and sensitive organs (such as fallopian tubes) requires

Why not to go straight to IVF?

If the fallopian tubes have a normal function after laparoscopic salpingostomy, the natural conception is possible.

Otherwise, IVF is recommended.

I think that my fallopian tubes are blocked. What should I do?

Consult Dr. Marinakis a specialist Gynecologist - Endoscopic surgeon.

Doctor should examine you in order to be assured that there is an indication for a Laparoscopic surgery.

If they have discouraged you from Laparoscopy, and you do not have enough information not only about the indications of the procedure, but also about your plan of treatment, you might have been in the wrong place!

Overall, laparoscopy is a really safe procedure; however every single medical procedure is safe only if it is managed by a specialist.

Gynecologist Dr. Marinakis specialises in gynecological hysteroscopy. He is certified in advanced laparoscopy and hysteroscopy by Royal College of Obstetricians and Gynecologists. He was also a member of Laparoscopic training unit “MATTU” in United Kingdom.

How much does a laparoscopy cost?

The cost of a laparoscopic procedure is low and it usually depends on your health insurance cover.