Today obstruction of the fallopian tubes in 20%cases is the culprit of female infertility. If earlier it was a sentence to motherhood, then now there are methods that can effectively solve this problem.
Distinguish obstruction of the fallopian tubesorganic and functional. They differ for the reasons that caused them. Organic obstruction of the fallopian tubes occurs due to obstruction in them as a result of structural disturbances. The reasons can be the following:
Functional obstruction of the fallopian tubes occurs as a result of:
There are no violations of the structure with it, but there is no patency.
A woman does not even guess that with her royalthere is something wrong with the pipes. Because the disease has no symptoms. It is found when there is a desire to become pregnant. A woman or nothing at all does not work, because spermatozoa can not penetrate to the egg. Either an ectopic pregnancy occurs if fertilization has occurred, but the zygote did not get into the uterus due to impaired passage and implantation occurred in the tube.
This condition is very dangerous for a woman's life,because the walls will rupture, and internal bleeding will begin. If you do not help in time, then a fatal outcome is possible. To avoid such severe consequences, ultrasound is done at an early date, which allows you to see where the fetus is located.
Obstruction of the fallopian tubes, the causes of whichdiverse, can be partial and complete. In the first case, only one of them or the adhesion process around, rather than inside, is affected. In addition, a part of the pipe may be impassable or it may be all. The severity of the process depends on the tactics of treatment.
Therefore, the diagnosis of pipe obstruction is so important.Today, doctors use hysterosalpingography (GAS), sonogasterosalpingoscopy (SSSS) and laparoscopy. Each method has its advantages and disadvantages.
When GAS is introduced a special substance into the cavityand an X-ray photograph is taken. This procedure allows you to see the internal form of the fallopian tubes and uterus. It is carried out necessarily before ovulation and in this cycle it is necessary to be protected. After GHA, the probability of getting pregnant is increased because of the washing action of the solution.
The study is conducted without anesthesia, howeverA small dose of an anesthetic is used to relieve discomfort. Before the procedure, you need to make sure there is no infection, and antibiotics are prescribed as a prophylaxis. With the help of the GHA, the patency of the tubes and the structure of the uterine cavity are determined. However, in 20% of cases it gives a false result. Nevertheless, it is widely used for the diagnosis of infertility.
A more gentle method is SGSS, since it is not x-ray, but ultrasound. In this case, saline is injected into the uterus. However, it is less reliable due to the lower resolving power of the device.
However, obstruction of the fallopian tubes,the treatment of which can be operative or conservative, is most effectively diagnosed by laparoscopy. Moreover, the detected pathologies can be immediately eliminated. The study is conducted under general anesthesia. Through the laparoscope, the doctor examines the uterus, tubes, ovaries.
The effectiveness of the operation depends on the degreedefeat of organs. If there is an obstruction of the tubes along the entire length, only ECO will help, and dissection of the adhesions will not be effective. In this procedure, the egg is fertilized in vitro, and then the embryo is inserted into the uterus.
The use of conservative treatment is possible only with functional obstruction. It is aimed at eliminating the cause that caused it.
Thus, obstruction of the fallopian tubes is not a verdict to motherhood today. Thanks to modern methods of diagnosis and treatment, this problem can be solved and become parents.
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