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Can you become pregnant with one tube removed and one tied and cut? Also this might help I have a tilted uterus will i be able to have children

By Anonymous March 17, 2009 - 3:27pm
 
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Can you become pregnant with one tube removed and one tied and cut? Also this might help i have a tilted uterus(90-degree) Will i be able to have children?

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Hi, Anon, and welcome to Empowher. So glad you found us. Let's see what we can find out for you.

As I understand it, you have had one of your fallopian tubes entirely removed, and the other has been cut and tied off. Is that correct?

Do you still have your ovaries? One or both of them?

What was the reason for the removal and tying of your fallopian tubes? Did you perhaps have an ectopic pregnancy?

And can you tell us how old you are?

If I understand your question correctly, and I am assuming that you still have your ovaries and that they are functioning, the only way for you to become pregnant (without intervention, that is) would be for an egg to be released from the ovary, find its way through your body to your uterus on its own (without a fallopian tube), and join with a sperm there to conceive. While this may technically be possible, it's certainly quite unlikely, just due to all the challenges involved.

(The tilted uterus, while an issue on its own, is really not the primary factor here.)

However, you might be a good candidate for in vitro fertilization, where the doctor gives you medicine to control ovulation, removes eggs from your ovary, fertilizes them in a petri dish with sperm (either from your partner or from a donor) and then inserts the embryos in your uterus to see if they will implant. Have you considered IVF, or spoken with your doctor about the possibility?

If your ovaries are not intact, you could also use donor eggs.

Here is a post I found on another site that might help you remain hopeful:

"I am a 34-year-old with no fallopian tubes and one ovary. I had had my tubes tied after our first child, and then had an unsuccessful reversal followed by an ovarian cyst ... We did IVF, and I got pregnant with my second child the first cycle. The fertility drugs are a rough go, but it was all worth it. We had one embryo left to freeze after 5 days. We went back last August, when my second daughter was almost 2 years old. We were told there was only about a 13% chance that I'd get pregnant if the embryo thawed at all. I am now the proud mother of a 4-month-old as well. There's always hope."

This of course is the best possible scenario; IVF is expensive, often not covered by insurance, and holds no guarantees. But it's absolutely possible.

Let's talk about the tilted uterus for a minute. The uterus is normally in a straight vertical position in a woman's body. With a tilted uterus, the uterus is actually tipped or tilted toward the back of the pelvis. A tipped uterus is not usually determined to be the cause of infertility; and in a typical pregnancy, the uterus repositions itself somewhere between the 10th and 12th week.

There is surgery that can reposition a tilted uterus, but it's normally used when the position of the uterus causes pain, either during your menstrual cycle or during intercourse, or for constant urinary tract infections, for instance. Your IVF doctor would probably be the best person to tell you if your particular situation poses any extra challenge to an embryo implanting. Most of the research I saw seemed to suggest that it would not be a problem; it was even compared to the difference between being left-handed and right-handed -- it's just a little different.

Here's the Mayo Clinic page on a tilted uterus:
http://www.mayoclinic.com/health/tilted-uterus/AN00461

And here's our EmpowHer page on in-vitro fertilization:
https://www.empowher.com/media/reference/vitro-fertilization-ivf

Has this been of help to you? Please get back to us if we can answer some more of your questions. And all the best to you.

March 18, 2009 - 9:00am
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