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Blocked Fallopian Tube causes are fibroids, endometriosis and infections. The diagnosis of blocked fallopian tube includes with HSG test, Chromotubation and Sonohysterography. Fallopian tube blockage treatment include Tubal reanastomosis i.e. tubal reversal, Fimbrioplasty, Salpingectomy, Tubal Cannulation.
Let’s Discuss in More Details About Blocked Fallopian Tube:
- What is Blocked Fallopian Tubes?
- Causes of Blocked Fallopian Tubes?
- Diagnosis of Blocked Fallopian Tubes?
- Treatment of Blocked Fallopian Tube?
Fallopian tubes are a crucial part of the reproductive system. The proper functioning of the fallopian tube is essential for a successful pregnancy. These tubes aid in the transportation of the mature egg from ovary towards the uterus. If sperms are present, then the fertilization of sperm and egg takes place in the fallopian tube itself. Hence you know how fallopian tubes function and act as essential components for a successful pregnancy. At times, fallopian tubes have certain types of blockage that hamper the occurrence of normal pregnancy in a smooth way. Due to such blockages, it gets difficult for a woman to conceive as the fertilized egg and sperm (zygote) is not transported into the uterus for implantation. (1)
These days there are various reasons that lead to medical disorder in the reproductive system or its specific organs. The treatment of a certain type of medical disorder depends on the factors that cause it. Here are some of the commonly found causes of fallopian tube blockage. (2)
1. Pelvic Inflammatory Disease (PID)
Pelvic inflammatory disease is one of the most commonly detected causes of the fallopian tube blockage. In this disease, there is an inflammatory effect, which causes the reproductive organs including the fallopian tube to get swelled up. This inflammation stops a woman from conceiving; it can also result in miscarriages or even an ectopic pregnancy where the embryo is implanted inside the fallopian tube. In an ectopic pregnancy, the embryo gets stuck inside the tube instead of traveling towards the uterus due to the scarring of fallopian tubes. (3)
Fibroids are the abnormal uterine growths that can grow either inside or outside the uterus. Along with causing symptoms like heavy, frequent vaginal bleeding, they can also distort or block fallopian tubes. When a fibroid occurs, it hinders the path of the eggs or sperms towards the uterus. This leads to the necessity of the fallopian tube blockage treatment. (4)
A woman experiences endometriosis when there is a lack of normal shedding during menstruation indicating indefinite growth in the endometrial cells. There is also the presence of endometrial cells outside the womb in the form of a lining. This tissue creates pressure on the fallopian tubes from outside, thus obstructing the transport of eggs, sperms or fertilized embryo to the uterus. (5)
Other causes of fallopian tube blockage include infections, ruptured appendix, genital tuberculosis, and ectopic pregnancy.
There are various medical tests to detect the presence of blockage in the fallopian tube.
1. Hysterosalpingogram (HSG)
It is a basic X-ray test. Here, a thin tube is inserted into the uterus via the vagina. Then, a dye is injected into the uterus with the help of this tube. The dye is kept injecting until it spreads into the fallopian tubes. The X-ray is then taken and the presence of blockage in the fallopian tube is detected successfully. (6)
In this medical test, a blue color dye is injected into the uterus. This is done at the time of laparoscopy. It helps the doctors to see the spillage of the dye inside the fallopian tubes and detect if a blockage is present or not. (7)
This is basically an ultrasound exam. During this test, the fluid is passed to the uterus. This is done via the cervix. Then, sound waves are utilized to create images of the lining of the uterus. The combination of fluid and ultrasound provides finer details of the fallopian tubes. (8)
Treatment of the fallopian tube blockage is essential to ensure that the chances of conceiving can increase peacefully without any delay. Your doctor will suggest one or a combination of the following treatments for the successful removal of the blockage of the fallopian tube. (9)
1. Tubal re-anastomosis
Tubal re-anastomosis is also known as a tubal reversal, tube ligation reversal or tube sterilization reversal.
- Before the commencement of the procedure, certain tests are done as mentioned above.
- General anesthesia is given to the patient.
- Then, the doctor places a laparoscope by making a hole below the belly area. The laparoscope is then guided to the pelvic area.
- The fallopian tubes are then monitored and accordingly the procedure is commenced.
- Any rings or clips in the tube are removed. Then, the ends of the tubes are reconnected with the help of small stitches.
- This procedure takes around 2-3 hours. Proper rest is recommended to the patient for the next 3 days at the hospital itself. The doctors monitor the progress in the health of the patient.
Fimbrioplasty is a procedure where fimbriae are reconstructed along with the removal of damaged or functionless fimbriae. Fimbriae basically are small, finger-like projections present near the ovaries.
- This treatment is preferred in women who have low fertility levels due to fimbriae problems.
- Moreover, after the successful completion of fimbrioplasty, it is noted that women conceive naturally in a short time.
- But you need to know that there are more chances of having an ectopic pregnancy if the pregnancy is achieved after fimbrioplasty.
This procedure mainly involves the removal of a part of the fallopian tube. It was earlier done with the help of laparotomy. In recent times, it is done with the help of laparoscopy.
- Nowadays, laparoscopic salpingectomies are more commonly utilized as a part of the minimally invasive procedures.
- One of the common ways utilized is to use a pre-tied surgical loop. It is used to tighten a knot around the fallopian tube and a part of the tube is removed from its place.
- Doctors take care that the surrounding areas and nearby reproductive parts are not affected during the removal of a part of the fallopian tube.
Salpingostomy is also known as neo salpingostomy. It is a procedure, which is used when the hydrosalpinx (blocked and swollen tube) obstructs the end of one or both the fallopian tubes.
- Then, the surgeon makes another opening near the end of the fallopian tube. This opens to the ovary.
- This helps in the removal of the blockage and successful occurrence of a pregnancy. The doctor opens the fallopian tube. Then, he removes the blockage. The tube is left intact.
- The doctor leaves the incision open as it heals on its own.
- He/she advises the patient to take proper precautions to avoid increased chances of infections after the completion of the surgery.
5. Tubal Cannulation
In the procedure of tubal cannulation, the doctor inserts a tube known as a catheter through the vagina of the patient. (10)
- Ultrasound is utilized for viewing the fallopian tubes. This helps the doctor to insert the catheter in the right location.
- The blocked area in the fallopian tube is opened up with the help of a balloon at the end of the catheter or wire.
- It can be done after the completion of the procedure known as hysterosalpingography.
- Mild sedative and anesthesia are given to the patient before the commencement of the tubal cannulation procedure.
Thus, these are the best and most recommended treatments for the blocked fallopian tubes. If your doctor is suggesting any one of the above treatments, then you need to make sure that you are not procrastinating any further.
If you want to take the second opinion for the treatment of your blocked tube, call at +918929020600. You can also read regarding different fertility treatments for the successful pregnancy at Elawoman blog.
SOURCES AND REFERENCES:
- ^ Blocked Fallopian Tubes | Verywell Family Verywellfamily.com, 09 August 2019
- ^ Causes of Blocked Fallopian Tubes | Medical News Today Medicalnewstoday.com, 09 August 2019
- ^ Pelvic Inflammatory Disease: Risk Factors, Symptoms and Treatments Healthline.com, 09 August 2019
- ^ Fibroids | NHS Nhs.uk, 09 August 2019
- ^ Endometriosis - Symptoms and Causes | Mayo Clinic Mayoclinic.org, 09 August 2019
- ^ Hysterosalpingography | ACOG M.acog.org, 09 August 2019
- ^ Chromopertubation | Wikipedia En.wikipedia.org, 09 August 2019
- ^ Sonohysterography | ACOG Acog.org, 09 August 2019
- ^ Fallopian Tube Obstruction | Wikipedia En.wikipedia.org, 09 August 2019
- ^ Fallopian Tube Cannulation | NHS Mft.nhs.uk, 09 August 2019
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