Sexual Health
Is tubal obstruction preventing ovulation? Clogged fallopian tubes can cause three situations that require prompt treatment
Tubal obstruction is a common condition and a gynecological disease that we should pay attention to. The most direct impact is not being able to conceive. In this case, we must promptly check and treat it.
Obstruction of fallopian tubes without ovulation
The fallopian tube is the place where sperm and eggs meet to fertilize. At the same time as the fertilized egg begins to divide silk, it moves towards the uterine cavity through peristalsis and cilia, transporting the fertilized egg to the uterine cavity. Eggs are discharged from the ovaries, and after being discharged from the ovaries, the fallopian tubes are needed to absorb and disperse sperm.
The function of the fallopian tube is to pick up eggs, combine sperm with eggs, and transport fertilized eggs. The ovary is the organ that produces eggs. Blocked fallopian tubes do not ovulate.
Even if the fallopian tubes are blocked, if the ovarian function is normal, ovulation will not be affected. However, if inflammation occurs in the fallopian tubes and adhesion occurs, it can affect the delivery of fertilized eggs, leading to infertility.
The situation of blocked fallopian tubes
1. The fallopian tube is blocked due to debris, detached cells, or blood clots inside the tube; Or the fallopian tubes are too slender and curved; Or the adhesion between the fallopian tube and the pelvic wall or adjacent organs, which pulls the activity of the fallopian tube. Treatment can be done through laparoscopy. Epitubal adhesions can also be dissected and decomposed through laparoscopy to relax the fallopian tubes. After treatment, most patients can become pregnant.
2. The fallopian tubes are blocked and partially damaged, but most of them are normal. In this case, the fallopian tubes are combined with surgery to clear the fallopian tubes or the tubes are placed 24 hours a day. If there is hydrosalpinx, it can be opened on top to discharge fluid, flipped and sutured to prevent adhesion again. Generally speaking, the surgical effect is good, with a success rate of over 90%.
3. The fallopian tubes are completely blocked and severely damaged. This situation is often caused by prolonged course of disease, delayed treatment, or tubal tuberculosis infection. Due to the formation of scars, contractures, and stiffness in the fallopian tubes, irreversible changes in function occur. Even if successfully cleared, it is difficult to conceive naturally. Generally speaking, in vitro fertilization (IVF) after surgery requires assistance in pregnancy. It is recommended to first use dynamic digital hysterosalpingography to understand the specific location of fallopian tube blockage before taking appropriate medication.
Symptoms of blocked fallopian tubes
Tubal obstruction can be judged by the patient's self perceived symptoms. Women with tubal obstruction have a certain degree of bladder rectal irritation symptoms such as lower abdominal pain, back and sacral pain, swelling, falling sensation of bladder, rectal fullness or pain during emptying, frequent urination, and internal urgency.