164

Pregnancy Without Fallopian Tubes!

Have you ever considered the possibility of a pregnancy without fallopian tubes? Have you even known that this is possible?

Pregnancy Without Fallopian Tubes

Table of Contents

What Role Play the Fallopian Tubes in Conception?

The fallopian tubes are essential for the process of conception:

  • They ensure and support the egg`s capture in the peritoneal cavity;
  • They transport the egg to the uterus;
  • They lead the sperm to the egg where the fertilization will take place.

Considering a Pregnancy without Fallopian Tubes

On the other hand, women without fallopian tubes can use the IVF treatment. In vitro fertilization, shortly known as IVF, is applied since 1978. The principle of the method can be briefly outlined.

After the hormonal stimulation of the ovaries, the oocytes (the oocyte is the female germ cell) are extracted and put in contact with the male sperm in a container. The sperm will fertilize the oocytes from which will result the embryos which will be inserted in the future mother`s uterus, where they`ll continue to develop in ideal conditions, leading to pregnancy.

As it shows from the above brief description, the fallopian tubes are no longer necessary because the fertilized oocytes are reinserted in the uterine cavity, as embryos, after a previous passage through a container or tube. This way, the method can also be applied for women with clogged fallopian tubes, who have tubes that are no longer functional or it isn`t possible to have this cause of sterility removed surgically.

This method has known a wide spread in the last 20 years after the birth through IVF treatment in 1978. Today, this is applied as treatment for other causes of sterility as well. Now, only half from all IVF treatments are addressed to sterility causes from diseases that involve the fallopian tubes.

This method is also popularly known as “artificial fertilization,” but this expression isn`t correct because the fertilization of the oocyte by the sperm takes place just as it would normally would, the only difference being that it takes place in a special container. So, not the fertilization itself, but only the place where the process takes place is “artificial.”

The Stages of the Treatment

At first, a diagnosis will be placed along with the IVF indication. Usually, the couple receives all the details in a detailed discussion that involves all the procedures, risks and chances of success of the actual treatment. Then, all initial premises are controlled for performing the treatment and, if necessary, there`ll also be made some complimentary investigations.

The therapy includes a hormonal inhibiting stage and an ovarian stimulation stage. The therapy of ovarian hormonal inhibiting starts after a preliminary ultrasound examination and the exclusion of an infection in the male sperm. This stage lasts averagely for 2 weeks and has the role of preventing an early ovulation. Then will follow the ovarian stimulation stage.

The ovarian stimulation therapy includes in the first week infections of stimulation that are performed daily. Then the menstrual cycle will be monitored by performing ultrasound and hormonal examinations at certain intervals. The hormonal dose is then individualized depending on these results.

These investigations are performed until it will be obtained optimal values in terms of size and number of follicles, and respectively, hormonal blood values. When optimal conditions are obtained, a new hormone will be administrated to prepare the oocytes for harvesting. This hormone is known as hCG, an injection which will determine the follicles to break and the occytes to be released.

After 36 hours from the hCG administration, the oocytes will be harvested, a procedure that is known as follicular puncture. This technique is performed through the vagina under an ultrasound examination and anesthesia. The procedure of harvesting the oocytes lasts for 10 – 20 minutes. The oocytes are distinguished under the microscope and then placed in a special culture environment. On the day of follicular puncture, the male needs to offer the sperm. After a special preparation, the sperm are placed in contact with the oocytes.

After around 18 hours, the oocytes are controlled for fertilization. The fertilized oocyte shows 2 pronuclei, which represent genetic material which derives from the oocytes and sperm. This is the first stage of development of the embryo.

After 48 – 72 hours from the follicular puncture, the resulted embryos are introduced in the uterus, a technique known as embryo transfer. This procedure doesn`t require anesthesia because is extremely gentle. After the embryo transfer, a special treatment is required to sustain the embryo`s development. At 2 weeks from the transfer, there will be made a pregnancy test based on blood sample.

Results

The pregnancy rate for IVF – ET is dependent on the causes that determine sterility. Another important factor is the patient`s age. In the entire world, it`s considered that the rate of success for an embryo transfer is of 25% to 35%. At some patients, the success rate is of even 50%.

Risks

In rare cases, (<1%) it may be encountered the following complications due to follicular puncture: damage of blood vessel, bladder, small intestine, large intestine.

The ovarian overstimulation syndrome occurs for a percentage of 5% to 10%, which required a close supervision of the patient after the embryo transfer. The rate of multiple pregnancies is of 5%, slightly increased at young patients and at those who receive more than 3 embryos. – Read more here!

A pregnancy without fallopian tubes performed by IVF treatment is exactly like a natural pregnancy.

Image courtesy of quora.com

Show Comments

572 Comments

    • Unrelia May 15, 2023
    • gissuri June 23, 2023
    • lhRZSg August 2, 2023
  1. RalphLep June 3, 2022
  2. IverDarm June 4, 2022
    • Iodindila May 8, 2023
    • cBpshJPG July 24, 2023
  3. ChesterDyesy June 5, 2022
    • UncomeRem February 28, 2023
    • cloravy April 26, 2023
    • gissuri May 29, 2023
    • unpoGb July 10, 2023
  4. Stromvar June 6, 2022
  5. Kpsfrg June 28, 2022
  6. incuchrib August 18, 2022
    • Emikify March 7, 2023
    • Gyngeassy May 3, 2023
    • embarry June 3, 2023
    • mxYWNvE July 14, 2023
    • lVOsTDn August 17, 2023
  7. Clalsekew August 31, 2022
  8. Pledcluck September 1, 2022
    • UncomeRem March 5, 2023
    • cloravy April 29, 2023
    • gissuri June 1, 2023
    • xVvbVNpUT July 14, 2023
  9. Chooggued September 3, 2022
    • Iodindila May 10, 2023
    • pzJcqUyaS July 26, 2023
  10. Queemeday September 3, 2022
  11. Duemill September 5, 2022
    • Iodindila May 10, 2023
    • BFtxepbG July 27, 2023
  12. enlislant September 5, 2022
  13. zesserb September 7, 2022
  14. Addinny September 7, 2022
    • Emikify February 28, 2023
    • Ethigue April 26, 2023
    • embarry May 29, 2023
    • embarry June 9, 2023
    • EowuOfZA July 8, 2023
    • PTbNhV August 11, 2023
  15. plalePasy September 10, 2022
    • Unrelia May 19, 2023
    • gissuri June 26, 2023
    • suzyGxrJl August 6, 2023
  16. grarneGaT September 10, 2022
    • Emikify March 11, 2023
    • Gyngeassy May 7, 2023
    • QJgjRB July 19, 2023
    • YCGYHa August 21, 2023
  17. Crocreree September 13, 2022
    • UncomeRem February 26, 2023
    • cloravy April 25, 2023
    • gissuri May 28, 2023
    • gissuri June 9, 2023
  18. Scuctut September 16, 2022
  19. Freence September 17, 2022
    • Emikify March 5, 2023
    • Ethigue April 30, 2023
    • embarry June 1, 2023
    • NGhMhgCH July 13, 2023
    • KxRaLM August 15, 2023
  20. tuplilt October 7, 2022
  21. admipsy October 7, 2022
    • Emikify February 28, 2023
    • Ethigue April 26, 2023
    • embarry May 29, 2023
    • embarry June 9, 2023
    • heUiIchxp July 8, 2023
    • BbepLY August 11, 2023
  22. TimothyIntem October 10, 2022
    • Unrelia May 14, 2023
    • gissuri June 20, 2023
    • LmuiFBuut August 1, 2023
    • piomync December 13, 2023
  23. Stewartbax October 11, 2022
    • Peeguic May 27, 2023
    • Rublips June 26, 2023
    • chkmSEqEL August 17, 2023
  24. Stewartzal October 11, 2022
    • UncomeRem February 23, 2023
    • cloravy April 23, 2023
    • gissuri May 26, 2023
    • gissuri June 7, 2023
    • ZAGCPwsh July 4, 2023
  25. Stewartapv October 12, 2022
  26. Stewartsjn October 12, 2022
  27. neelery October 12, 2022
  28. Stewartyuy October 13, 2022
  29. jegotteab October 13, 2022
    • UncomeRem March 9, 2023
    • Unrelia May 4, 2023
    • gissuri June 4, 2023
    • dnviOcgC July 18, 2023
    • piomync January 14, 2024
  30. Stewartpep October 13, 2022
    • Emikify February 25, 2023
    • Ethigue April 25, 2023
    • DAFkTk January 6, 2024
    • Emikify February 23, 2023
    • Ethigue April 23, 2023
    • embarry May 26, 2023
    • EtgnSSPNn July 4, 2023
    • fxymRS August 7, 2023
  31. VederTwtuky October 24, 2022
    • Emikify February 25, 2023
    • Ethigue April 24, 2023
    • embarry May 27, 2023
    • embarry June 7, 2023
    • zLBShB July 5, 2023
    • FZKqMOLwU August 8, 2023
  32. VederTwtvem October 25, 2022
    • Emikify February 20, 2023
    • Ethigue April 21, 2023
    • embarry May 24, 2023
    • embarry June 5, 2023
    • jfhbRZvTX July 1, 2023
    • KfYBTJzhE August 4, 2023
    • Iodindila May 17, 2023
    • Rublips June 17, 2023
    • DyOkrGAq August 4, 2023
    • Emikify March 1, 2023
    • Ethigue April 28, 2023
    • embarry May 30, 2023
    • ZzNPsRoU July 10, 2023
    • SErvtN August 13, 2023
  33. driency November 6, 2022
    • Emikify February 25, 2023
    • Ethigue April 24, 2023
    • embarry May 27, 2023
    • embarry June 7, 2023
    • xapScvxxU July 5, 2023
    • TjTanR August 8, 2023
    • Peeguic May 24, 2023
    • Rublips June 24, 2023
    • reevIAh August 13, 2023
    • UncomeRem February 19, 2023
    • UncomeRem February 20, 2023
    • cloravy April 21, 2023
    • gissuri May 23, 2023
    • gissuri June 5, 2023
    • pcUQiI July 1, 2023
    • UncomeRem February 25, 2023
    • cloravy April 24, 2023
    • gissuri May 27, 2023
    • gissuri June 8, 2023
    • LoMrhWSz July 8, 2023
    • Iodindila May 17, 2023
    • Rublips June 17, 2023
    • dRxdMj August 4, 2023
    • Emikify February 22, 2023
    • Ethigue April 23, 2023
    • embarry May 26, 2023
    • embarry June 6, 2023
    • mRFrPNMvn July 3, 2023
    • DUiRLj August 6, 2023
    • ZCzjPTH December 24, 2023
  34. Edittef November 8, 2022
    • UncomeRem March 18, 2023
    • Unrelia May 11, 2023
    • gissuri June 18, 2023
    • FFJDMdt July 27, 2023
    • UncomeRem March 5, 2023
    • cloravy April 29, 2023
    • gissuri June 1, 2023
    • OdnlXnxa July 14, 2023
    • UncomeRem March 10, 2023
    • Unrelia May 5, 2023
    • dUbpgwhz July 20, 2023
    • UncomeRem March 12, 2023
    • Unrelia May 6, 2023
    • KpnHTVnqa July 22, 2023
    • Iodindila May 12, 2023
    • yvDKJqm July 28, 2023
    • UncomeRem March 7, 2023
    • cloravy May 1, 2023
    • gissuri June 3, 2023
    • uXzthM July 16, 2023
    • Emikify February 20, 2023
    • Ethigue April 21, 2023
    • embarry May 23, 2023
    • embarry June 5, 2023
    • wwCpUEwI July 1, 2023
    • GpUEDw August 4, 2023
    • Vejoift October 17, 2023
    • Unrelia May 20, 2023
    • gissuri June 27, 2023
    • TXcpowciQ August 7, 2023
    • Emikify February 25, 2023
    • Ethigue April 25, 2023
    • embarry May 28, 2023
    • embarry June 8, 2023
    • CokLBDHJ July 6, 2023
    • AXtHZUd August 9, 2023
  35. roarrop November 14, 2022
    • Iodindila May 21, 2023
    • Rublips June 19, 2023
    • dZGFDxPui August 8, 2023
    • qSKxTCApH January 10, 2024
    • Unrelia May 15, 2023
    • gissuri June 21, 2023
    • JeEydcnRM August 1, 2023
  36. Bifaple November 15, 2022
    • Peeguic May 27, 2023
    • Rublips June 26, 2023
    • zXpdNIMe August 16, 2023
  37. VederTwtwal November 15, 2022
    • UncomeRem March 18, 2023
    • Unrelia May 11, 2023
    • gissuri June 17, 2023
    • YsxlnpUa July 27, 2023
    • Emikify February 23, 2023
    • Ethigue April 23, 2023
    • embarry May 26, 2023
    • embarry June 7, 2023
    • CucoLH July 4, 2023
    • gksRbde August 7, 2023
  38. CharlpumvkesMus November 17, 2022
    • Unrelia May 14, 2023
    • gissuri June 20, 2023
    • Eiexsm July 31, 2023
  39. CharlnwffhesMus November 17, 2022
    • Unrelia May 14, 2023
    • gissuri June 20, 2023
    • JjpljSK July 31, 2023
    • EkgorJt November 9, 2023
  40. CharlvsrvsesMus November 18, 2022
    • Peeguic May 23, 2023
    • Rublips June 23, 2023
    • ckRQZMJy August 12, 2023
  41. CharlflmbxesMus November 18, 2022
  42. CharljqumoesMus November 18, 2022
  43. CharlizbiresMus November 19, 2022
  44. deelvinia November 19, 2022
  45. CharliwbqmesMus November 19, 2022
  46. CharlzfaobesMus November 20, 2022
    • Emikify March 6, 2023
    • Ethigue April 30, 2023
    • embarry June 2, 2023
    • FnKnfA July 13, 2023
    • UkkiZZQoH August 16, 2023
  47. CharlcmqdtesMus November 20, 2022
  48. CharlahddyesMus November 20, 2022
    • Iodindila May 19, 2023
    • Rublips June 18, 2023
    • uOvkVM August 6, 2023
  49. Asseptors November 21, 2022
    • UncomeRem February 25, 2023
    • cloravy April 24, 2023
    • gissuri May 27, 2023
    • gissuri June 8, 2023
  50. CharlqakmoesMus November 21, 2022
    • Emikify March 11, 2023
    • Gyngeassy May 6, 2023
    • ZOIoPy July 18, 2023
    • HcBZBDh August 20, 2023
  51. CharlvtmvzesMus November 21, 2022
    • UncomeRem February 27, 2023
    • cloravy April 25, 2023
    • gissuri May 28, 2023
    • gissuri June 9, 2023
    • cjnPkgcfo July 9, 2023
  52. Edgetdype December 7, 2022
  53. Adopity December 10, 2022
  54. Equillalk December 10, 2022
  55. blivybiab December 12, 2022
  56. Bonsirl December 18, 2022
  57. Sharleschkhr December 28, 2022
  58. Sharlesxgakw December 28, 2022
  59. Sharlessnhyb December 29, 2022
  60. Sharlestsubo December 29, 2022
  61. Sharlespjhep December 29, 2022
  62. Sharlesjjbzu December 30, 2022
  63. Sharlestaqof December 30, 2022
  64. Sharlesankag January 3, 2023
  65. Sharlestjjbt January 3, 2023
  66. Sharlesursql January 3, 2023
  67. Sharleszerep January 4, 2023
  68. Sharleszossa January 4, 2023
  69. Sharlesofbum January 5, 2023
  70. Sharleszebuj January 5, 2023
  71. ErrodaY January 24, 2023
  72. gakeldera January 24, 2023
  73. ETHIPMENE January 25, 2023
  74. ignopay January 27, 2023
  75. Saftitams January 27, 2023
  76. jepledo January 29, 2023
  77. Gypereaph January 31, 2023
  78. amourne February 4, 2023
  79. Pgnmgv February 7, 2023
  80. Fafeseesk February 8, 2023
  81. Jameszjfw February 8, 2023
  82. Jamesugdx February 9, 2023
  83. Jamesuqxw February 9, 2023
  84. Jamesaqmd February 10, 2023
  85. Pagiahhom February 10, 2023
  86. Dangext February 10, 2023
  87. Jamesqwxn February 10, 2023
  88. AddevaRes February 10, 2023
  89. Jamespezh February 10, 2023
  90. Jameslwlm February 11, 2023
  91. Jamesqxem February 11, 2023
  92. Jamesvgnk February 12, 2023
  93. Insucky February 18, 2023
  94. fefevenly February 21, 2023
  95. itemync March 1, 2023
  96. Wamesyvsbkl March 2, 2023
  97. Wamesoqfkyq March 2, 2023
  98. Wamespqledg March 2, 2023
  99. Wamesvhinen March 4, 2023
  100. Wamesbvqhft March 4, 2023
  101. UncomeRem March 5, 2023
  102. Emikify March 19, 2023
  103. cloravy April 29, 2023
  104. gissuri June 1, 2023
  105. ReTerTwgexf June 7, 2023
  106. ReTerTwtacw June 9, 2023
  107. ReTerTwphsr June 9, 2023
  108. ReTerTwxbiv June 10, 2023
  109. ReTerTwxbzd June 11, 2023
  110. ReTerTwrurm June 11, 2023
  111. ReTerTwhfvr June 12, 2023
  112. ReTerTwciyf June 13, 2023
  113. ReTerTwowux June 13, 2023
  114. ReTerTwkiet June 14, 2023
  115. ReTerTwomcj June 15, 2023
  116. ReTerTwcdzq June 15, 2023
  117. ReTerTwcwvg June 16, 2023
  118. DeTerTwgeri July 1, 2023
  119. DeTerTwsobg July 3, 2023
  120. DeTerTwobzg July 4, 2023
  121. piomync July 4, 2023
  122. DeTerTwyfqf July 5, 2023
  123. DeTerTwneul July 6, 2023
  124. DeTerTwzjfr July 8, 2023
  125. DeTerTwcbdo July 10, 2023
  126. DeTerTwwcfu July 11, 2023
  127. DeTerTwxuap July 13, 2023
  128. qRqXiGTIz July 14, 2023
  129. DeTerTwaalp July 15, 2023
  130. DeTerTwuaek July 16, 2023
  131. Vejoift July 20, 2023
  132. byuFJFwPA August 27, 2023
  133. RNS-MO-But September 3, 2023
  134. scholding September 13, 2023
  135. Fast_Build_S October 11, 2023
  136. Fast_Build_P October 14, 2023
  137. Uteplenie_Oa December 15, 2023
  138. Uteplenie_Oa December 26, 2023
  139. ppu-prof_Oa January 8, 2024
  140. Francesco Kucharski January 30, 2024
  141. CtnArrek February 22, 2024
  142. Syhkheive February 22, 2024
  143. Sheheive February 24, 2024
  144. ppu-prof_Oa March 9, 2024
  145. Srthvheive March 11, 2024
  146. CjmoArrek March 20, 2024
  147. Xtenadelt March 23, 2024
  148. Sibyl Allen March 24, 2024
  149. CzzqArrek March 28, 2024

Leave a Reply to plalePasy Cancel reply