Tubal Blockage & Hydrosalpinx in Delhi
Assessment of the fallopian tubes and treatment of blockage, adhesions and fluid-filled tubes.
What tubal blockage & hydrosalpinx involves
Tubal factor accounts for a significant share of infertility in India, commonly following pelvic infection, tuberculosis or previous surgery. Whether the block can be corrected depends on where it is and how damaged the tube is.
A hydrosalpinx — a tube distended with fluid — is a special case. That fluid leaks back into the uterus and roughly halves IVF success rates, so it should be dealt with before any transfer.
Who this is for
- Blocked tubes on HSG or laparoscopy
- Hydrosalpinx visible on ultrasound
- Previous pelvic infection, tuberculosis or appendicitis
- Previous tubal surgery or ectopic pregnancy
Not everything on this list means you need this treatment. The workup comes first, and the recommendation follows from what it shows — not from what was booked before you arrived.
Step by step
Confirmation
HSG first, then laparoscopy with dye where the HSG suggests blockage, since HSG has a false positive rate.
Cornual blockage
Proximal blocks can sometimes be opened by hysteroscopic cannulation.
Hydrosalpinx management
Salpingectomy or tubal clipping before IVF to protect implantation.
Onward plan
IVF where the tubes cannot be usefully repaired.
Your results, in writing
Whatever the outcome of tubal blockage & hydrosalpinx, you leave each stage with the findings written down — what was done, what was found, what it means, and what the options are from here. Reports are issued the same day wherever the laboratory allows it.
What is different about having this done here
HSG findings confirmed laparoscopically before any tube is removed
Genital tuberculosis actively considered — a particular research interest of Dr. Tiwari's
Ovarian blood supply carefully preserved during salpingectomy
Realistic advice on repair versus proceeding to IVF
Treated by the consultant, not by a rotating team
Dr. Tiwari performs the scans, the procedure and the follow-up herself, and looks after any pregnancy that results. Over a long treatment course that continuity is the difference between being known and being processed.
- MBBS, MS (Obstetrics & Gynaecology), FNB (Reproductive Medicine)
- Over ten years in reproductive medicine and gynaecological surgery
- Previous treatment records from other centres read in full
- Itemised costs given in writing before anything begins
Areas we see patients from
Both clinics are in South Delhi. Patients travelling from further out have appointments grouped to cut down the number of trips.
Questions about tubal blockage & hydrosalpinx
Can blocked tubes be opened?
Proximal blocks often can. Distal blockage with a damaged tube is rarely worth repairing, because the pregnancy rate stays low and ectopic risk stays high.
Why remove a tube before IVF?
Hydrosalpinx fluid is toxic to embryos and washes into the cavity. Removing or clipping the tube restores IVF success rates to normal.
Talk it through before you commit
Consultations run for a full hour. Bring any previous reports — they are reviewed properly, not repeated.