Obstruction of the fallopian tubes is a problem that most couples know most unsuccessfully trying to conceive a child. For a long time a woman does not even suspect that she has obstruction of the fallopian tubes, because she has no signs and symptoms, and learns about this diagnosis only when there are consequences - infertility or ectopic pregnancy. A woman should remember that neglect of her health, untreated infections, operations and stress can cause obstruction of the fallopian tubes, so it is very important to visit the gynecologist regularly.
Until recently, the diagnosis of "obstruction of the fallopian tubes" was for a woman who wished to become pregnant by a verdict, as it is in the fallopian tubes that the process of fusion of the sperm and egg takes place, and along them a fertilized egg moves to the uterus. Fortunately, science does not stand still, and today in the arsenal of medicine the newest techniques have appeared, which even with such a diagnosis give a woman a chance to safely become pregnant, bear and give birth to a child.
Causes of obstruction of the fallopian tubes
Depending on the reasons that cause it, you can distinguish two types of obstruction:
- Organic obstruction . It is caused by the presence of various barriers on the path of the ovule - adhesions from the connective tissue in the form of films located across the tube and closing its lumen. There are spikes after infectious inflammatory processes in the ovaries and tubes, the transferred operations and abortions.
- Functional obstruction . In this case, there are no violations in the structure of the fallopian tubes, but their functions are violated due to hormonal failures or severe stress. Under the influence of these mucus factors, an insufficient amount is released in the tube, and the cilia covering the mucous membrane of the tubes lose their mobility and, as a result, the egg cell can not move.
Obstruction of the fallopian tubes can be complete (the pipe is impassable at all sites) or partial (any part of the tube is impassable).
Diagnosis of obstruction of the fallopian tubes
Since the disease does not have any external symptoms, there is no other way to determine the obstruction of the fallopian tubes, except to conduct a complete body examination of a qualified physician.
In order to check the fallopian tubes for patency, it is necessary to conduct a series of examinations and analyzes:
- Anamnesis. The doctor will need information about the presence of chronic diseases in the woman - genitourinary and other body systems (tonsillitis, appendicitis, colitis, pyelonephritis), the features of the course of postpartum and postoperative periods, the frequency of sexual activity.
- Examination of violations in the endocrine system, the presence of infectious and inflammatory diseases. This includes a smear and sowing from the mucous membrane of the cervix, a blood test for hormones. In case of detection of inflammation or hormonal abnormalities
appropriate therapy is prescribed. - Ultrasound diagnosis and fluoroscopy of pelvic organs. If necessary, it is also possible to perform laparoscopy and endoscopy.
If, as a result of the survey, it becomes clear that the obstruction of the tubes is of a functional nature, then surgery will not be required to remove it. Treatment of this type of obstruction includes psychotherapy, drug therapy with calming, relieving spasms and eliminating hormonal imbalance, drugs, as well as physiotherapy methods of treatment.