Yes—natural pregnancy is possible with one healthy, open fallopian tube and at least one functioning ovary. Losing a tube does not automatically mean infertility or that you need IVF.

What affects your chances?

Your age, ovulation, the health of the remaining tube and your partner’s sperm quality all matter. The reason a tube was removed—such as an ectopic pregnancy, infection or endometriosis—may also influence fertility.

Do you only have a chance every other month?

Not necessarily. Ovaries do not strictly alternate each month, and the remaining tube can sometimes collect an egg released from the opposite ovary. Having one tube does not simply halve your chances.

When should you seek advice?

Discuss your pregnancy plans early if you have known tubal damage or a previous ectopic pregnancy. Your healthcare provider may recommend testing the remaining tube and reviewing other fertility factors. IVF may be an option when needed.

After a positive pregnancy test

If you have had an ectopic pregnancy, contact your healthcare provider promptly. An early ultrasound can help confirm that the pregnancy is inside the uterus. Seek urgent care for severe abdominal pain, shoulder-tip pain, dizziness or fainting.

Longevity Fertility Centre | Calgary & Edmonton