Cause
Fallopian tube blockage is usually caused by: infection, fibroblasts, and ectopia.
Infection: Pelvic infection is the leading cause of fallopian tube blockage. Repeated infections can lead to inflammation of the fallopian tubes, leading to adhesions at the inflammatory site and ultimately luminal atresia.
Fibroblast hyperplasia: The tissue surrounding the fallopian tubes is stimulated to form a large number of fibroblasts. These cells will gradually proliferate and produce scar tissue, leading to narrowing or occlusion of the fallopian tube lumen.
Ectopia: Ectopia is a common gynecological condition that can lead to blockage of the fallopian tubes. Ectopia refers to the growth of endometrium in areas other than the uterus, such as the ovaries, fallopian tubes, and pelvic walls. Due to ectopic lesions, the passage of the fallopian tubes can become blocked.
Symptoms
Symptoms of blocked fallopian tubes may include:
1. Infertility: The fallopian tube is where the egg and sperm meet. When the fallopian tubes are blocked, eggs cannot reach the uterus and sperm cannot enter the tubes, which can lead to infertility.
2. Irregular menstruation: Blocked fallopian tubes may lead to irregular menstruation. Ectopia and pelvic inflammatory disease can cause salpingitis and blockage, affecting hormone levels and, in turn, the menstrual cycle.
3. Pelvic pain: Blocked fallopian tubes may cause pelvic pain, which often worsens during menstruation and during sex.
Diagnosis
Diagnosis of blocked fallopian tubes usually requires the following tests:
1. Hysterosalpingogram (HSG): This test can help doctors evaluate the patency of the fallopian tubes. During this test, the doctor inserts medication or contrast material through the cervix and then looks at the condition of the fallopian tubes using X-rays or ultrasound.
2. Laparoscopy: Doctors can inspect and remove suspected blockages in the fallopian tubes during surgery.
3. Semen analysis: By analyzing the quality and quantity of semen, it can be determined whether there is a blockage of the vas deferens.
Treatment methods
Treatment for blocked fallopian tubes usually includes surgical and non-surgical treatments.
Non-surgical treatments include medications and assisted reproductive technology. Medical treatment can restore the patency of the fallopian tubes through antibiotics. Assisted reproductive technologies, including in vitro fertilization and compliant fallopian tube repair, can increase the chance of a successful pregnancy.
Surgical treatment is usually performed through laparoscopic or open surgery. Surgery can remove ectopic lesions and tissue scars around the fallopian tubes, and open the fallopian tubes.
Summary
Fallopian tube blockage is a common gynecological disease, usually caused by pelvic infection, fibroblasts, and ectopia. Treatment options include surgical and non-surgical treatments, such as medications and assisted reproductive technology. Diagnosis usually requires tests such as hysterosalpingography, laparoscopy, and semen analysis. Symptoms of blocked fallopian tubes include infertility, irregular menstruation, and pelvic pain. Prompt diagnosis and treatment are key to preventing infertility caused by blocked fallopian tubes.
