Infertility among women can be due to various reasons. However, the most common cause of female infertility is blocked fallopian tube. It makes up for almost 20% of all female infertility cases. Understanding and treating blocked fallopian tubes.
Fallopian tubes are a pair of thin tubes on either side of the uterus. The egg which is released by the ovary gets into the fallopian tube and makes its journey to the uterus. Even the fertilization of the egg takes place in the middle of the journey towards the fallopian tube. A fertilized egg gets implanted in the uterine wall and develops into a fetus. Therefore, fallopian tubes play an important role to ensure that the egg produced in the ovary reaches the uterus. A blocked or damaged fallopian tube can prevent this from happening.
Types of Fallopian Tube Blockages
Based on the location, there may different types of blockages in the fallopian tube. Some of them are:
- Proximal tubal occlusion – Blockage that occurs in the isthmus area and is caused due to an infection which may arise from complications in a previous miscarriage, abortion or pelvic inflammatory disease (PID)
- Mid-segment tubal obstruction – Blockage that happens towards the middle of the fallopian tube, towards the ampullary area. This area is more prone to tubal litigation damage
- Distal tubal occlusion – Blockage that affects the end of the fallopian tube that opens into the ovary. This happens as an after effect of sexually transmitted diseases such as Chlamydia trachomatis infection.
- Hydrosalpinx – Blockage caused due to fluid getting filled within the fallopian tubes, giving them a sausage like shape. Usually followed by closure of tubes at the ends that open into the ovary.
- Chronic salpingitis – Caused by a bacterial infection and inflammation in the fallopian tubes. If not treated, this infection develops into acute salpingitis, where the inner wall of the fallopian tubes stick together and become swollen, causing permanent damage to the tubes.
CAUSES OF BLOCKED FALLOPIAN TUBES
One or both fallopian tubes may be blocked due to some of the following reasons:
- Pelvic inflammatory disease (PID)
- Side effect of surgeries
- Sexually Transmitted Infections
- Genital tuberculosis
- Ectopic pregnancy
- Ruptured appendix
- Tubal litigation removal
TREATING BLOCKED FALLOPIAN TUBES
Blocked fallopian tubes can adversely affect a woman’s chances of conceiving. With the advancement in medical technology, there are several ways to unblock the tubes. Here are some treatment options:
- Tubal re-anastomosis – Blocked or infected segment of the tube is removed and two healthy ends of the tube are rejoined through a laparotomy.
- Salpingectomy – Involves removing a part of fallopian tube and is usually done before going for IVF. It is more common in case of Hydrosalpinx type of blockage which reduces the success of IVF.
- Fimbrioplasty – Done to rebuild damaged fimbriae that prevents the released egg from traveling through the tubes and into the ovary. However, there are very few experienced or experts in this field.
- Tubal cannulation – A non-surgical procedure which is done without making any type of incision. A catheter is inserted through the cervix, uterus and into the fallopian tube. It is monitored by an ultrasound and doctor can open up the block by blowing up a balloon when the catheter reaches the location.
If you’ve been diagnosed with blocked fallopian tubes, don’t lose hope. Talk to our experts at KIMS Cuddles to look for a treatment plan that best suits your needs.
*The opinions expressed in this article are not to be substituted for medical advice under any circumstance