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Blocked fallopian tubes prevent the egg and sperm from meeting or prevent a fertilized egg from traveling to the uterus, and are a common structural cause of infertility, often resulting from prior pelvic infection, endometriosis, surgery, or scar tissue. Diagnosis is typically made through a hysterosalpingogram, an X-ray procedure that traces dye through the uterus and tubes, or through laparoscopy with dye testing, which allows direct visualization and treatment of certain blockages in the same procedure. Treatment depends on the location and extent of the blockage: some tubal blockages near the uterus can be cleared using a minimally invasive procedure that passes a small catheter through the cervix, while blockages elsewhere in the tube, or scar tissue around the tube, may be treated with laparoscopic surgery to remove adhesions or repair the tube. When tubes are too damaged to repair, or repair is unlikely to restore function, IVF is typically recommended since it bypasses the tubes entirely. Laparoscopic procedures are done under general anesthesia with a short hospital stay and one to two weeks of recovery. Patients traveling to India for tubal blockage treatment usually undergo diagnostic imaging early in the visit to guide the choice between tubal surgery and proceeding to IVF.
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