How is blocked fallopian tubes treated? How is a blocked fallopian tube treated?

Fallopian tube obstruction also varies from mild to moderate to severe. Very slightly, or just some, for example, the fallopian tube because its lumen is very thin, so there are some exfoliated cells and tissue, shedding endometrium or some bleeding clots, cellulose, etc., which may block the fallopian tubes. Then if it is this kind of blockage, through some clear fluid**, it may be dredged.

But if it is a real adhesion that causes the lumen to occlude, you often need to unblock the fallopian tube through some mechanical methods, such as through some catheter insertion, or even surgery. For example, if there is hydrosalpinx, then you may need to cut the end of the fallopian tube, give it a stoma, etc. Therefore, whether the blocked fallopian tubes can be cured depends on the severity of your condition.

A tubal imaging is done to confirm which side of the fallopian tube is blocked. If the adhesion is not smooth, or it is completely occluded, it is necessary to take corresponding measures according to different stages. If there is a fallopian tube effusion or it is not patencious, tubal drainage may be considered.

If the fallopian tubes are completely occluded, tubal guidewire dredging can be done, and laparoscopic hysteroscopy may also be performed, depending on your own situation.

Acupuncture and moxibustion Chinese medicine can effectively regulate fallopian tube blockage and infertility.

Salpingography and tubal recanalization have become one of the main methods for tubal obstructive infertility.

Tubal blockage in the interstitial and isthmus of the fallopian tubes: Trans-X-ray tubal intervention reversal should be the first option, and if the reversal fails, IVF** should be performed. Due to the fact that under normal circumstances, trans-X-ray tubal intervention reversal often has only one chance, so the treating doctor must have such a concept, that is, to do a good job in the details of each interventional link, in order to meet the patient's opportunity and desire to achieve natural conception to the greatest extent, so it is very important to improve your medical skills as a doctor.

Blocked ampullary tubes: IVF**.

Fallopian tube umbrella blockage: one is to do laparoscopic tubal umbrella ostomy or open tubal umbrella toma, and the other is to do IVF, with a success rate of 20% each.

Peritubal adhesions: It can cause dysfunction of tubal egg picking and egg transport, thus causing infertility. The main method is laparoscopic peritubal adhesion dissection.

Tubal tuberculosis: tubal reversal is prohibited due to tubal blockage**, and IVF can be performed if the endometrium is still good**.

Other ** methods of tubal blockage:

Tubal patency surgery: It can be performed after 3 days from the clean menstruation. 160,000 units of gentamicin, 2 ml of procaine, 5 mg of dexamethasone, and 5 mg of -chymotrypsin were dissolved in 20 ml of normal saline and injected into the uterine cavity through a tubal passage catheter.

1 time every other day, stop before ovulation**. Can be used for **2 to 3 menstrual cycles continuously. This ** is still used by most medical institutions, but the efficacy is poor and the false positive rate is high.

Salpingitis is the main site of pelvic inflammatory diseases, which mostly occurs in sexually active and menstruating women, and rarely occurs in premenarche, postmenopausal or unmarried people. If it occurs, it is often the spread of inflammation in adjacent organs. If you fail to get the correct ** in time, you can cause infertility, tubal pregnancy, chronic pelvic pain, inflammation and other sequelae due to pelvic adhesions and fallopian tube obstruction.

Salpingitis is mostly caused by pathogen infection, mainly caused by staphylococcus, streptococcus, Escherichia coli, gonorrhoea, proteus, pneumococcus, chlamydia, etc., which is divided into acute salpingitis and chronic salpingitis, the latter is more common in infertile women.

Fallopian tube blockage, first of all, to see whether there is a requirement to have children, if there is no need to have children, fallopian tube blockage does not need **, and will not cause more clinical symptoms. If there is a requirement for childbearing, and the fallopian tube blockage cannot make the woman of childbearing age have a normal natural pregnancy, it can be considered to do tubal patency or angiography to determine the extent and location of the blockage. If the effect of tubal patency is not satisfactory within 3-7 days of 3-7 days of clean menstruation, you can choose tubal dredging and pelvic adhesion separation surgery, hysteroscopic combined surgery for minimally invasive treatment.

If the process of treatment is smooth, the fallopian tubes are unobstructed, and the surrounding adhesions are well separated, you can wait for natural conception after surgery; If the separation process is difficult and the effect of the operation is not ideal, you can directly do tubal dissection or tubal ligation, and choose IVF to complete the fertility requirements after surgery. The most common type of tubal blockage is tubal inflammation, which can lead to tubal effusion, poor adhesions, or complete occlusion, depending on the stage. If it is caused by a sexually transmitted disease, it is more common in gonorrhoeae or mycoplasma and chlamydia infection, and it is necessary to choose the corresponding antibiotic drugs according to different pathogens.

In the case of fallopian tube inflammation, it is normal to consider that there will be pelvic inflammation at the same time, and the fallopian tube inflammation may lead to tubal adhesion and tubal blockage. It is mainly carried out according to the inflammation of the fallopian tubes and the actual symptoms**. If the fallopian tubes are blocked, the adhesions need to be unblocked.

If it is just simple inflammation of the fallopian tubes, antibiotic drugs can be used to reduce inflammation.

How to get blocked fallopian tubes**? Depending on the location of the fallopian tube blockage, the method of surgery** is also different. If the blockage is at the end of the umbrella, the tip or the end, a "stoma" is usually done to "open the door" to the blockage.

If the blockage is in the middle of the fallopian tube, the middle part of the fallopian tube is usually removed and the remaining ends are anastomized. There are often patients who worry that the length will shrink after tubal resection and anastomosis, and that it will be "not enough". In fact, a normal fallopian tube is 10 to 15 cm long, and for sperm-egg union, only 6 to 8 cm long intact fallopian tube is sufficient, so the 1 cm cut off has little effect on conception.

It is important to note that if the fallopian tube blockage is close to the uterus, the doctor may not recommend surgery. Because the fallopian tube close to the uterus is very thin, and the hole is only the size of a pinhole, it is difficult to do the operation, and even if it is done, it is easy to adhesion, and the first effect of the operation is very poor. Generally, for this case, the doctor will recommend IVF directly.

IVF is fertilized in vitro without going through the fallopian tubes, which fundamentally avoids the trouble of blocked fallopian tubes.

Our women's eggs are discharged from the uterus through the fallopian tubes, and if the fallopian tubes are blocked, it will affect the pregnancy, so the problem of the fallopian tubes must be paid attention to. Fallopian tube blockage, and there are no obvious special symptoms, a small number of people have abdominal distension and other situations, today we will talk about how to block the fallopian tubes.

1. Fallopian tube patency.

For less severe blockages, fallopian tubes can be used to clear the fallopian tubes by introducing fluid into them. This method is only suitable for less serious cases, and must be operated by a professional doctor in a regular hospital.

2. Surgery. The surgery depends on the blockage of the fallopian tubes.

1. Blockage of the proximal fallopian tube. The surgical operation is relatively simple, and most of the proximal blockages of the fallopian tubes can be solved by hysteroscopic guidewires.

2. Blockage in the middle of the fallopian tube. In this case, laparoscopy is used to remove the blocked part of the fallopian tube and suture the two parts of the fallopian tube. In this way, the probability that the patient can suspect is about seventy percent or more.

3. Blockage of the distal fallopian tube. This condition is more complicated and is the case where fallopian tubes cause the largest number of infertilitys. Depending on the patient's condition, the main surgeries include salpingostomy, tubal umbrellaplasty, and some may also have the fallopian tubes removed.

3. Drugs**.

For some cases that are not too serious and there are no substantial lesions, drugs can be used to regulate menstruation through traditional Chinese medicine, fallopian tube inflammation, adhesions, etc., and traditional Chinese medicine can be used to make the stasis in the fallopian tubes can be absorbed by themselves, or discharged with menstrual blood, and the original cell structure and function can be restored, so that the fallopian tubes are unobstructed and the function of the fallopian tubes can be restored.

To sum up, if there is a suspected blockage of the fallopian tubes, you should go to the hospital as soon as possible**, and do not be superstitious about small home remedies and delay the condition. The occurrence of fallopian tube blockage can have a huge impact on a woman's fertility, so it is important for female patients to receive timely medical treatment.

1. Physics**.

One of the most common methods of tubal blockage is physics, which plays a very important role in the process of tubal blockage, and some superficial physics is usually used in the early stage. However, local ** can only improve local blood circulation, and has little effect on the blockage of fallopian tubes in the abdominal cavity.

2. Drugs**.

The main cause of fallopian tube blockage is **inflammation, which is mostly caused by the upward movement of bacteria, **inflammation is short-term, but because the fallopian tube blockage caused by it is permanent, although the antibacterial drug ** is effective, but it can only eliminate inflammation, so the drug is used to assist**.

3. Injection**.

Under hysteroscopy, the first liquid is injected into the lumen of the fallopian tubes of female patients, which will make the lumen of the fallopian tubes partially adhesed, and some mild to moderate blockage symptoms will be separated and dredged to a certain extent.

Fallopian tube obstruction can be divided into mild, moderate and severe according to the condition, and can be divided into proximal and distal according to the location of the obstruction. Different types of fallopian tubes are blocked, and their methods are different.

First: for mild, proximal tubal obstruction, it can generally be unblocked by drugs. Applies to:

inflammation of the fallopian tubes; mild tubal obstruction due to inflammation; The fallopian tubes are not patency; Mild proximal adhesions of the fallopian tubes, etc. For this type of fallopian tube obstruction, no surgery is required, and it can generally be cured by medication**. Yangtze River Drug Dredging**:

The unique combination of traditional Chinese medicine decoction, combined with the advantages of Western medicine for rapid effect, makes the medicinal properties directly penetrate into the pelvic fallopian tube obstruction site, directly reduce inflammation and eliminate stasis, promote the rapid absorption of inflammation, penetrate and kill the diseased microorganisms, remove inflammation, and restore the fallopian tubes.

Second: Moderate to severe, proximal tubal obstruction can be dredged by DSA intelligent soft filament surgery. Applies to:

severe blockage of the interstitial part of the fallopian tubes; Severe blockage in the fallopian tube and isthmus cavity. It should be noted that the traditional hard guide wire to dredge the fallopian tubes often injures the fallopian tubes, and in severe cases, it can destroy the original function of the fallopian tubes, and finally lead to the inability to get pregnant even if the fallopian tubes are dredged. Choose the American DSA intelligent soft filament** to effectively avoid the disadvantages of tradition**.

Third, severe and difficult fallopian tube obstruction can be relapsed through the Yangtze River four mirrors and a trace of joint fallopian tube intervention, which is mainly suitable for: distal fallopian tube obstruction; severe obstruction and distortion of the fallopian tubes; After birth control and other factors, the fallopian tubes are seriously blocked, and the clinical effect is quite high.

Not all fallopian tube diseases require surgery**! If the patient is diagnosed with fallopian tube blockage after examination, he should be treated under the guidance of a professional doctor, so as to achieve the expected effect faster.

The fastest way to block the fallopian tubes is usually surgery.

Blockage of the fallopian tubes can occur due to infection of pathogens or pelvic adhesions after abdominal surgery. At this time, surgery can be used to restore the patency of the disease. For example, in salpingostomy, anastomosis and intrauterine transfer of the fallopian tubes.

Of course, hysteroscopic tubal intubation can also be used**.

However, because everyone's specific situation is different, patients may still have the possibility of infertility after surgery. In this case, patients may consider assisted reproductive technologies to help them get pregnant, such as artificial insemination or in vitro fertilization. It is recommended to do it under the guidance of a doctor.

There are many ways to block the fallopian tubes, but if you want to know how to do it, you need to find out the symptoms of the disease and the location of the disease, thinking that the blockage of different causes and the blockage of different locations, the method will be different, it is recommended to go to a regular tertiary hospital for examination, and the best way is to treat the symptoms under the guidance of a doctor.

For patients with severe fallopian tube lumen obstruction, or patients with failed guidewire intervention, in order to preserve the patient's fertility to the greatest extent possible and ensure that the patient can conceive naturally, experts have created a first-class fallopian tube obstruction surgery through the improvement of traditional surgery for many years of clinical practice: laparoscopic three-point suture fixation tubal anastomosis.

The approximate method of surgery is as follows:

1. The fallopian tube obstruction site is excised under laparoscopy to retain the effective function.

2. The two ends of the remaining unobstructed part of the fallopian tube are anastomosed quickly and accurately by advanced surgical methods.

3. Then suture with the most stable three-point suture method, (i.e., 12 points, 4 points, 8 points, and 8 points).

There are many patients who are afraid of surgery, and would rather choose the drug than do the surgery, which is actually wrong, for patients with severe fallopian tube obstruction, it is not possible to simply use drugs, it can only eliminate the related inflammation, but can not solve the fallopian tubes that have been adhered to, therefore, according to the specific condition of the patient, choose the appropriate ** program. Nowadays, most surgeries are minimally invasive, with the advantages of less pain, small opening and fast healing, so patients do not need to have too much fear of surgery, as long as they choose a regular hospital for surgery.