Health and Fitness

Fallopian Tubes and the Tubal Pathology

What are Fallopian Tubes?

The fallopian tubes, also called oviduct or uterine tubes, are a pair of long, narrow ducts located in a woman’s abdominal cavity. These tubes carry male sperm cells to the egg, provide a suitable environment for fertilization, and transport the fertilized egg to the central channel (lumen) of the uterus.

What Causes Fallopian Tube Blockage?

This can happen if an infection of the genitals is noticed late, and the bacteria have already been able to spread into the fallopian tubes (called an ascending infection). Oasis fertility in Dilsukhnagar provides a wide range of treatment options for blocked fallopian tubes. Apart from pelvic inflammation, other reasons could be: 

  • Endometriosis
  • Ectopic pregnancy in the past
  • Current or previous STD infection, specifically chlamydia or gonorrhoea
  • History of abdominal surgery
  • Previous fallopian tube surgery, including tubal ligation
  • Previous uterine infections caused by an abortion or miscarriage
  • If an appendix rupture has occurred in the past.

Types Of Fallopian Tube Blockages

There are three types of tubal blockage: 

  1. Unobstructed Fallopian Tubes:

Unobstructed fallopian tubes are caused by debris, exfoliated cells, or blood clots in the tube, thin bending of the fallopian tube, or adhesion of the fallopian tube to the pelvic wall and adjacent organs which pulls the activity of the fallopian tube. Most patients can conceive after this treatment. 

  1. Obstructed Fallopian Tubes:

In cases where the fallopian tube is slightly obstructed and damaged, but the majority of the fallopian tubes are normal, combined uterine and abdominal surgery can be used to perform fallopian tube dredging or 24-hour catheterization. The surgical effect is positive, and the success rate can exceed 90%. 

  1. Damaged Fallopian Tubes:

When the fallopian tube is completely impassable and severely damaged, the prolonged course of the disease, or tuberculosis infection of the fallopian tube, is usually to blame. The scar, contracture, and stiffness of the fallopian tube cause irreversible changes in function. Even if the dredging is successful, natural conception is extremely difficult. 

Treatments For Blocked Fallopian Tubes

At Oasis Fertility Dilsukhnagar, surgeons assist women in choosing the treatment that best suits their needs and provides them with the highest chance of conceiving a healthy child. 

  • In vitro fertilization (IVF)

In some cases, bypassing the Fallopian tubes and proceeding directly to IVF is the best treatment for blocked Fallopian tubes. Ovulation induction, egg retrieval, fertilization, embryo transfer, and the use of progesterone for two weeks after the transfer is all part of this procedure. 

  • Laparoscopic or Hysteroscopic Surgery

The Fallopian tubes are repaired using minimally invasive methods like laparoscopic or hysteroscopic surgery. A small telescope is placed through a small incision in the patient’s belly button during a laparoscopy. This treatment normally takes two to three days to recover from. Thus, there is no need for an incision. This treatment normally takes 24 hours to recover from. 

  • Salpingostomy

Salpingostomy is a procedure for clearing a blockage in the fallopian tube by filling it with fluid, a condition known as hydrosalpinx. They will let it heal naturally.

  • Salpingectomy

Another method for treating Hydrosalpinx is Salpingectomy or Tubal Clipping. Doctors remove the fallopian tubes during a salpingectomy. In contrast, with a clipping procedure, the doctor ties a knot, slits, or clips the tube to detach the fluid-filled tube (Hydrosalpinx) from the uterus.  

If surgery is unsuccessful, a doctor may suggest in vitro fertilization (IVF). IVF involves implanting fertilized eggs directly into the womb, eliminating the need for fallopian tubes in pregnancy. IVF center in Dilsukhnagar provides best-in-class fertility treatments with advanced labs and professional doctors.

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