Blocked fallopian tubes are a common cause of female infertility. If you have been trying to conceive without success, understanding how the fallopian tubes work and what happens when they become blocked can help you make informed decisions about your next steps.
At Manchester Fertility, we provide personalised fertility assessments and evidence-based treatments to support you on your journey.
What Are Blocked Fallopian Tubes?
The fallopian tubes connect the ovaries to the uterus and play a vital role in natural conception. Each month, an egg is released from the ovary and travels through the fallopian tube, where fertilisation typically occurs.
If one or both tubes are blocked or damaged, the egg and sperm may be unable to meet, preventing pregnancy from occurring naturally.
Symptoms of Blocked Fallopian Tubes
In many cases, blocked fallopian tubes do not cause obvious symptoms. For many patients, difficulty conceiving is the first indication of a problem.
However, some people may experience:
- Ongoing difficulty getting pregnant
- Pelvic or lower abdominal pain
- Painful periods (particularly if linked to endometriosis)
- Unusual vaginal discharge
A condition known as hydrosalpinx, in which fluid builds up in a blocked fallopian tube, may occasionally cause discomfort or swelling.
If you have concerns about any of these symptoms, a fertility assessment can help clarify the situation.
Causes of Blocked Fallopian Tubes
Fallopian tube blockages are usually caused by inflammation, infection, or scarring. Common causes include:
- Pelvic inflammatory disease (PID)
- Previous sexually transmitted infections, such as chlamydia
- Endometriosis
- Previous abdominal or pelvic surgery
- Fibroids or a history of ectopic pregnancy
Understanding the underlying cause helps guide the most appropriate treatment approach.
How are Blocked Fallopian Tubes Diagnosed?
At Manchester Fertility, we take an individualised approach to fertility testing. Depending on your medical history, we may recommend one or more of the following:
Ultrasound-based testing
In some cases, a detailed ultrasound using fluid can help assess the uterus and fallopian tubes.
Laparoscopy
A minimally invasive (keyhole) surgical procedure that allows direct examination of the reproductive organs. This is typically recommended in specific circumstances where further investigation is needed.
Your consultant will guide you through the most suitable tests based on your individual situation.
Treatment options for blocked fallopian tubes
The most appropriate treatment will depend on the severity and location of the blockage, as well as your overall fertility health.
Surgical treatment
In selected cases, surgery may be used to remove scar tissue or repair the fallopian tubes.
- Most suitable for mild to moderate damage
- Success rates vary depending on the extent of the blockage
- There is a small increased risk of ectopic pregnancy following treatment
IVF (in vitro fertilisation)
IVFis often the most effective treatment for blocked fallopian tubes, particularly when both tubes are affected.
- Bypasses the fallopian tubes entirely
- Eggs are fertilised in a controlled laboratory environment
- Embryos are transferred directly into the uterus
Treating underlying conditions
Where possible, treating conditions such as endometriosis or infection may improve fertility outcomes.
At Manchester Fertility, your treatment plan is tailored to give you the best possible chance of success.
Can You Get Pregnant With Blocked Fallopian Tubes?
Pregnancy may still be possible, depending on your individual circumstances:
- If one tube is open and functioning, natural conception can still occur
- If both tubes are blocked, IVF offers a highly effective alternative
- Early diagnosis and appropriate treatment can significantly improve outcomes
Seeking specialist advice early can help you explore the most suitable options.
When To Seek Fertility Advice
You may wish to speak to a fertility specialist if:
- You have been trying to conceive for 12 months (or 6 months if you are over 35)
- You have a history of pelvic infections, endometriosis, or ectopic pregnancy
- You have concerns about your reproductive health
Our experienced team is here to support you with clear guidance, expert care, and a personalised approach.
Supporting You On Your Fertility Journey
Blocked fallopian tubes can feel like a significant obstacle, but effective diagnostic tools and treatment options are available.
At Manchester Fertility, we combine clinical expertise with compassionate care to help you understand your fertility and take the next step with confidence. Speak to our Patient Advisors on 0161 958 6142, or self-refer online here
Last updated: 16th April 2026
