Tubal-Related Factors Causing Infertility

Tubal-Related Factors Causing Infertility

Approximately 20 to 25% of all the infertility cases are related to the tubal factor. The tubal factor infertility is defined as any anatomically abnormality that prevents the sperm and egg from uniting. Claim Your 20 Free Pregnancy Tests – Click Here

The diagnosis of this infertility factor is normally done by a laparoscopy, a hysterosalpingogram or a hysterosonogram. However, even if the conclusion of any of these tests is that the tubes are open, it does not mean that the tubal function is normal.

For example, if a tube is opened but has scarring, it may not be able to perform the necessary functions, such as egg and embryo transport from the fallopian tube to the uterus, egg pick-up, and fertilization. The most common causes of tubal factor infertility are as follows.


The endometrial tissue travels through the pelvic cavity and attaches on the tubes. As the cells are growing and dividing they may end up penetrating and causing scarring to the tubes, which will eventually create blockages.

Pelvic inflammatory disease

The cause of this disease is a bacterial infection to the pelvic cavity. Usually, this disease is caused by untreated Chlamydia and/or Gonorrhea.


Any surgery can lead to scar tissue, including myomectomy, appendectomy, laparoscopy, abdominal surgery or tubal surgery. Any tissue that will form near or inside the tubes may cause obstructions or blockages.

Tubal surgery as birth control

Some women decide to “tie” their tubes to prevent having a child. This is not recommended for women who think they may want to have children in the future. There is the possibility of tubal ligation reversal, but it is better to be certain you are done having children before opting to tie your tubes.


Although this is very uncommon, a woman may be born with only one or no fallopian tubes.

Distal tubal disease

In this situation, a woman can have a disease ranging from a mild adhesion to a complete blockage of her tubes.

Proximal tubal occlusion

This disease will prevent the sperm from reaching the portion of the fallopian tube where the fertilization will normally occur.


In this case, a fallopian tube is filled with fluid. This disease is caused by an injury to the end of the tube, which will cause that particular tube to close. The glands found in the tube will produce a watery fluid that is collected inside the tube and produces swelling.

The good news is that this infertility factor can be treated either by surgery or in vitro fertilization. When deciding upon treatment, it is best to talk to your doctor about the pros and cons of surgery versus in vitro fertilization.

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Maureen Stephens, BS, RN
Maureen Stephens, BS, RN | ConceiveEasy
Ms. Stephens has spent over twenty years in the healthcare world, specializing in obstretical and medical/surgical nursing. She joined ConceiveEasy as she has a strong interest in educating and empowering women and promoting fertility awareness.