Fallopian Tube Recanalization Technique

Fallopian tube recanalization (FTR) is a nonsurgical procedure to clear blockages in the fallopian tubes, part of a woman’s reproductive system.

Two days before your procedure, your gynecologist will prescribe an antibiotic called Doxycycline to be taken twice a day, which you will continue up to and after your procedure for two more days.

Since FTR is sometimes uncomfortable (though usually much less than a hysterosalpingogram, owing to much more delicate equipment being used), an intravenous line is placed prior to the procedure.

Short-acting medications will be given for relaxation and pain relief. For this reason, you will be instructed to not eat anything after midnight the night before. You will also be asked to take Ibuprofen 400 mg (2 pills) the night before and the morning of your procedure.

The Fallopian tube recannulization procedure begins with a standard hysterosalpingogram to evaluate the patency of the fallopian tubes.

A speculum is inserted into the vagina to see the cervix. The cervix is then prepped sterilely and a catheter is passed into the cervix to the Fallopian tube.

If the Fallopian tube is occluded a small guidewire (approximately l/40th of an inch) is advanced through the tube to open it up. Contrast is then injected to demonstrate spillage into the peritoneal cavity.

Most women will have a little spotting for a day or two afterward. We will give you a pad in recovery and you may wish to have some pads at home in case of spotting.

There should be no lingering pain or other unpleasant sensation. If you experience pain, cramps, fever, or vaginal discharge, please contact your gynecologist immediately.