Blocked fallopian tubes are the main cause of infertility in many women, but what confuses them is:
The body doesn't feel anything, how can the fallopian tubes be blocked?
Why do some people who have not yet had children have lost their fallopian tubes?
Today, Zhimei will talk about how the fallopian tubes are not passed.
If the womb is the palace where the baby is conceived;
The ovaries are the base camp for providing eggs;
Then the fallopian tubes are like thin, long tunnels connecting between them, one on each side.
(Source: gfycat.com)
Don't underestimate this fallopian tube that is only 8 to 14 cm [1], it can be described as the first tunnel of life formation.
A woman releases a precious egg from her ovary during the ovulation period.
The end of the fallopian tube, like a soft little hand, grabs the egg and sends it into the fallopian tube.
The egg is waiting in this passage for her "true destiny".
By coincidence, the sperm passes through a series of obstacles into the uterine cavity and enters the fallopian tube from the uterine horn, where it combines with the egg to form a lucky fertilized egg.
The fertilized egg travels inward toward the uterine cavity in the unobstructed fallopian tubes, and after successfully reaching the uterine cavity, it will look for a fertile land to settle down.
After the pregnant mother took good care of october, a cute baby was born.
A natural conception is only possible if the fallopian tubes are unobstructed.
We have two fallopian tubes, and if only one side is not passed and the other side is normal, there is still a chance of natural conception.
If both sides are completely unintelligible, it means that there is no Queqiao between the Weaver Girl and the Cowherd, and even if they are gods, they cannot get pregnant.
(Source: vecteezy.com)
Between the passage and non-passage of the fallopian tubes, there is also a state called "through but not smooth", in which case pregnancy is like trying luck.
With good luck, the "cowherd" meets the Weaver Girl and successfully leads her to the womb;
If you are unlucky, you may not be able to see each other, and you can't get pregnant in this case.
There is also a worse luck situation, "Cowboy" saw the "Weaver Girl", but on the way to elope, he was found by the gods, painted them as a prison, and imprisoned in place.
If the fertilized egg is stuck inside the fallopian tubes, there will be what we fear as an "ectopic pregnancy".
Tubal obstruction will not only affect pregnancy, but also cause severe salpingitis, causing adhesions, pelvic congestion, and can also lead to acute and chronic pelvic inflammatory disease, pelvic pain, etc.
In general, unless congenitally stunted or dysfunctional, our fallopian tubes are unobstructed in their original state.
But why do some women have until they are 40 years old, and they can easily conceive three or four children;
And some women have not had a child and have lost their fallopian tubes?
There are two main causes of tubal disease, one is "tubal inflammation" and the other is "tubal pregnancy or surgery history".
There are also two types of inflammation of the fallopian tubes.
One is "salpingal mucositis". Common pathogens include Neisseria gonorrhoeae and Chlamydia trachomatis, which cause inflammation that leads to narrowing or even complete obstruction of the lumen.
Another type of tubal inflammation is "periosalpingitis".
Mainly, lesions occur in the serous layer or plasma muscle layer of the fallopian tubes, resulting in adhesions around the fallopian tubes, so that the fallopian tubes are twisted, folded, and no longer smooth.
Therefore, it is very important to pay attention to the hygiene care of the private parts, as well as sexual hygiene, the prevention of pathogen infection, and the prevention of postpartum infection.
A history of tubal pregnancy, which is what we often call "ectopic pregnancy". After a "ectopic pregnancy" occurred in the fallopian tubes, no matter how it is treated, the next pregnancy may recur.
The history of tubal surgery generally includes tubal adhesion detachment, tubal anastomosis, and salpingostomy.
Iodine oil angiography, also known as hysterosalpingogram, is the most convenient, economical and noninvasive method for examining the salping tubes of the uterus.
How-to
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The doctor slowly injects iodine oil into the uterine cavity through the catheter, and under X-ray, dynamically observes the whole process of iodine oil gradually expanding the uterine cavity, flowing into the fallopian tube, and flowing into the pelvic cavity through the umbrella end, while taking X-rays.
12 to 24 hours after the operation, another delayed smear was taken to observe the dispersion of iodine oil in the pelvic cavity, and the morphological characteristics of the cervix, uterus and fallopian tubes were analyzed.
The following three groups of people apply:
1. Infertility: Women who have a normal sexual life and have not been pregnant for one year.
2. Malformation diagnosis: uterine malformations such as bicornal uterus, mediastinal uterus, etc.
3. Diagnosis of adhesions: uterine adhesions, cervical adhesions, etc.
If you have been diagnosed with tubal obstruction, what is the next step in treatment? There are also several cases:
1. Both fallopian tubes are not passable
In this case, a laparoscopic tubal dredging procedure may be attempted.
But success varies greatly. If the dredging fails, the pregnancy can only be achieved through assisted reproductive technology (i.e. "IVF").
2. One side of the fallopian tube is not clear, the other side is unobstructed
In this case, if there is no problem with ovulation in the ovaries, the sperm and egg can meet in the ungover side of the fallopian tube to complete the natural conception.
But also be wary of ectopic pregnancies.
If you are trying to conceive regularly for more than 1 year, you have not seen any movement
I'm going to go to a gynecologist to report it
Remind the little fairies
All of the above operations
You have to find a regular hospital specialist to complete it
bibliography
Xie Xing. Obstetrics and Gynecology (9th Edition)[M].Beijing:People's Medical Publishing House.2018.
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