Tubal Cannulation

Steps Involved in IVF:

Procedure Description

Tubal cannulation is a minimally invasive procedure designed to open blocked fallopian tubes, often an underlying cause of infertility in women. Blocked tubes can prevent sperm from reaching the egg, thus obstructing the fertilization process. Tubal blockages are frequently caused by infections, inflammation, or scarring within the reproductive tract. Tubal cannulation can help restore tubal patency (openness) without the need for major surgery, making it a popular option for women seeking a less invasive fertility solution.

The procedure is typically performed using fluoroscopic or laparoscopic guidance. During the procedure, a thin catheter is inserted through the cervix and navigated into the fallopian tubes. A flexible guidewire is then passed through the catheter to clear any blockages, ensuring minimal discomfort and faster recovery. Fluoroscopic imaging aids in real-time navigation, helping doctors clear blockages with precision and reducing the risk of damaging surrounding tissues.

For many women, tubal cannulation presents a promising alternative to more invasive procedures like tubal surgery. Unlike traditional surgical methods, which may require extensive recovery, tubal cannulation is considered a day procedure and typically does not involve incisions or general anesthesia. The minimally invasive nature of tubal cannulation has made it increasingly popular in the realm of fertility treatments, providing a hopeful option for women struggling with tubal factor infertility.

Procedure Duration

The tubal cannulation procedure itself usually lasts between 30 to 60 minutes, depending on the complexity of the blockage and the approach used. Patients are often advised to arrive a few hours before the scheduled procedure for pre-operative preparation and to discuss any last-minute questions with their healthcare team. During this phase, patients may undergo a mild sedative or light anesthesia to minimize discomfort.

Recovery from tubal cannulation is typically swift, as the procedure requires no incisions or sutures. Most women are able to return home on the same day, with only minor post-procedure symptoms such as mild cramping or spotting, which generally resolve within a few days. However, patients are usually advised to rest for at least 24 to 48 hours post-procedure, avoiding strenuous activities and sexual intercourse for a short period to allow complete healing.

Full recovery can vary depending on the patient’s overall health and the extent of the blockage that was treated. Regular follow-up appointments are recommended to monitor progress and ensure the success of the procedure. In some cases, additional tests may be scheduled to confirm the patency of the tubes, allowing patients to confidently proceed with their fertility plans.

Benefits of Tubal Cannulation

  • Minimally Invasive: The procedure requires no major incisions, reducing recovery time and minimizing pain.
  • Quick Recovery: Most patients can resume normal activities within a few days, with little downtime.
  • Improved Fertility Potential: By opening blocked fallopian tubes, the procedure may enhance the likelihood of natural conception.
  • Same-Day Procedure: Tubal cannulation is typically completed in a single visit, eliminating the need for an extended hospital stay.
  • Low Risk of Complications: Compared to open surgeries, tubal cannulation has a lower risk profile, making it a safer choice for many patients.

Potential Destinations

1. Thailand


Thailand has become a medical tourism hub known for affordable and high-quality fertility treatments. With state-of-the-art medical facilities and internationally accredited hospitals, Thailand offers a range of fertility procedures, including tubal cannulation. Medical professionals are known for their expertise, and English-speaking staff can make communication easier for international patients.

2. Turkey


With its advanced medical facilities and strategic location, Turkey has attracted a growing number of medical tourists for fertility treatments. The country’s healthcare system is well-regulated, and many hospitals offer comprehensive fertility programs, including tubal cannulation, at highly competitive prices. Istanbul, in particular, is a popular choice, combining world-class care with cultural tourism.

3. India


India is home to some of the most experienced fertility specialists in the world, providing a variety of fertility treatments at cost-effective rates. Many hospitals across cities like Mumbai, Delhi, and Bangalore have modern equipment and highly skilled staff. India’s reputation for excellence in medical tourism makes it a go-to destination for those seeking affordable and effective tubal cannulation.

4. Mexico


Mexico is another emerging destination for fertility treatments due to its proximity to North America and affordability. Cities like Guadalajara and Monterrey are equipped with modern medical facilities and well-trained fertility specialists. Patients often appreciate the short travel time, making Mexico a convenient choice for those seeking fertility solutions like tubal cannulation.

5. Greece


Greece has gained popularity as a destination for fertility treatments, thanks to its high standards of care and legal frameworks that support various reproductive services. Athens and Thessaloniki offer well-equipped clinics specializing in fertility treatments, and patients often enjoy the Mediterranean surroundings while undergoing procedures.

Risks & Considerations

  • Procedure Failure: In some cases, tubal cannulation may not successfully open the fallopian tubes if the blockage is severe or in multiple locations.
  • Infection Risk: Like any procedure involving the reproductive tract, there is a slight risk of infection. Following pre- and post-procedure guidelines can help reduce this risk.
  • Possible Tubal Damage: There is a small chance of damage to the fallopian tubes during the procedure, which could further impact fertility.
  • Recurrence of Blockage: Even after successful cannulation, there is a possibility of the tubes becoming blocked again in the future.
  • Radiation Exposure: When fluoroscopic guidance is used, patients are exposed to a low level of radiation, although it is generally considered safe.

How to Choose the Right Doctor and Hospital

Selecting the right medical professional and facility for tubal cannulation is crucial for achieving successful outcomes. Prospective patients should consider factors such as the doctor's specialization, experience in fertility treatments, and track record with similar cases. Reviewing patient testimonials and checking certifications can provide insight into a practitioner’s credibility and skill.

When choosing a hospital, patients should look for facilities that follow strict safety protocols and have the latest imaging technology to ensure precise results. Hospitals accredited by international bodies often maintain high standards of care, making them a reliable choice for medical tourists. It’s advisable to have a preliminary consultation, either in person or via telemedicine, to discuss the procedure, evaluate the doctor’s approach, and assess compatibility before committing to treatment.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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