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Long fallopian tubes do not directly affect fertility, but can be a sign of underlying conditions such as ovarian diseases or defects. Blockages can also occur, but can often be resolved with surgery. Anyone concerned about fertility issues should see a doctor.
In most women, the length of the fallopian tubes does not directly affect fertility. The tubes would have to be extremely oversized to make it more difficult to get pregnant. However, longer-than-average fallopian tubes can be a sign of some other fertility problems. For example, some ovarian diseases or defects may be marked by swollen or long fallopian tubes.
A woman with no abnormalities other than long fallopian tubes will likely have no problem getting pregnant. It should be noted that even women who have average fertility can take up to a year to get pregnant under normal circumstances. Fertility issues usually aren’t explored further until after a couple has been trying to get pregnant for at least 12 months. This is not always the case, as some elderly couples or couples with known risk factors for infertility can be controlled more quickly.
The presence of long fallopian tubes may be a sign of another underlying condition. Some genetic defects can cause longer-than-normal tubes combined with ovarian abnormalities. Long fallopian tubes can also be found in combination with swollen ovaries or ovarian cysts. These conditions can lead to pregnancy problems, although long tubes are a secondary symptom and not a primary cause of infertility.
However, there are fallopian tube conditions that can lead to infertility. While they typically don’t stretch, the tubes can swell and become inflamed if certain diseases are present. One of the most common is pelvic inflammatory disease, which is a serious infection of the reproductive organs. It can be caused by an overgrowth of normal bacteria, abnormal bacteria introduced during childbirth, miscarriage or termination of a pregnancy, or even some sexually transmitted diseases.
Occasionally blockages can also occur within the pipes. These can prevent eggs from reaching the uterus and sperm from entering the fallopian tubes. Endometriosis can lead to such blockages, because this condition can cause scar tissue and affect how the tubes and uterus are positioned within the body. Conditions involving blockages can often be resolved with surgery.
Anyone concerned about potential fertility issues should see a doctor. While long fallopian tubes aren’t usually a cause for concern on their own, they can indicate that further investigation is needed to rule out other conditions. Most fertility problems are hormonal in nature, rather than being caused by something within the structure of the reproductive organs.
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