Fallopian Tube Problems

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Fallopian Tube Blockage & Infertility

Tubal factor infertility accounts for about 25-30% of all cases of infertility.

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Female Infertility Causes

Fallopian Tube Problems & Causes

The egg is transported from the ovary to the uterus by fallopian tubes, which join the uterus and the ovaries. This reproductive organ also serves as a place of conception. The egg is transported down the tube to the uterus where it is implanted when the sperm fertilises it. However, if the tube becomes plugged, the egg cannot pass through.

Infections: Tubal illness may develop if the fallopian tube is irritated. Infertility can result from this. In a small number of instances, the infection may be brought on by a sexually transmitted disease like gonorrhoea or Chlamydia.Infected fallopian tubes can occasionally become inflamed and fill with fluid, causing hydrosalpinx. Tubal obstructions come in the form of hydrosalpinxes. The fimbria end of the tube is obstructed (the external end of the tube, which is in contact with the ovary surface). And the tube is filled with a transparent, watery liquid. In most cases, genital tract infections like Chlamydia are the main cause of this.Surgery: Tube damage could occur as a result of abdominal surgical procedures such tubal ligation removal. Damage could also be caused by any caesarean section complications. Scarring between the end of the ovary and the fallopian tube can also be brought on by conditions including endometriosis and uterine fibroids.

In most cases, females with tubal infertility don't exhibit any symptoms. However, in some cases, women with extensive tubal injury report experiencing excruciating pelvic pain.

To diagnosis a tubal obstruction, a thorough pelvic examination and medical history are necessary. Other medical evaluations are crucial for validating the tube obstruction.An X-ray called a hysterosalpingogram (HSG) is used to see if the fallopian tubes are blocked in any way. In order to see any anomalies like polyps or fibroids inside the uterus, this procedure uses a contrast dye. Through a tiny tube put into the uterus through the vagina, the dye is injected. X-rays can reveal any damage, abnormal uterine or tube shape, including the tubal block.Sonohysterogram, often known as a "saline infusion sonogram," is a non-invasive ultrasound procedure. This aids in the visualisation of the uterine cavity (cavity). In the uterine cavity, this method also detects uterine fibroids.In the uterine cavity, this method also detects uterine fibroids. An ultrasound is also used to inspect the ovaries, and the tubes can be seen to rule out hydrosalpinx or ovarian cysts.The womb, the ovaries, and the tubes are completely visible during laparoscopy thanks to the use of a laparoscope. The method determines whether the tubes are intact.

Surgery and in-vitro fertilisation are two common treatment options, depending on the findings of the diagnostic test (IVF).Surgery: The restoration or repair of the fallopian tubes is referred to as tuboplasty. Laparoscopy is used in this surgery to successfully resuscitate a fallopian tube. If the obstruction is at the close-by end of the tube, hysteroscopy is successful. Microsurgery or laparoscopic laser surgery can be used if the tube's far end is occluded. It may lead to the development of scar tissue and the regrowth of adhesion. There is a potential that the obstruction will occur again or that tubes will affix to the abdominal organs. A tubal pregnancy or an ectopic pregnancy are also now more likely. A severe disease known as a tubal pregnancy can result from either tubal ligation or tubal condition. In-Vitro Fertilization: Women with severely obstructed fallopian tubes have minimal chances of getting pregnant naturally. In-Vitro Fertilization (IVF) assists females who are infertile in conceiving a child. IVF success is reduced if Hydrosalpinx is present and severely damaged in the tubes, though. Before IVF, the doctor might advise having the clogged tubes removed or closed. Therefore, removal of the tube would also result in a long-term decline in ovarian reserve.

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