Blocked Fallopian Tubes

Fallopian Tube Obstruction

The fallopian tubes are two thin tubes in the female reproductive system, on either sides of the uterus. They assist the mature egg to travel from the ovaries to the uterus. Any obstruction in the path of the egg, travelling to the tube is called as blocked fallopian tube or tubal factor infertility. This can happen in one or both the fallopian tubes. It is the leading cause of infertility in 40% if the women who are infertile.

The types of Blocked fallopian tubes include: Proximal tubal occlusion, Mid-segment tubal obstruction, Distal tubal occlusion, Hydrosalpinx, Pyosalpinx , Hematosalpinx and Chronic salpingitis.

Causes:

Reasons for fallopian tubes blockage

  • Pelvic Inflammatory Disease: One of the major causes of blocked fallopian tubes is PID. PID may result in blockage or damage to the fallopian tubes, after they get twisted or if their walls stick together.
  • Endometriosis: Endometriosis is a disorder that causes the endometrium to grow outside the uterus. Endometriosis affects the ovaries, fallopian tubes and the tissue that lines the pelvis. As the displaced tissue has no way to exit your body, it gets trapped. It can also prevent the tubes from letting the egg travel from the ovaries to the uterus.
  • Ectopic pregnancy: In this condition, instead of travelling towards the uterus, the fertilized egg is implanted in the fallopian tubes, leading to tubal pregnancy.
  • Genital tuberculosis: Sometimes the infection of the Tuberculosis might pass through the blood, to other parts of the body causing secondary infections, sometimes which reaches genital tract and develops genital tuberculosis which may cause irreversible tubal obstruction.
  • Tubal ligation Reversal: Tubal ligation, a popular birth control method, which when reversed may cause the blockage of fallopian tube .
  • Fibroids: A fibroid might cause pressure on the fallopian tube, which in turn blocks the path of the egg or sperm.
  • Side effect of surgeries: Surgeries like C-section, abortion can cause the blockage of the tubes.
  • Infections: Infections caused by an abortion, miscarriage or sexually transmitted disease can result in blocked fallopian tubes.

Symptoms:

 

  • Painful sexual activity.
  • Pain while urinating.
  • Pain in the lower abdomen.
  • Unusual vaginal discharge.

Diagnosis:

Diagnosis of Blocked Fallopian Tube

  • Chromotubation: It is considered as the most reliable investigative procedure to confirm fallopian tube blockage. In this test, a blue color dye is expelled into the uterus and fallopian tubes.
  • Hysterosalpingogram(HSG): Doctors recommend HSG, which is a type of X-ray, in which a tube is inserted inside the uterus. A dye is passed through this tube, which fills the uterus and continued to be passed till the dye spills in the fallopian tubes. At this moment, X-rays are taken to look for any blockage in the uterus.
  • Sonohysterography: Sonohysterography is a special Ultrasound, which is done to diagnose the blockages in the fallopian tubes.

Treatment:

treatment for blocked fallopian tube

  • Salpingectomy: This procedure involves the removal of a part of fallopian tube. It is usually performed in the case of Hydrosalpinx type of blockage. This is usually performed before going for IVF for better results.
  • Salpingostomy: This surgical method is recommended when Hydrosalpinx causes obstruction in the end of the fallopian tube. Another opening is made near the end of fallopian tube that opens to the Ovary.
  • Fimbrioplasty: It is performed to fix the damaged or attached fimbriae, which prevents the release of Egg. The purpose of the surgery is to rebuild fimbriae.
  • Tubal cannulation: This is a non-surgical procedure. It involves the insertion

of a catheter through the cervix, uterus and into the fallopian tube. It is monitored with the help of an ultrasound. The doctor identifies the exact location of the block and when the catheter reaches at that point. The doctor then opens up the block by blowing up a balloon in the catheter. Hysterosalpingography is performed prior to this procedure.

  • Tubal re-anastomosis: This procedure involes the removal of the blocked or infected segment of the tube and the joining of the two healthy ends of the tube. This procedure can be done by Laparoscopy or by Open method.
  • In Vitro Fertilization – IVF is the most efficacious treatment for Blocked Fallopian Tubes.

Precaution:

  • Prevention against sexually transmitted disease, i.e. by practicing safe sex.
  • Immediate treatment of Pelvic Inflammatory Disease, before it escalates to blocked fallopian disease.

EvaIVF offers low-risk way to treat Blocked Fallopian tubes. Our team of experienced and skilled doctors make life at hospital a painless one and guarantee a speedy recovery.  

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