I have blocked fallopian tubes. Can they be cleaned out or fixed in some way?

Fallopian tubes may be blocked for a number of reasons-perhaps from an infection many years ago, from previous surgery (for example for ectopic pregnancy) or inflammation caused by appendicitis or endometriosis. Whatever the cause, the effect is the same: the egg cannot travel down a blocked tube, hence cannot reach the womb to implant if it is fertilized. Depending on the degree of damage to the tubes, specialist units use techniques including micro-surgery to attempt to repair the tubes and remove the blocked segment. This can sometimes be successful (though sucess is far from guaranteed) but there is a risk of ectopic pregnancy (the embryo getting stuck and implanting in the tube instead of the womb). the alternative, which by-passes the fallopian tubes altogether, is in vitro fertilization (IVF). In this technique, the embryo(s) are replaced directly into the womb.
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