Fallopian tube
Fallopian tube or Uterine Tube is part of the reproductive system of the female body, where it connects the uterus to the ovary, through which the egg travels from the ovary to the uterus every month. In each female’s body, the fallopian tubes are located at the top of the uterine cavity. Each channel is about 10 cm long. The main function of this channel is to transfer sperm to the egg and then transfer the fertilized egg to the uterus to be implanted there. The sperm fertilization of the egg occurs in the fallopian tube.
Blockage of the fallopian tube
The obstruction of the fallopian tube is one of the most important reasons leading to infertility, where about 25-30% of infertility is caused by a problem in the fallopian tube, in some cases the cause of infertility is completely blocked in both fallopian tubes, and in other cases, One channel, and there are cases that cause the constriction of the fallopian tube as a result of scarring.
There are many reasons that lead to the blockage of the fallopian tube, most notably pelvic cavity infections, sexually transmitted infections, pelvic inflammatory disease, appendicitis, and other causes that may cause fallopian tube obstruction (endometriosis) and operations Surgical procedure in the abdomen leading to scarring of the area between the end of the fallopian tube and the ovary.
Symptoms of fallopian tube obstruction
The fallopian tube obstruction rarely causes any symptoms, but in the case of a type of fallopian tube blockage called hydroxalpinx, the blockage of the channel causes it to expand and collect fluid, thus preventing sperm and egg coming together, which in turn prevents fertilization Which may prevent pregnancy, and may feel the woman suffering from the fall of the fallopian tube pain in the bottom of her abdomen, and you can also notice the descent of unusual secretions of the vagina. If the cause of the obstruction of the fallopian tube or endometriosis of the pelvic cavity; the patient may feel pain during the menstrual cycle, coupled with the feeling of pain during intercourse, but these symptoms do not necessarily indicate the blockage of the fallopian tube.
Diagnosis of fallopian tube obstruction
Because the obstruction of the fallopian tube often does not cause any noticeable symptoms, is usually detected by assessing the state of infertility in women and the search for the cause of infertility, and the tests that can be used to diagnose the obstruction of the fallopian tube pigmentation of the dye on the uterus and tubes (Hysterosalpingogram) or by Laparoscopy.
The obstruction of the fallopian tube is performed by using dye rays on the uterus and the tubes through a radiograph. This is done by using a medical telescope to open the vagina and inserting a catheter to inject liquid through the cervix into the uterus. If the liquid injected into the fallopian tube If there is any problem with the flow of liquid injected into one or both channels, the channel is blocked, taking into account that the flow of the liquid in the channel and ensuring that it is not blocked does not mean that the channel function is normal, the lining of the channel may be damaged even if Fluid flow in. It is possible that the result of the examination is that the channel is blocked but in fact open and the cause of obstruction shown by the examination is the result of the location of the confluence of the channel and enter into the uterus, called the result of the test false positive (False Positive), and about 15% of women are the result of this examination They have a false positive.
As for the diagnosis of obstruction of the fallopian tube through laparoscopy, it is through the introduction of a surgical instrument called laparoscopy through a small section performed below the navel, to see the possibility of a blockage in one or both channels, and is performed through laparoscopy to detect the presence Other problems may have led to an effect on fertility such as the presence of adhesions or the presence of endometriosis.
The possibility of pregnancy in case of blockage of the fallopian tube
There are two channels in each woman, so the obstruction of one of these channels impedes the process of pregnancy, but women can carry if the other channel in good condition.
Treatment of fallopian tube obstruction
In some cases laparoscopic surgery can open the fallopian tube or remove the scars that can be the problem. Unfortunately, this treatment does not always work. Success depends on the lifetime of the patient. The smaller the age, the better the success rate. And the cause of the blockage and its location and how bad the condition, and it should be aware that the risk of surgery for the fallopian tube ectopic pregnancy.
In the case of multiple adhesions and thick or scars between the ovary and the fallopian tube, or if the patient is diagnosed with the fallopian tube, or if the cause of infertility of men, surgery is not a good option for treatment of infertility caused by the fallopian tube, : In Vitro Fertilization) in these cases.