What are the symptoms of tubal obstruction? Symptoms of tubal obstruction include irregular menstruation, dysmenorrhea, abdominal pain, excessive leucorrhea, infertility and so on. Tubal obstruction can be treated by surgery.

what is tubal blockage

what is tubal blockage? Tubal obstruction can be divided into primary and secondary types, and tubal or pelvic peritonitis is the most common cause. Inflammation can lead to the damage of tubal mucosa and scar formation, which in turn leads to the stenosis and obstruction of tubal lumen. The common cause of inflammation is infection with tuberculosis, especially among rural women. Symptoms of tubal obstruction include irregular menstruation, dysmenorrhea, abdominal pain, excessive leucorrhea and infertility. The treatment of tubal obstruction is mainly oral or injection of antibiotics, tubal drainage and ultrashort wave physiotherapy, and surgery is needed if necessary.

Causes of tubal blockage

There are many reasons for tubal blockage, which are mainly related to living habits, gynecological inflammation and sequelae of abortion. Only by understanding the causes of tubal obstruction can we better treat the symptoms.

1. Postpartum or post-abortion infection: Postpartum constitution is weak, and cervical dilatation is not closed. At this time, bacteria in vagina and cervix may cause infection to pelvic cavity; Once the placenta and fetal membrane remain in the uterine cavity, the probability of infection is greater.

2. Infection after gynecological surgery: When female friends perform various operations, such as lax disinfection and other reasons, infection may occur after surgery, which may lead to female tubal blockage.

3. Not paying attention to hygiene during menstruation: during menstruation, the endometrium of the uterus is peeled off, the blood sinus in the uterus is open to the outside world, and blood clots appear. These are all good environments for bacteria to breed, which leads to the phenomenon of female fallopian tube blockage.

4. Inflammation spread in neighboring organs: The most common cases are appendicitis and peritonitis, which are very close to the female internal reproductive organs, and the inflammation causes inflammation through direct influence.

Symptoms of fallopian tube blockage

Once the fallopian tube is blocked, the following five symptoms often appear:

1. Dysmenorrhea: abdominal pain usually begins one week before menstruation, and the closer it is to the menstrual period, the more serious it is.

2. Irregular menstruation: Frequent menstruation and excessive menstrual flow are common.

3. Abdominal discomfort: it is mainly manifested as abdominal pain, pain in the lower back and sacrum, and a feeling of falling, which will aggravate the symptoms with fatigue.

4. Abnormal leucorrhea: mostly manifested as excessive amount and peculiar smell.

5. Infertility symptoms: After the fallopian tube is blocked, it will block the combination of sperm and eggs, make it impossible to conceive, and then infertility will occur.

6. Other symptoms: severe fallopian tube obstruction, besides infertility, dysmenorrhea and other symptoms, there may also be increased leucorrhea, sexual pain, gastrointestinal disorders, fatigue, labor affected or prolonged fatigue, mental and neurological symptoms and mental depression. What are the symptoms of tubal blockage?

check of tubal blockage

1. the fallopian tube is filled with water. Tubal drainage is to insert a tube into the uterus of the examinee, and then inject 2ml of liquid medicine through the tube, which is usually physiological saline plus antibiotics. The liquid medicine flows through the fallopian tube from the uterine cavity and finally reaches the pelvic cavity. According to the characteristics that the uterine cavity can only hold 5ml volume, if all 2ml solution can be smoothly injected without resistance, and no liquid flows back into the syringe after loosening the needle tube, it indicates that the solution has entered the abdominal cavity through the uterine cavity and fallopian tube cavity, indicating that the fallopian tube is unobstructed; If the resistance is great, more than 1ml of solution will flow back into the syringe after loosening the needle tube, indicating that the fallopian tube is blocked; If there is resistance, most of the liquid can still be injected, and only a small amount of reflux shows that the fallopian tube is unblocked.

2. Ultrasonic examination. Ultrasound examination of fallopian tubes includes ordinary ultrasound examination and ultrasound drainage. Ordinary examination, some hydrosalpinx can be detected by ultrasound, which shows that there are thickened liquid dark areas on both sides of the uterus, but ultrasound can not diagnose hydrosalpinx or ovarian cyst, but can only diagnose it as: suggesting the possibility of hydrosalpinx.

3. X-ray hysterosalpingography. X-ray hysterosalpingography can show the size, shape and position of uterine cavity and the shape of fallopian tube from the fluorescent screen and X-ray photos. If it is unobstructed, the image extends beyond the port of oviduct umbrella, and the diffusion of contrast agent in pelvic cavity can be seen on X-ray film at the same time. Such as tubal obstruction, can clearly show the location, degree and nature of tubal obstruction.

4. Laparoscopy. Inject pigment liquid such as methylene blue into uterine cavity through uterine catheter, and observe that methylene blue overflows into pelvic cavity through the umbrella end of fallopian tube through laparoscopy, which is patency; If there is obstruction at the proximal end of fallopian tube, methylene blue fluid can't flow into abdominal cavity through the umbrella end of fallopian tube; if there is obstruction at the distal end of fallopian tube, it can be seen that the umbrella end and ampulla of fallopian tube expand, thicken and stain blue, but no methylene blue fluid flows from the umbrella end of fallopian tube and flows into abdominal cavity.

how to treat tubal blockage

how to treat tubal blockage? Different parts of the fallopian tube are blocked, and the surgical treatment methods are different. If the blocked part is at the end, top or end of the umbrella, the way of "stoma" is generally adopted to "open the door" for these blocked parts again.

If the blocked part is at the middle end of the fallopian tube, the blocked part of the fallopian tube will be directly removed, and then the remaining two ends will be anastomosed. The normal fallopian tube is 1 to 15 cm long. For sperm-egg combination, it is enough to have an intact fallopian tube with a length of 6 to 8 cm. Therefore, cutting off 1 cm has little effect on pregnancy.

If the tubal blockage is close to the uterus, the doctor may not recommend surgery. Generally speaking, in this case, the doctor will recommend doing IVF directly. In vitro fertilization of IVF does not need to pass through fallopian tubes, which fundamentally avoids the trouble of fallopian tube blockage.

what about tubal blockage

what about tubal blockage? Women with tubal blockage should pay attention to the following five points:

1. Avoid abortion < P > Abortion will cause serious damage to uterus and fallopian tubes and induce tubal blockage. After abortion, the endometrium will be weakened and thinned. At this time, the endometrium is very vulnerable to bacteria and microorganisms, resulting in pelvic inflammatory disease, urethritis and endometritis, which in turn leads to tubal blockage.

2. Keep clean and hygienic

To prevent tubal blockage, the premise is to pay attention to your own cleanliness and hygiene, and clean your genitals every day, frequently change underwear, towels, washbasins, etc., and put them separately from others, otherwise it will easily lead to cross infection among many people.

3. Reasonable diet and daily life

Bad living and eating habits may lead to tubal blockage. Eating more healthy green fruits and vegetables and drinking some green tea can effectively help wash the body oil. In addition, maintaining normal rest time and moderate exercise can help to improve tubal obstruction.

4. Sexual life should be moderate

Sexual life is a major cause of tubal blockage in women. It is easy to bring external bacteria and viruses into women's vagina during sexual life, causing tubal blockage. Experts suggest that men and women should thoroughly wash and maintain hygiene before having sex, so as to maintain the best quality and prevent tubal blockage.

Will oviduct blockage ovulate?

Ovulation is not directly related to oviduct blockage, because the egg is discharged from the ovary and has nothing to do with oviduct. Whether a woman can ovulate is only related to whether the ovarian function is normal. However, when the fallopian tube is blocked, it will hinder the uterus of fertilized eggs, and even lead to the failure of fertilized eggs to enter the uterus, which leads to female infertility.

Fallopian tube is an important reproductive channel for sperm-egg combination, which plays a role in transporting sperm, eggs and fertilized eggs after sperm-egg combination, and transports eggs discharged periodically every month to the uterine cavity. The flow of eggs depends on the peristalsis function of fallopian tube. Tubal has extremely complex and delicate physiological functions, which plays an important role in egg collection, sperm collection, egg fertilization, fertilized egg transport and the survival and development of early embryos. Ovulation refers to the mature follicle protruding from the ovarian surface. With the surge of follicular fluid and the increase of internal pressure, the protruding ovarian tissue becomes thinner and thinner, and finally breaks. The secondary oocyte and its peripheral zona pellucida and radial crown are discharged from the ovary together with follicular fluid.

Therefore, although tubal obstruction will not affect ovulation, it may lead to female infertility.

prevention of tubal blockage

1. pay attention to the cleanliness of reproductive system. Women should do a good job in cleaning their genitals every day and actively prevent various pathogen-borne diseases, especially sexually transmitted diseases. During induced abortion, delivery, taking and placing intrauterine devices, and other intrauterine operations, strict disinfection should be carried out to avoid inappropriate intrauterine operations. Avoid unclean sex life and avoid sleeping together during menstruation.

2. Actively treat physical diseases. If women suffer from tuberculosis, lymphoid tuberculosis and other diseases, they should seek medical treatment in time to prevent pelvic tuberculosis. Once women suffer from adnexal diseases, they should abide by the principles of treatment, adopt a positive attitude, treat them thoroughly, control the disease as soon as possible, prevent the disease from becoming chronic, prolong the treatment period and damage their health.

3. Strengthen exercise and enhance disease resistance. Women can do more physical exercise in their daily life to strengthen their physique.