Yes, you can!
Many women wonder, “Can I conceive with only one fallopian tube?” The good news is—yes, natural pregnancy is absolutely possible with a single functioning fallopian tube.
Approximately 20–30% of female infertility cases are linked to tubal factor infertility. While most women are born with two fallopian tubes—designed to carry the egg from the ovary to the uterus—certain medical conditions or procedures can result in the loss or dysfunction of one tube. These include surgery, infections, ectopic pregnancy, tumors, or being born with a unicornuate uterus (a congenital anomaly where only one tube is present).
At Aveya Fertility Center, we believe that increasing awareness about reproductive health empowers women to make informed decisions and take proactive steps toward a healthy pregnancy.
Fallopian tubes are essential for natural conception. Every month, one of the ovaries releases an egg during ovulation. The fimbriae (finger-like ends of the fallopian tube) help capture the egg and guide it into the tube, where fertilization typically occurs if sperm are present. The fertilized egg (embryo) then travels down the tube into the uterus, where it implants and grows into a pregnancy.
Pelvic Inflammatory Disease (PID)
History of ectopic pregnancy
Sexually transmitted infections (e.g., chlamydia, gonorrhea)
Uterine fibroids
Endometriosis
Previous abdominal or pelvic surgery
Congenital anomalies (e.g., born with a single tube)
Even if one tube is absent or blocked, natural conception is possible as long as the remaining tube is healthy and functional. However, if the functioning tube is scarred or damaged, chances of natural conception may be reduced.
Ovulation must occur from the ovary on the same side as the healthy fallopian tube for natural conception to occur. Fortunately, ovulation alternates irregularly between ovaries, and the healthy tube may sometimes pick up the egg from the opposite ovary as well, due to the flexibility of pelvic anatomy.
Here are some ways to support and protect the health of your fallopian tubes:
Practice safe sex: To prevent STIs like chlamydia and gonorrhea, which can cause PID and tubal damage.
Prompt treatment of infections: Seek medical care for symptoms such as unusual vaginal discharge, pelvic pain, or fever. Early treatment of pelvic infections can prevent long-term damage.
Regular gynecological check-ups: Annual visits to your gynecologist help identify and manage any reproductive health concerns early.
Manage stress: Chronic stress can affect hormonal balance and ovulation, reducing fertility potential.
Healthy lifestyle: Eat a balanced diet, maintain a healthy weight, avoid smoking and toxins, and engage in regular physical activity to support overall reproductive health.
If the remaining fallopian tube is damaged or if pregnancy does not occur after trying naturally for 6–12 months (depending on your age), assisted reproductive technologies (ART) such as in vitro fertilization (IVF) may be recommended.
In IVF, eggs are retrieved directly from the ovaries, fertilized with sperm in the laboratory, and the resulting embryo is transferred directly into the uterus—bypassing the fallopian tubes entirely.
Bypasses tubal blockages or absence.
Controlled, high-quality fertilization process.
Reduces risk of ectopic pregnancy.
Personalized treatment plans based on individual fertility profiles.
Age (especially egg quality and ovarian reserve)
Overall health and medical history
Accessibility and cost of treatment
Having only one fallopian tube does not eliminate your chances of becoming pregnant—either naturally or with assistance. Understanding your reproductive health and seeking timely medical evaluation are crucial steps in your fertility journey.
At Aveya Fertility Center, we pride ourselves on offering advanced, personalized fertility care with some of the highest success rates in India. Whether you’re trying to conceive naturally or exploring assisted options like IVF, our team of experts is here to guide and support you every step of the way.
Ready to take the next step?
Contact Aveya Fertility Center today to schedule your consultation.
Reviewed by Dr. Arzoo Chadha