Does salpingectomy (removal of a fallopian tube) for ectopic pregnancy decrease the chance of a successful pregnancy?

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Last updated: May 19, 2025View editorial policy

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From the Research

Having a fallopian tube removed for an ectopic pregnancy does decrease your chances of future pregnancy, but many women still successfully conceive afterward. With one functioning fallopian tube remaining, your overall fertility is reduced compared to having two tubes, as ovulation alternates between ovaries and the remaining tube can only capture eggs from its corresponding side. According to a recent study 1, the method of laparoscopic partial tubal resection with end-to-end anastomosis is more effective in the treatment of tubal ectopic pregnancy and has less impact on ovarian function, which can effectively improve the probability of normal pregnancy after the operation.

Key Factors Affecting Future Pregnancy

  • The condition of your remaining tube
  • Your age
  • Other fertility factors

Fertility Treatment Options

  • In vitro fertilization (IVF) can bypass the need for fallopian tubes entirely by directly placing embryos in the uterus
  • Women planning pregnancy after ectopic treatment should consult with their healthcare provider about timing, as most doctors recommend waiting at least 3 months before trying to conceive to allow for proper healing, as noted in various guidelines 2, 3, 4, 5.

Success Rates

  • About 60-70% of women who try to conceive after a single tube removal are successful within 2 years
  • The postoperative fallopian tube patency rate in the observation group was 67.58%, significantly higher than the control group, as reported in the study 1

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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