Skip to main navigation Skip to main content Skip to footer For Medicare For Providers For Brokers For Employers Español For Individuals & Families: For Individuals & Families Medical Dental Other Supplemental Explore coverage through work How to Buy Health Insurance Types of Dental Insurance Open Enrollment vs. Special Enrollment See all topics Shop for Medicare plans Member Guide Find a Doctor Log in to myCigna
Home Knowledge Center Wellness Library Fallopian Tube Procedures for Infertility

Fallopian Tube Procedures for Infertility

Surgery Overview

A fallopian tube blockage often prevents successful passage of the egg to the sperm, or the fertilized egg to the uterus. Surgery can be used to try to correct this common cause of infertility. What type of surgery you have depends on where and how much the fallopian tube is blocked.

Some tubal procedures can be done using microsurgical techniques. These may be done during open surgery on the belly or using laparoscopy through a small incision. The surgeon must have special training and expertise in these techniques. Here are the most common tubal procedures.

Tubal reanastomosis is often used to reverse a tubal ligation or to repair a part of the fallopian tube damaged by disease. The blocked or diseased part of the tube is removed. Then the two healthy ends of the tube are joined. This procedure can be done through an incision in the belly (laparotomy), but some specialists can do this procedure using laparoscopy.

Salpingectomy is the removal of part of a fallopian tube. It's done to improve in vitro fertilization (IVF) success when a tube has a buildup of fluid (hydrosalpinx). Hydrosalpinx makes it less likely that an IVF procedure will succeed. Salpingectomy is preferred over salpingostomy for treating a hydrosalpinx before IVF.

Salpingostomy is also done when the end of the fallopian tube is blocked by a buildup of fluid. This procedure creates a new opening in the part of the tube closest to the ovary. But it's common for scar tissue to regrow after a salpingostomy. This can reblock the tube.

Fimbrioplasty may be done when the part of the tube closest to the ovary is partially blocked or has scar tissue. These problems can prevent normal egg pickup. This procedure rebuilds the fringed ends of the fallopian tube.

For a tubal blockage next to the uterus, a nonsurgical procedure called selective tubal cannulation is the first treatment of choice. Using fluoroscopy or hysteroscopy to guide the tools, a doctor inserts a catheter, or cannula, through the cervix and the uterus and into the fallopian tube.

What To Expect

What To Expect

After open abdominal surgery, you most likely will have a 2- to 3-day hospital stay. You probably can return to work in 4 to 6 weeks. How long it takes depends on the extent of surgery, the kind of work you do, and your overall health.

After laparoscopic surgery, you'll have a brief hospital stay. Your return to daily activities can take a few days to a couple of weeks, depending on the type of procedure.

Why It Is Done

Why It Is Done

Fallopian tube surgery may be done if:

  • Hysterosalpingography shows blocked fallopian tubes.
  • A blocked fallopian tube has a buildup of fluid (hydrosalpinx).
  • You want to have a tubal ligation reversed.
How Well It Works

How Well It Works

Fallopian tube procedures can improve the chance of getting pregnant for some people.

The chance of getting pregnant after clearing or fixing a blocked tube depends on many things. These may include where the blockage is and how much of the tube is blocked. When a tube is mostly blocked, tubal surgery may be done along with in vitro fertilization (IVF) to increase the chance of getting pregnant. The amount of tube that is left after a surgery can also affect success. If a large part of the tube must be removed, the chance of getting pregnant after surgery is reduced.

The success of a sterilization reversal is influenced by the tubal ligation method used, by how recently the tubal ligation was done, and by the person's age.

Other things that affect the chance of pregnancy after these procedures include the surgeon's skill level and experience, as well as other possible infertility problems.

Risks

Risks

Risks of fallopian tube surgery include:

  • Pelvic infection.
  • Scar tissue (adhesions) forming on the reproductive organs, causing them to bind to the abdominal wall or to other organs.
  • Increased risk of tubal (ectopic) pregnancy after surgery.

This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.

© 1995-2022 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.

<cipublic-spinner variant="large"><span>Loading…</span></cipublic-spinner>

Page Footer

I want to...

Get an ID card File a claim View my claims and EOBs Check coverage under my plan See prescription drug list Find an in-network doctor, dentist, or facility Find a form Find 1095-B tax form information View the Cigna Glossary Contact Cigna

Audiences

Individuals and Families Medicare Employers Brokers Providers

Secure Member Sites

myCigna member portal Health Care Provider portal Cigna for Employers Client Resource Portal Cigna for Brokers

Cigna Company Information

About Cigna Company Profile Careers Newsroom Investors Suppliers Third Party Administrators International Evernorth

 Cigna. All rights reserved.

Privacy Legal Product Disclosures Cigna Company Names Customer Rights Accessibility Non-Discrimination Notice [PDF] Language Assistance [PDF] Report Fraud Sitemap

Disclaimer

Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., and Cigna HealthCare of North Carolina, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities  that insure or administer group HMO, dental HMO, and other products or services in your state). Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (“LINA”) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (“NYLGICNY”) (New York, NY), formerly known as Cigna Life Insurance Company of New York. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna.

All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. This website is not intended for residents of New Mexico.

Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. Cigna may not control the content or links of non-Cigna websites. Details