What should you know about total salpingectomy?

The fallopian tubes connect the ovaries with the uterus and are normally where sperm and egg meet. Removing both tubes prevents that route. The ovaries may continue releasing hormones and eggs, and the uterus remains unless it is removed in a separate operation. Periods usually continue when the uterus and ovaries remain.

A total salpingectomy may be performed for an ectopic pregnancy, as part of permanent contraception, during another pelvic operation, or when a surgeon recommends removing the tubes for risk reduction. The reason determines whether one or both tubes are removed and whether other treatment is needed.

Before surgery, clarify whether the procedure is one-sided or bilateral, whether the ovaries and uterus will remain, and how fertility plans are affected. Ask about alternatives if pregnancy is desired. Recovery depends on whether surgery is laparoscopic or open and whether another procedure is done at the same time. Follow wound and activity instructions, walk gently, and keep review appointments.

You can read more about Salpingectomy, Ectopic Pregnancy, and the Laparoscopic Surgery System.

Seek prompt advice for fever, worsening pain, persistent vomiting, heavy bleeding, difficulty passing urine, or an incision that is red, opening, or draining. Get emergency help for fainting, severe abdominal pain, shoulder-tip pain with weakness, chest pain, sudden breathlessness, or a painful swollen leg.

Are both tubes being removed? Will my ovaries and uterus remain? What will this mean for natural pregnancy and fertility treatment? Which surgical route is planned? What symptoms are expected after surgery, and which require urgent review? When can I return to work, exercise, driving, and sex?