Tubal obstruction: symptoms and treatment
Tubal obstruction is a disease that is characterized by the blockage of one or both of the oviducts, so that the egg can not enter the uterine cavity. As a result, in the presence of such a disease a woman does not have pregnancy. This disease has recently been diagnosed in the fair sex more often.
It is important that when the first signs appear that indicate obstruction of the fallopian tubes, immediately consult a qualified gynecologist for a thorough examination and treatment. In no case should you try to cure your ailment on your own, taking various medications or treating people’s remedies. So you can only worsen your condition and provoke the development of dangerous complications.
The concept of «obstruction of the fallopian tubes» includes five states that unite one and the same — the egg does not have the opportunity to pass through the oviduct and get into the cavity of the genital organ. There are the following types of such ailment:
- total obstruction of the fallopian tubes
- only one pipe is blocked, the second one is not blocked;
- Several adhesions formed around the appendages of the uterus;
- decreased activity of the pili and uterine villi, because of which they can not capture the released egg and direct it into the cavity of the tube
- partial obstruction. A very dangerous condition, which without treatment can cause many complications, in particular, an ectopic pregnancy. It is impossible to determine the obstruction of this form, as the symptoms may not appear. For this pathology is characterized by a violation of patency on some particular section of the pipe (the normal process of contraction is disrupted).
Obstruction of the fallopian tubes can occur in a woman both as a result of a lesion inside the oviduct, and when squeezed by an adhesive process that is localized outside. In any case, if there is a suspicion of pathology, it should be cured as soon as possible in order to eliminate the risk of complications and that in the future the woman could become pregnant.
Causes of Development
The causes of obstruction of the fallopian tubes are numerous, but the pathology of the organs of the female reproductive system is in the first place. Usually, the progression of this disease is:
- inflammation in the appendages, the treatment of which was either not performed at all, or was inadequate;
- Tuberculosis of the reproductive system organs
- a previous ectopic pregnancy significantly increases the risk of tubal obstruction in the future
- Previously performed surgical interventions on the organs of the reproductive system, as well as on organs localized in the abdominal cavity
- congenital anomalies in the structure of the oviducts
- the presence of neoplasms in the fallopian tubes of both benign and malignant nature. Determine their presence is possible only by performing ultrasound diagnostics;
- carrying out various manipulations in the cavity of the reproductive organ
- hydrotubation of the fallopian tubes
- performed abortive interventions, after which complications began to progress.
Symptoms and symptoms of pathology
Signs and symptoms of obstruction of the fallopian tubes may not appear at all at the woman. And as the pathology progresses, the general condition will not worsen either. Quite often in gynecological practice, there are cases when during a certain period of time a woman used contraceptives so that the unwanted pregnancy does not come, and after she finally wanted to become a mother, she can not do this. A thorough diagnosis is performed and it turns out that the fair sex has an obstruction of the fallopian tubes, because of which the egg simply does not move into the cavity for fertilization.
But there is a different picture. For example, if a woman has an anamnesis chronic inflammatory pathology of the reproductive system, then signs of obstruction of the fallopian tubes can manifest. Most often occur:
- painful sensations during sexual intercourse
- monthly can be very painful;
- pain in the lower abdomen, which has a pulling or aching character
- a woman begins to be troubled by copious discharge from the genitals, having a yellow tint.
All these symptoms are not specific, and may indicate the progression of many pathologies of the female reproductive system. Therefore, it is important, at their primary expression, not to postpone the visit to a qualified gynecologist, who will conduct a full diagnostic and prescribe competent treatment. Trying to eliminate the symptoms by yourself, for example, with the help of folk remedies, is strictly not recommended, since one can only worsen its condition and provoke the development of complications. Some methods of traditional medicine can be included in the treatment plan (after diagnosis), but only after obtaining permission from the attending physician.
Usually, to a gynecologist, women complain about the fact that they can not become pregnant for a long period of time. First, the specialist conducts a detailed interview with the patient, examines her on the gynecological chair. Further it is important to determine whether a woman of the same sex regularly ovulates. To this end, the usual ultrasound of the pelvic organs or transvaginal (with the introduction of a special sensor in the vagina) is prescribed. In addition, the woman will need for several cycles to measure the basal temperature.
If a woman has a sexual partner and yet can not become pregnant, then he will also need to undergo a test, which will consist in spermogram delivery. This analysis allows you to determine the quality of sperm, the number of active spermatozoa. If ovulation occurs in a timely manner in the woman, there are no inflammatory processes in the organs of the reproductive system, and the spermogram is normal in the man, additional methods of laboratory and instrumental diagnostics are prescribed:
- picking a smear on the flora from the vagina
- blood delivery for the determination of the hormonal background
- echogisterosalpingography. This ultrasound examination of the patency of the fallopian tubes. The essence of the technique is that in the uterine cavity the specialist introduces in a certain quantity a special sterile solution to maximize the walls of the genital organ. Next, the doctor monitors whether it will flow into the abdominal cavity. If this happens, then the pipes are all right, and they are passable. If the liquid accumulates in the uterus and stretches it, the tubes are blocked;
- Radiography of the uterus and oviducts. This technique is of greater diagnostic value than hydro sonography. The essence is the following: a special contrast agent is injected into the cavity of the genital organ, after preliminary local anesthesia. Then, after some time intervals, take a few pictures. They will show how the contrast is localized in the uterus, as it spreads through the uterine tubes and is discharged into the abdominal cavity;
- diagnostic laparoscopy. The most informative and modern method of diagnosis, which allows not only to assess the patency of pipes, but also to identify the presence of various pathological neoplasms
- transvaginal hydrolaparoscopy
How to treat obstruction of the fallopian tubes, only a highly qualified specialist will be able to tell after conducting a comprehensive diagnosis. They resort to both conservative methods and to surgeries. For the purpose of treatment, women can be prescribed anti-inflammatory drugs, antibiotics (in the presence of inflammatory process and bacterial microflora), antispasmodics if pain syndrome and other means are present. In addition, physiotherapy is mandatory in the treatment plan. The most effective method is electrophoresis with resorptive drugs. It helps to normalize blood circulation in the organs of the reproductive system.
Surgical treatment of pathology is usually prescribed to women under 35 years of age who have partial obstruction of the fallopian tubes. In some cases, a complete removal of one or two tubes (ectopic pregnancy, ruptures, the presence of tumorous neoplasms, etc.) can be shown. But in this case, despair is not necessary, since even without the fallopian tubes, a woman will be able to conceive and give birth to a child. This will help her unique innovative IVF procedure. Prior to its implementation, it is important to treat pathological processes not only in the organs of the reproductive system, but also in the body as a whole.