The fallopian tubes are hollow organs through which the egg moves from the ovary into the uterine cavity. This process is provided by peristalsis, while the cilia of the epithelium lining the tube from the inside move towards the uterus. Obstruction of the fallopian tubes causes infertility. This factor accounts for about half of cases of impaired fertility. Another danger, especially with partial obstruction, lies in the increased risk of ectopic pregnancy.
In most cases, there are no symptoms, even in the presence of an inflammatory process. Only with a pronounced exacerbation can nonspecific signs appear:
- pain in the lower abdomen, mainly from the side of the lesion;
bloating, constipation, or, conversely, diarrhea;
- violation of the menstrual cycle;
- frequent urination;
- pain during intercourse.
In 60% of cases, obstruction of the fallopian tubes is caused precisely by inflammatory processes. As a result, there is a gradual destruction of the ciliated epithelium, which leads to adhesion of fimbriae and scarring. The shape of the organ is significantly deformed, saccular protrusions appear, filled with liquid (hydrosalpinx). The mechanism for the advancement of a fertilized egg into the uterine cavity is disrupted. If the tubes are partially blocked, the risk of ectopic pregnancy increases, if completely - tubal infertility. Obstruction of the fallopian tubes is often almost asymptomatic. The survey begins most often about the impossibility of spontaneous pregnancy. The gynecologist at the primary stage assesses the ovulation and spermogram for the husband, and at the secondary stage - the patency of the fallopian tubes. After the tuboperitoneal factor has been identified, examinations are carried out to find out the most likely cause.
Conservative treatment is effective only at the very beginning of the pathological process (it is possible to stop inflammation and lyse tender adhesions). The operation is performed when the tubes are deformed by microsurgical methods for the most accurate restoration of the anatomy. If all measures are unsuccessful for the onset of pregnancy, IVF is recommended.
Surgical correction, involving the implementation of laparoscopy in order to eliminate the adhesions, localized foci of inflammation, various neoplasms of the pelvic organs, as well as reconstructive plastic. These operations are shown exclusively in non-started cases, when there are single adhesions, partial obstruction of the tubes, and there is also regular ovulation and the fertility of both spouses is at a fairly high level.
IVF (in vitro fertilization) technique that allows you to achieve pregnancy with complete obstruction of the fallopian tubes.
You can safely begin treatment, which we carry out as quickly and efficiently as possible in Tashkent. The Gatling Med clinic will make you feel confident in yourself and your health!