Salpingectomy long-term side effects: what to know

Removing a fallopian tube does not by itself remove the ovaries or uterus, so it does not usually stop ovarian hormone production. If both tubes are removed, natural conception is not possible through the tubes, although pregnancy options depend on the uterus, ovaries and individual circumstances. A salpingectomy is different from removal of the ovaries, which can affect hormones. Persistent pelvic pain, changes in bleeding or difficulty conceiving may have several causes and should not automatically be attributed to the operation.

Attend the recommended follow-up and keep a record of pain, bleeding, bowel or bladder symptoms and cycle changes. Discuss pregnancy intentions before trying to conceive, particularly after surgery for [Ectopic Pregnancy](/conditions/ectopic-pregnancy/). Your clinician can explain whether one tube remains, review other fertility factors and arrange appropriate testing. If keyhole surgery was used, the [Laparoscopic Surgery System](/technology/laparoscopic-surgery-system/) describes the approach, while your operative report gives the details that matter for you.

Seek medical advice for pelvic pain that persists or returns, painful sex, unusual bleeding, fever, new discharge, urinary or bowel changes, or a new abdominal lump. Urgent help is needed for sudden severe pain, fainting, heavy bleeding, chest pain or breathlessness. If pregnancy is possible after one tube remains, pain or bleeding needs prompt assessment because [Ectopic Pregnancy](/conditions/ectopic-pregnancy/) can be serious.

Ask whether one or both tubes were removed, whether the ovaries and uterus were unaffected, and how the operation changes your pregnancy options. Discuss persistent symptoms, contraception, cycle changes and the right time for review. The [Salpingectomy](/treatments/gynaecological-surgery/salpingectomy/) page can help you prepare for that conversation.