Tubal Cannulation Treatment by Dr. Vatsal Thakral in Gurgaon

Blocked fallopian tubes are one of the common causes of female infertility. Tubal cannulation is a minimally invasive hysteroscopic procedure that helps restore patency (openness) in the fallopian tubes. At the practice of Dr. Vatsal Thakral, a highly experienced gynecologist and hysteroscopic surgeon in Gurgaon, this procedure is performed with precision and utmost care.

With over 7 years of experience, Dr. Vatsal Thakral specializes in fertility-enhancing surgeries and reproductive care. Tubal cannulation under his expertise offers a ray of hope to women struggling with infertility due to proximal tubal blockage.

What is Tubal Cannulation?

Tubal cannulation is a fertility-preserving procedure used to clear blockages in the fallopian tubes—typically near the uterine end (proximal block). These blockages often prevent eggs from traveling through the fallopian tubes to meet sperm, hindering natural conception.

This procedure is performed using a hysteroscope—a thin, lighted telescope inserted through the vagina and cervix into the uterus. A soft catheter is passed through the hysteroscope and directed into the blocked tube to gently clear the obstruction.

When is Tubal Cannulation Recommended?

Dr. Vatsal Thakral may recommend tubal cannulation if:

• You have been trying to conceive for over a year without success
• An HSG (Hysterosalpingography) shows a blockage in one or both fallopian tubes
• There are no other major fertility issues like ovarian failure or severe male factor infertility
• The blockage is at the proximal end of the fallopian tube

Causes of Fallopian Tube Blockage

Common causes of tubal blockage include:

• Past pelvic infections
• History of sexually transmitted infections (STIs)
• Endometriosis
• Previous abdominal or pelvic surgery
• Tubal inflammation (salpingitis)
• Mucus plugs or debris blocking the proximal tubes

The Tubal Cannulation Procedure

The procedure is usually done as a day-care surgery under short general anesthesia or sedation.

Steps include:

• Hysteroscopy: A hysteroscope is inserted into the uterus to visualize the opening of the fallopian tubes.
• Guidewire Insertion: A soft, flexible catheter or guidewire is passed into the blocked tube under direct vision.
• Cannulation: Gentle pressure is used to dislodge the block and restore patency.
• Confirmation: Dye or contrast may be used to confirm if the tube has been successfully opened.

The entire procedure usually takes about 20–30 minutes and does not require any cuts or stitches.

Recovery and Results

Recovery is quick, with most women able to go home the same day. Mild cramping or spotting may occur but resolves in a day or two.

Tubal cannulation has a high success rate, especially when the blockage is due to mucus plugs or mild adhesions. Natural conception can be attempted shortly after the next menstrual cycle, and many women conceive within 6–12 months post-procedure.

Benefits of Tubal Cannulation

• Minimally invasive (no external incisions)
• Preserves natural fertility
• Avoids the need for more complex surgeries
• Can prevent the need for IVF in some cases
• Performed under direct hysteroscopic visualization, increasing precision