If a woman cannot get pregnant due to obstruction of the fallopian tubes, then we are talking about the so-called tubal infertility. 25% of female infertility is associated with this.
What's the problem?
To understand the mechanism, you should refer to anatomy . The fallopian tubes have two exits - into the abdominal cavity and into the uterine cavity. The ovary leaving the ovary enters the tube, where it meets with sperm , and conception occurs. The fertilized egg then migrates into the uterine cavity.
The presence of fluid, adhesions or scars in the lumen of the fallopian tube prevents full contact between male and female germ cells, and, accordingly, conception is impossible.
Deformation of the tube can occur not inside its lumen, but outside, due to adhesions in the small pelvis and abdominal cavity. The pipe is kinked and normal permeability is impaired.
There are many reasons for tubal infertility. This should include: operations on the pelvic organs and the gastrointestinal tract, tin- transmitted diseases , endometriosis , fibroids, fibroids , hormonal disorders. In addition, chronic foci of infection, trauma and neoplasms contribute to the formation of constrictions from connective tissue in the tubes, the walls of the organ stretch and the cilia of the epithelium become unable to move eggs.
How to detect tubal infertility?
If you are unable to conceive a child during a year of open sex life, then the first thing to do is to visit a fertility specialist . Take into account the fact that diagnostic testing following t go to the man, too, as 5 0% of couples infertility has taken the lead male factor.
Medical Center " Reverence " offers its patients a full range of diagnostic services, revealed by officials reproductive problems . Diagnosis of tubal infertility involves the passage of hysterosalpingography , laparoscopy, echohysterosalpingography .
Therapy for tubal infertility is both conservative and surgical. Conservative treatment includes the use of anti-inflammatory drugs to relieve inflammation and restore the mucous membrane of the tubes and physiotherapy .
Surgical treatment of tubal infertility is much more effective than medication, and therefore gynecologists are more likely to lean in favor of surgery. The Bogolyuby MC specialists successfully use laparoscopy. This approach is preferable to the open surgical method, since it is associated with lower risks, and complications and relapses after surgery are much less common .
Is tubal infertility compatible with IVF? This question is often of interest to patients. Our experts always approach the solution of the problem on an individual basis. If, for example, the pipe is filled with liquid ( hydrosalping ), then it is necessary to resort to its removal . The danger of such conditions is that they interfere with the attachment and normal development of the embryo in cases of IVF.
The success of tubal infertility treatment depends on each case. If the organ damage is small, the adhesions are not extensive, then the treatment gives a positive result, and after the rehabilitation period the woman manages to become pregnant . If the adhesions are numerous, the pipes are enlarged, with thin walls, and there are liquid formations in the lumen , then in such cases it is recommended to remove the pipes and resort to IVF.
How to prevent tubal obstruction? To do this, you should promptly contact a gynecologist for inflammatory diseases of the reproductive system and follow his recommendations.