Delayed Menstruation: Can You Still Get Pregnant with One Fallopian Tube? - Obstetrics and Gynecology

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Menstrual period delay?


Hello! If a woman has one blocked fallopian tube and the other has been removed, is there still a possibility of natural conception? My last menstrual period was on October 24, and I haven't had my period yet as of December 7.
I went to a gynecology clinic today for a urine pregnancy test, which came back negative.
However, I've been feeling some mild abdominal pain these past few days.
In this situation, is there still a chance of pregnancy? Is there a possibility of an ectopic pregnancy? I'm worried that a pregnancy test might not detect it.

Miss Huang, 30~39 year old female. Ask Date: 2022/12/07

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, a negative pregnancy test should indicate that there is no ectopic pregnancy or pregnancy.
If you are still experiencing discomfort, it is advisable to consult a physician.
Wishing you good health.

Reply Date: 2022/12/07

More Info


When it comes to the possibility of getting pregnant with only one fallopian tube, the answer is yes, it is still possible. Women can conceive naturally even if they have had one fallopian tube removed or if one is blocked, provided that the remaining tube is healthy and functioning properly. The fallopian tubes are responsible for transporting the egg from the ovary to the uterus, and if one tube is intact, it can still facilitate the journey of the egg and sperm, allowing for fertilization and subsequent implantation in the uterus.

In your case, since your last menstrual period was on October 24 and you have not had a period since then, it is understandable that you are concerned about the possibility of pregnancy. However, a negative urine pregnancy test suggests that you are not pregnant at this time. It is important to note that home pregnancy tests are most accurate when taken after a missed period, typically around one week after the expected date of menstruation. If you are testing too early, it may not detect the pregnancy hormone (hCG) even if you are pregnant.

Regarding your symptoms of abdominal pain, it is essential to monitor them closely. While mild cramping can occur for various reasons, including ovulation or hormonal changes, persistent or severe pain should not be ignored. There is a possibility of an ectopic pregnancy, especially if you have a history of pelvic inflammatory disease or previous surgeries that may have affected your reproductive organs. An ectopic pregnancy occurs when a fertilized egg implants outside the uterus, commonly in a fallopian tube. This condition can be serious and requires immediate medical attention.

If you continue to experience abdominal pain or if it worsens, it is advisable to consult with your healthcare provider. They may recommend further evaluation, such as a pelvic ultrasound, to assess the situation and rule out any complications, including ectopic pregnancy.

In summary, while it is possible to conceive with one fallopian tube, your current symptoms and the negative pregnancy test suggest that you may not be pregnant at this time. However, it is crucial to remain vigilant about any unusual symptoms and seek medical advice if necessary. If you are trying to conceive, maintaining a healthy lifestyle, tracking ovulation, and consulting with a fertility specialist can also help improve your chances of pregnancy.

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