Fallopian tube obstruction Women, as a rule, learn about the existence of the fallopian tubes in two cases - when they cannot become pregnant and when an ectopic pregnancy occurs.

The fallopian tubes are essential in the onset of pregnancy. This is where the sperm meets the egg.

The fallopian tube captures with its free end the ovum released from the ovary and pushes it into the tube. There, the egg waits for the sperm, and after fertilization, the embryo is pushed out by the tube into the uterine cavity, where it must attach to the uterine mucosa.

Thus, the fallopian tube must not only be passable, but must also be able to move a fertilized egg into the uterine cavity.

The two most common causes of fallopian tube damage are:

  • inflammatory process (most often chlamydia)
  • previous surgery, mainly on the pelvic organs (including removal of appendicitis)

Checking the patency of the fallopian tubes is carried out in the following ways:

  • HSG or MSH (hystero- or metro-salpingography)
  • hydrosonography
  • Laparoscopy
  • Fertiloscopy

The most commonly used HSG. This is actually an x-ray of the fallopian tubes. In order to take this picture, a woman lies down on a special table in the X-ray room, a special tube is inserted into the cervical canal, through which a contrast agent is injected into the uterus. The contrast agent fills the uterine cavity and from there must enter the tubes, and from them pour into the abdominal cavity.

This is a rather unpleasant procedure, but it allows, in most cases, to assess the patency of the fallopian tubes most accurately and without surgery. At the same time, not only the patency of the pipe is assessed (passable or not), but you can see how the pipe has changed - it can be expanded, heavily twisted, have constrictions, etc. Of course, the better the image of the pipes is, the more information it can bring.

Sometimes a picture of the tubes also has a therapeutic effect (there are cases of pregnancy after the HSG). This is due to the fact that during the procedure, a contrast agent is injected into the uterus under slight pressure, and if there were thin internal adhesions in the fallopian tubes, they break and the tubes become passable.

Until recently (in some clinics this is still used today), there was a technique for restoring the patency of the fallopian tubes, which was called "hydrotubation". The essence of the method was that every day, for an average of 10 days, a woman with obstructed tubes, as described above, was injected into the uterus with a solution containing various medications. With the help of these medicines and the pressure created by the plunger of the syringe, the patency of the tubes was restored - in fact, they were purged. This technique was practically abandoned, as alternative methods appeared. treatment, and the technique was extremely painful (many women screamed out loud).

hydrosonography

In fact, the same as HSG, but in this case, the image is obtained using an ultrasound machine. In terms of its informativeness, this method is significantly inferior to HSG, but it is better tolerated by the patient.

Laparoscopy

Surgical method for assessing the patency of the fallopian tubes. As a rule, isolated only for this purpose is not used. During laparoscopy, a solution of blue is injected into the uterus, which is clearly visible in the abdominal cavity. This tubal test is usually performed after an operation to separate adhesions that have obstructed tubal patency.

Fertiloscopy

Examination of the fallopian tubes and pelvic organs through the posterior vaginal fornix - this technique is similar to laparoscopy, only the instruments are inserted not through the anterior abdominal wall, but through the vagina. This method is combined with hysteroscopy. With this method, small operations can be carried out.

Thus, the most optimal method for checking the patency of the fallopian tubes is the HSG.

Treatment

There are 4 methods of restoring the patency of the fallopian tubes.

  • Laparoscopy
  • Fertiloscopy
  • Recanalization of the fallopian tubes
  • hydrotubation

Of all the methods listed for restoring the patency of the fallopian tubes, I have not described recanalization.

Recanalization of the fallopian tubes

Using this method, it is possible to restore the patency of the fallopian tubes in their initial sections. Under the control of an x-ray machine, a thin conductor is inserted into the uterine cavity, along which a catheter with a balloon is advanced. The guidewire is gradually inserted into the mouth of the tube, followed by the catheter. The balloon is inflated, thus expanding the lumen of the tube. The guidewire with the catheter is advanced further until the tube becomes passable. This does not always work out, because if the pipe is strongly tightened by the outer bail, then it will not be possible to cope with this from the inside.

Important!

  • Whatever method is used to restore the patency of the fallopian tubes, the effect, as a rule, does not last long, and the likelihood of a relapse of the condition is very high.
  • Restoration of the patency of the tube does not mean that this fallopian tube is functionally active, in other words, if the tube freely passes fluid, this does not mean that it can ensure the transport of a fertilized egg into the uterine cavity.

Of course, there are cases when a normal pregnancy developed with very altered tubes, or even with only one tube and one saved ovary, located on opposite sides. These are the exceptions that prove the rule.

How to decide - what to do with pipes?

The question is whether it is worth doing the restoration of the fallopian tubes or choosing the method of artificial insemination.

Age matters a lot. If you are young and, apart from a problem with the fallopian tubes, you are not expected to have other disorders that prevent pregnancy, you can try to restore the patency of the tubes and try to get pregnant within a year. If it doesn’t work out, don’t waste time and immediately turn to the IVF method. It happens that after the birth of the first child through IVF, a subsequent pregnancy occurs naturally. This is due to the fact that during pregnancy the uterus increases in size and self-separation of adhesions and restoration of patency of the fallopian tubes can occur.

After 35 years with prolonged infertility and obstruction of the fallopian tubes, IVF should be preferred first of all. Over time, egg quality deteriorates and the risk of genetic disorders in the fetus increases. Therefore, it is not advisable to waste time trying to restore the patency of the pipes - it takes time, and this plays against you. You also have a great chance after the birth of your first child to solve the problem with the fallopian tubes.

It is important to remember that after the restoration of patency of the fallopian tubes, the risk of ectopic pregnancy increases.

Of course, it is difficult to decide on your own what tactics to choose, but it seems to me that having an idea about the problem, it will be easier for you to discuss it with your doctor and jointly make the right decision.


Things to know (Q&A)

What are signs of blocked fallopian tubes?

A blocked fallopian tube may cause some women to experience symptoms such as pain in the pelvis or belly . This pain might happen regularly, such as around the time of their period, or be constant. Sometimes, a blockage in a fallopian tube can cause a fertilized egg to get stuck. This is known as an ectopic pregnancy.

How do you unblock fallopian tubes?

If your fallopian tubes are blocked by small amounts of scar tissue or adhesions, your doctor can use laparoscopic surgery to remove the blockage and open the tubes. If your fallopian tubes are blocked by large amounts of scar tissue or adhesions, treatment to remove the blockages may not be possible.

What can cause blockage in fallopian tubes?

Tubal blockages or damage may be caused by pelvic inflammatory disease, endometriosis , previous surgeries, ectopic pregnancy or tubal ligation. Most women with damaged or blocked fallopian tubes do not experience any symptoms.

Can you still have a period if your fallopian tubes are blocked?

Can you have a period with blocked fallopian tubes? Yes . The menstrual cycle does not have anything to do with the condition of your fallopian tubes. However, some women with blocked fallopian tubes do face heavy periods and spotting problems.

How do you know if your fallopian tubes are blocked?

To determine whether your fallopian tubes are blocked, your doctor may suggest a laparoscopy or a hysterosalpingogram (HSG) . In an HSG test, liquid dye is inserted by catheter through the vagina (cervix) into the uterus. Then, X-rays are taken to see if there is a blockage or if the dye flows freely into the abdomen.

Can you feel if your tubes are blocked?

Symptoms of blocked fallopian tubes

Blocked fallopian tubes don't often cause symptoms. Many women don't know they have blocked tubes until they try to get pregnant and have trouble. In some cases, blocked fallopian tubes can lead to mild, regular pain on one side of the abdomen .

How can I unblock my fallopian tubes naturally?

Natural Treatments for Blocked Fallopian Tubes

  1. Vitamin C.
  2. Turmeric.
  3. Ginger.
  4. Garlic.
  5. Lodhra.
  6. Dong quai.
  7. Ginseng.
  8. Vaginal steaming.

How can I get pregnant with blocked tubes?

Can I Still Get Pregnant with Blocked Fallopian Tubes? Yes, you can get pregnant naturally or with the assistance of an IUI with one Fallopian tube open . However, if both tubes are blocked, in vitro fertilization (IVF) may be require

Can blocked fallopian tubes reopen?

More than 90 percent of the time, we can reopen at least one blocked fallopian tube and restore normal function.