Pregnancy is a reproductive process that occurs in both men and women. There are three primary conditions: normal sperm, normal egg, and unobstructed and functional reproductive tract. The oviduct plays a vital role in transporting sperm, grasping eggs, and transporting fertilized eggs to a uterine cavity in time. Blocked Fallopian Tubes will lead to infertility or ectopic pregnancy. Tubal factors caused infertility, accounting for 20% - 32.8% of infertility.
There are many reasons for tubal obstruction. The main reason is tubal inflammation caused by tubal obstruction, and tubal inflammation can be divided into tubal mucositis and peritubal inflammation.
Mucositis is often caused by inflammation of the reproductive tract and secondary upward and retrograde infection, which causes inflammation of the mucous membrane of the fallopian tube. The function of the mucous membrane is affected. The ciliary peristalsis of the fallopian tube's inner membrane is changed, and the function is abnormal. Even the retrograde peristalsis of the fallopian tube occurs. This situation easily leads to obstruction of the fallopian tube and tube cavity.
Peritubal inflammation often obstructs the fallopian tube due to the stretch, distortion, and obstruction of the tube cavity. Tubal obstruction often leads to infertility. If the tube is not smooth, it is easy to cause ectopic pregnancy.
Should you do laparoscopic surgery to treat blocked fallopian tubes?
Whether laparoscopic surgery is needed depends on the patient's age, ovarian function, medical history, duration of infertility, location, or tubal obstruction status.
1. The patient's age
If the patient is young, the ovarian function is normal, the duration of infertility is less than two years, and the location of tubal obstruction and adhesion is at the distal end, she can consider laparoscopic surgery. If the patient is young, the infertility period is less than two years, and the tubal obstruction and adhesion are at the distal end. Still, the ovarian reserve function is low, and laparoscopic surgery is not recommended.
If the patient insists on doing it, pay attention to protect the ovary during the operation. If the patient is older than 40 years old, regardless of whether the ovarian function is normal or decreased, laparoscopic surgery is not recommended.
For patients with blocked fallopian tubes, drug treatment is also a choice, such as herbal medicine Fuyan Pill
. It can open the blocked fallopian tube, clean up the uterine environment, and improve natural pregnancy chances.
2. Medical history and duration of infertility
If the patient has a history of tubal pregnancy, one side has been excised or conservative treatment, one side is unobstructed, and the ectopic pregnancy is not pregnant for more than two years. It shows that the other side of the fallopian tube function is abnormal; the postoperative pregnancy rate is low even if laparoscopic surgery.
Suppose the patient has a history of tuberculosis. In that case, the radiography shows that the fallopian tube is blocked, unobstructed, rigid, and beaded, which indicates that the tuberculosis bacteria has invaded the fallopian tube. Even if the radiography results show that the fallopian tube is open, the fallopian tube's function is not necessarily normal, and laparoscopic surgery is not recommended.
3. The location of tubal obstruction or adhesion
For uterine horn occlusion and tubal interstitial obstruction, the laparoscopic surgery effect is low. If the distal tube has adhesions and hydrops, laparoscopic surgery is recommended to separate the adhesions and remove the hydronephrosis. Whether it is trying to conceive naturally or performing IVF, it is helpful for embryo implantation. If the patient is normal in other aspects, laparoscopic surgery can be performed to separate the adhesion and place the umbrella end of the fallopian tube.
Laparoscopy has unique advantages in treating blocked fallopian tubes, such as adhesion tissue release around oviduct and ovary, the formation of umbrella end stoma, and hydrops removal. If the patient is not pregnant after one year, it is not recommended to have another operation, perform IVF directly.
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