\”The proximal end of your right fallopian tube is blocked, but fortunately, the other end seems to be unobstructed for the time being, and the right side is only blocked at the proximal end. Let me help you make an appointment for a fallopian tube interventional recanalization surgery. Let\’s first Look at the recovery after surgery.\” I regretfully told the woman in front of me who had been preparing to become pregnant for three years.
“You mean, I’m not ovulating?” the patient asked cautiously.
“Oh, no, these are two concepts. There is no direct connection between fallopian tube blockage and ovulation, because eggs are discharged from the ovaries and have no connection with the fallopian tubes. Whether a woman can ovulate is only related to the ovaries. It is related to whether the function is normal. But when the fallopian tube is blocked, it will hinder the fertilized egg from entering the uterus, and even prevent the fertilized egg from entering the uterus, which leads to female infertility.\”
\”Then Isn’t my left side open? Why haven’t I gotten pregnant?”
“Women have two fallopian tubes. Generally speaking, the ovaries take turns to ovulate. As long as the other one is clear, there is a probability of ovulation and pregnancy. However, the development of follicles and the smoothness of fallopian tubes are the key to pregnancy. When one fallopian tube is blocked, it means that the probability of pregnancy is greatly reduced.\”
\”Then you can Can you help me test follicle development? Can\’t I get pregnant with eggs released from the left ovary?\”
\”It is feasible in principle, but doing so will increase the probability of ectopic pregnancy, which will cause a lot of problems. Big danger. When unilateral fallopian tube is blocked, we generally recommend timely diagnosis and treatment, otherwise it will be more difficult if there is a problem on the other side.\”
Clinical cases of ectopic pregnancy It is also very common. There was once a patient who had two ectopic pregnancies in a row within 4 years. The scars on the fallopian tubes made it extremely difficult for her to get pregnant again. In the end, she had no choice but to undergo in vitro fertilization.
In fact, fallopian tube obstruction is one of the important causes of female infertility, accounting for 1/3 of infertile patients. In recent years, there has been a gradual upward trend. treatment problems. Fallopian tube blockage is mainly due to the upward spread of inflammation through the endometrium, which first causes inflammatory changes in the fallopian tube mucosa. The fallopian tube epithelium degenerates or falls off in pieces, leading to fallopian tube mucosal adhesion, and then fallopian tube lumen or fimbria atresia.
When inflammation spreads to the ovaries and causes damage to ovarian function, irregular menstruation such as frequent menstruation and excessive menstrual flow will occur; sometimes pelvic congestion can lead to congestion dysmenorrhea, which becomes more severe as the menstrual period approaches. until menstruation comestide. In addition, some patients also have symptoms such as increased leucorrhea, painful sexual intercourse, gastrointestinal disorders, fatigue, affected or intolerable labor, psychiatric and neurological symptoms, and mental depression. However, there are also many patients, especially those with unilateral fallopian tube obstruction, who often do not feel particularly obvious. It is not until infertility or difficulty in getting pregnant that they discover that there is a problem with the fallopian tube.
Generally speaking, the causes that can cause fallopian tube blockage include: vaginitis, cervicitis, endometritis, ovarian disease, appendicitis, ascending infection of pathogenic bacteria of tuberculosis; artificial abortion, IUD, and birth control Fallopian tube inflammation is caused by blockage caused by intrauterine operations such as annulation; fallopian tube blockage caused by man-made and disease factors such as intercourse during menstruation, unclean sexual intercourse, long-term vaginal bleeding, etc.; abdominal surgery and repeated drainage can also affect the fallopian tube, causing inflammation to spread and cause fallopian tube blockage ; After miscarriage, too little rest, drinking too much coffee, sitting for a long time and other bad living habits can also cause fallopian tube blockage.
Among patients with fallopian tube obstruction, unilateral fallopian tube obstruction is the most common. However, the obstruction is often unilateral and often becomes bilateral due to the patient\’s neglect. Blockage, and even ectopic pregnancy endanger women\’s physical and mental health.
Domestic and foreign studies show that at least 80% of patients can achieve proximal fallopian tube recanalization through non-surgical means. Fallopian tube recanalization has been carried out in the field of interventional therapy for more than 10 years. In the diagnosis and treatment of infertility due to fallopian tube obstruction, it has been adopted by clinicians and accepted by patients for its remarkable effect and few complications. Selective salpingography and fallopian tube recanalization have become one of the main methods of treating infertility due to fallopian tube obstruction.
There are many reasons for fallopian tube blockage, and there are three situations depending on the degree of fallopian tube blockage.
The fallopian tube is not smooth:The cause is debris, shed cells or blood clots in the tube Blockage; or the fallopian tube is too thin and curved; or the fallopian tube is adhered to the pelvic wall or adjacent organs, which affects the activity of the fallopian tube. These situations can be unclogged through the use of laparoscopy, and extratubular adhesions can also be cut and broken down through laparoscopy. After treatment, most patients can become pregnant.
Fallopian tube occlusion:The degree of damage is minor, but most of the fallopian tubes are normal. In this case, combined uterine-abdominal surgery can be used to unblock the fallopian tubes or insert a tube 24 hours a day. If there is hydrosalpinx, an opening can be made on it, the liquid can be drained, and the suture can be turned over to prevent adhesion again. Generally speaking, the surgical effect is good, and the success rate can reach more than 90%.
The fallopian tube is completely blocked and seriously damaged:This situation is mostly caused by a long course of disease, delayed treatment or fallopian tube tuberculosis infection. Because the fallopian tube forms scars, contractures, stiffness, and irreversible function Sexual changes, even if the unblocking is successful, it is difficult to conceive naturally. Generally, in vitro fertilization is required after surgery.
The treatment of fallopian tube obstruction infertility requires comprehensive and symptomatic treatment according to the specific situation. Because the physiology of the fallopian tube Functions, that is, the transportation of eggs, the transportation and activation of sperm, etc. must rely on the activity of the fallopian tube mucociliary as well as the peristalsis and rhythmic contraction of the fallopian tube. Sperm entering the vagina must pass through \”many checkpoints\” before conception can occur. There are many ways to treat fallopian tube obstruction, such as allowing the fallopian tube to become hydrated , ventilation, intrauterine injection of drugs, oral drugs, acupuncture and external treatment. For those with severe adhesions, fallopian tube adhesion lysis, fallopian tube anastomosis, fallopian tube ostomy, etc. are necessary.
But there are also It cannot be treated blindly with water drainage. Repeated water drainage can cause more serious hydrosalpinx, uterine hypertrophy, and the formation of water sacs in the fallopian tubes, which will cause fallopian tube dysfunction and further complicate infertility. In addition, it is painful for patients to undergo fallopian tube water drainage. Patients who are sensitive to pain can easily cause false obstruction. Therefore, patients must go to a qualified regular hospital for treatment to achieve better results.
This article is provided by Baidu Reading Excerpted from \”Very Good Pregnancy: You can get pregnant by doing this\” Author: Yu Yue\’e