Due to the recent rise and concern of Coronavirus, we are taking every measure to protect our patients. In addition to following CDC guidelines, please note that we will only be allowing new or active female and male patients in our facility at this time. For any upcoming procedures, we will only allow one escort for transportation into the facility.
We are now offering virtual consultations through ferTELEty©, Kofinas Fertility Group's telemedicine program!
Getting pregnant can be tough no matter what, but for those dealing with blocked Fallopian tubes, the challenges may be a bit more difficult to overcome.
Essentially, Fallopian tubes must be open, have no swelling, and be free of scar tissue to function properly. With at least one tube in a healthy condition, having a natural or IUI-assisted pregnancy is certainly possible. On the other hand, if both tubes are experiencing problems, there are several procedures that can be done to mitigate issues and achieve positive results.
Here's what you need to know about blocked Fallopian tubes and how to increase your chances of starting a family with fertility treatment options:
Blockages can occur in the Fallopian tubes for a number of reasons, but the most common cause is pelvic inflammatory disease (PID).
Typically the result of a sexually transmitted disease, PID is a bacterial infection of the reproductive organs that affects the uterus and Fallopian tubes. The infection may lead to pelvic pain, abscess growth, scarring from adhesions, and may even cause an ectopic pregnancy if left untreated.
Additional causes of blocked Fallopian tubes include an ongoing or past experience of...
There are several ways to test for Fallopian tube blockages that are fairly routine without too much recovery time afterward.
Three main procedures that check for tubal swelling or obstructions are hysterosonograms (HSN), hysterosalpingograms (HSG), and laparoscopy with chromotubation of the tubes.
An HSN is a type of high-resolution ultrasound used with saline solution, rather than dyes and x-rays.
The process is less demanding on the body and offers a clear visual representation of the uterus, allowing a specialist to see any abnormalities within it. However, gaining a thorough look into the Fallopian tubes is somewhat limited.
An HSG provides a more in-depth look into the Fallopian tubes through the use of an iodine liquid filled into the uterus, which is contrasted by an x-ray that shows you how the liquid moves throughout your reproductive system.
This process is fairly quick altogether, typically taking less than 10 minutes, and patients can return home shortly after. With that in mind, it has been known to cause cramping and may be a secondary course of action for those who need further review of their Fallopian tubes.
Being the most demanding procedure of the three, a laparoscopy with chromotubation is an inpatient procedure carried out with general anesthesia.
Two incisions are made, one for a fine telescope (laparoscopy) to be inserted into the abdomen, and another in the pubic region for a small probe to provide an obstructed view of the reproductive organs. Once everything is in place, the chromotubation process (dye test) begins, filling the womb with a light-blue liquid. If the Fallopian tubes are open, then the dye will spill from the ends into the pelvis area, but if nothing comes out, then a blockage is usually the issue.
After this procedure, it takes approximately one week to recover.
Similar to laparoscopy with chromotubation, blockages within the Fallopian tubes can be temporarily fixed with a process called tubal cannulation.
Tubal cannulation uses two types of surgical procedures called hysteroscopy and laparoscopy.
Through a small incision of the abdomen, a narrow tube outfitted with a camera and light source is inserted into the womb. Next, a thin wire (cannula) is guided through the Fallopian tube, creating an opening and clearing blockages. Once complete, a dye is sent through the womb to see if it can pass through the Fallopian tubes without being deterred. It if flows freely, the surgery is a success.
According to research from Saint Mary's Hospital in the UK, 75% of women who undergo tubal cannulation are successful in getting pregnant between 22% and 33% of the time. However, a downside to the procedure is that Fallopian tubes cannot be reopened permanently and may reclose at a later date.
Yes, you can get pregnant naturally or with the assistance of an IUI with one Fallopian tube open. However, if both tubes are blocked, then an in vitro fertilization (IVF) may be required.
In vitro fertilization (IVF) works around blocked Fallopian tubes by developing the embryo outside of the body in a controlled laboratory setting and transferring it to the uterus through a small insemination catheter. Over time, the embryo grows naturally in the same fashion as a traditional pregnancy without relying on the Fallopian tubes to function.
With that in mind, a condition known as hydrosalpinx (swollen tubes) can have an effect on the outcome of an IVF, leading to a 50% reduction of its success. Also, anyone who has had a tubal ligation (tubes tied) may have trouble finding success with an IVF, although a tubal reversal is possible.
In any case, it's always best to consult with a fertility specialist before deciding to undergo any procedures.
At Kofinas Fertility Group, your health is always a priority, and any challenges you may have with blocked Fallopian tubes will be fully assessed to ensure the right course of action that leads to you having the family of your dreams.
NEW YORK (CBS NewYork) — Giants wide receiver Golden Tate is said to be appealing a four-game suspension for violating the NFL’s policy on performance-enhancing substances.
He said the whole incident was a part of fertility treatment mix-up, CBS2’s Natalie Duddridge reported Monday.
Tate, who racked up 611 receptions, more than 7,200 yards and 38 touchdowns during the first 10 years of his career, won’t be eligible to play in his first game with the Giants until Oct. 6 against visiting Minnesota.
He signed a four-year, $37.5 million contract, including $10 million guaranteed, back in March as part of the Giants’ plan to replace Odell Beckham Jr., who was traded to Cleveland.
Tate took to Twitter to explain the situation.
“This past April, during the offseason, my wife and I decided to see a specialist for fertility planning,” Tate wrote. “I started the treatment prescribed to me and just days later I discovered it contained an ingredient that is on the league’s banned substance list. I immediately discontinued use.”
Tate said he reported the situation to the NFL, and spoke to his coaches and general manager even before a failed test was confirmed.
But regardless, he’s facing a four-game ban. Giants fans have mixed reactions.
“He should be more careful about what he’s taking, putting in his body,” one fan said.
“If they’re taking fertility treatments, there should be some type of allowance if they’re trying to create a family. You shouldn’t be banned,” one fan said.
“I think the policy of the NFL is harsh, but at least it’s uniform for everybody, no nonsense,” another fan said.
The founder of Kofinas Fertility Group, Dr. George Kofinas, said any kind of fertility treatment indirectly could affect performance.
“The medication that are used in fertility treatment to boost production as well as quality of sperm in men with infertility, they do have a component which is more or less a side affect, increases the production of testosterone, and testosterone could be considered a performance enhancer,” Kofinas said.
Kofinas did bring up an important discussion — that everyone should be able to pursue fertility treatment. The question here, though, is did Tate follow the right protocol?
Duddridge reached out to the Giants for comment, but didn’t immediately get a response. As of Monday, Tate is practicing with the team and plans to appeal the suspension.
Originally published on CBS New York on July 29, 2019.