Fallopian tubes connect the ovary with the uterus, and a mature egg, moving from the ovary, is fertilized by the sperm in the tube. After this, the tube pushes the egg into the uterus. Obstruction of the fallopian tubes is one of the causes of female infertility.
Obstruction can be a consequence.
surgery on the pelvic organs (including the removal of appendicitis.
the transferred or carried inflammation (more often – a clamidiosis.
Obstruction can occur not only in the tube itself, but also between the ovary and the tube as a spike (clumping of the walls of the fallopian tubes and ovaries.
Spike of the fallopian tube.
Is removal of the fallopian tubes necessary in case of their obstruction.
Conservative treatment (without surgery) is used in cases when the obstruction is caused by inflammatory processes. In this case, anti-inflammatory drugs are prescribed, physiotherapy, but in the case of adhesions, such treatment is ineffective.
Operative treatment – surgical intervention. Usually surgical treatment is performed by the method of laparoscopy – it practically does not give complications. But 100% probability of curing infertility associated with violation of patency of the fallopian tubes. no one can give. Removal of the fallopian tubes is an extreme measure, and is used in exceptional cases.
How to check the patency of the fallopian tubes.
diagnostic laparoscopy (tubal patency testing is usually performed during an operation to remove adhesions – laparoscopy is not usually prescribed only to check the tubes.
GHA (hysterosalpingography, MSG, metrosalpingography – other names.
Fertiloscopy (a method similar to laparoscopy, often combined with it). The difference between fertiloscopy and laparoscopy is that the instruments are inserted not through the abdominal wall, but through the vagina.
Given that both laparoscopy and fertiloscopy are traumatic methods, and ultrasound does not give a clear “picture of what is happening,” the GHA is in most cases the optimal method.
GHA, or hysterosalpingography.
Hysterosalpingography (GHA) – X-ray inspection of fallopian tubes for patency. Hysterosalpingography is an important stage in the examination of a woman diagnosed with “infertility.” The accuracy of the study is at least 80.
Hysterosalpingography allows you to diagnose.
patency of the fallopian tubes.
the state of the uterine cavity and the presence of endometrial pathology – the endometrial polyp.
the presence of deformations in the development of internal organs and the uterus, for example, the saddle-uterus, the intrauterine partition, the duodenal uterus, etc.
How to check the patency of the fallopian tubes with the help of the GHA.
In the cervix of the uterus enter a contrast agent – a solution of blue. It fills the uterine cavity and enters the tubes, from them flows into the abdominal cavity. An X-ray is taken, which shows the state of the uterine cavity and the fallopian tubes.
In most cases, the procedure helps not only to assess the patency of the fallopian tubes, but also gives the opportunity to see the presence of deformation of the tube.
Hysterosalpingography can be performed only in the absence of inflammation. Before the beginning of the examination, they pass tests for HIV, hepatitis B and C, syphilis, as well as a general smear on the flora. GHA general anesthesia does not require.
As a rule, in women who are trying to become pregnant, hysterosalpingography is performed on the 5th-9th day of the menstrual cycle, if its duration is 28 days. If a woman is prevented from pregnancy, the survey can be performed on any day of the cycle, except for menstruation.
Disadvantages of hysterosalpingography.
The procedure is rather unpleasant.
The organs of the small pelvis are irradiated.
After the GHA during one menstrual cycle should be protected.
US patency of the fallopian tubes.
Check for patency of the fallopian tubes ultrasound (hydro sonography) – an alternative to hysterosalpingography. Ultrasound has several advantages over the GHA.
less unpleasant procedure.
in contrast to the GHA, irradiation is not used, which can have a negative impact on a woman’s reproductive health.
while after the GHA should be carefully protected, ultrasound patency of the fallopian tubes is safe.
The main disadvantage of the procedure is a lower accuracy of the results compared to the GHA.
When the patency of ultrasound tubes is checked.
Check for patency of tubes ultrasound is usually carried out on the eve of ovulation: at this time the probability of spasm is reduced and the cervical canal is enlarged. Unlike hysterosalpingography, in this case it is not very important on which day of the cycle the pipes are checked for patency using an ultrasound scanner. Before testing the patency of the fallopian tubes, it is necessary to pass tests to exclude the presence of inflammatory diseases.
How to check the patency of the fallopian tubes of ultrasound.
Determination of the patency of uterine tubes by ultrasound is almost painless. Through the cervix, a special catheter is inserted into the uterine cavity, a warm saline solution is slowly poured into it under ultrasound control. If it flows into the fallopian tubes, it means that the pipes are passable. If not, their obstruction is likely.
Disadvantages of checking the patency of the fallopian tubes by the ultrasound method.
relatively large amounts of fluid, as well as spasms of the uterus and fallopian tubes can cause unpleasant sensations.
if ultrasound showed that saline does not pass, it can not always mean tube obstruction. The cause of this can be a strong spasm.
Laparoscopy. How to check the patency of the fallopian tubes with it.
Laparoscopy is a surgical method for assessing the patency of the fallopian tubes. Through punctures in the abdominal wall with the help of optical instruments, the internal organs are inspected. If you are assigned a laparoscopy, the forum can help you choose a clinic or even a surgeon.
Laparoscopy in gynecology is a method of treating and diagnosing various pathologies of pelvic organs. Operation laparoscopy is one of the modern methods of surgery with minimal interference and skin damage. Laparoscopy is performed with both diagnostic and therapeutic purposes.
Laparoscopy can be performed to clarify various diagnoses. If you feel pain after laparoscopy. address in clinic where to you carried out operation.
Diagnostic laparoscopy is an operative technology of investigation, in which the doctor examines the organs of the abdominal cavity without making large incisions on the abdominal wall. Most often two small incisions are made. To increase the field of view, a small amount of gas is introduced into the abdominal cavity.
A device called a laparoscope is inserted in one section – a thin tube on one end with the lens, and on the other – with an eyepiece (the second end can also be connected to the camera unit, which transfers the image to the screen). In another section a manipulator is inserted, with which the doctor moves the abdominal organs, carefully examines them and diagnoses them.
Diagnostic laparoscopy is performed to assess the condition of the external surface of the fallopian tubes and pelvic organs, as well as to reveal their pathologies.
The most common operations.
laparoscopy of the ovaries.
laparoscopy of the fallopian tubes.
laparoscopy of the abdominal cavity organs.
At the hospital, the patient is, as a rule, no more than a day: doctors monitor her condition, conduct ultrasound. After 2-3 days you can return to work.
It is not recommended to drink alcohol and heavy food in the next 2-3 weeks after the operation. – Sex should be postponed for 2-3 weeks to avoid getting infection.
Physical loads need to be increased evenly. It is better to start with walking and gradually increase their duration. Heavy after the operation should not be lifted.
Laparoscopy of the ovaries.
This procedure is carried out not only to remove cysts. At the same time, it is the most effective method of treating ovarian cysts of a different nature. It can also be an effective way to treat endometriosis, a disease in which the cells of the inner layer of the uterine wall grow outside of this layer. In this case, an endometrioid cyst can form.
Laparoscopy of the ovaries allows you to remove the cyst and adhesions. to give the woman the opportunity to have children. Literally a couple of days after the laparoscopy of the ovarian cyst was performed, he returns to his normal limits and completely restores his functions.
Pain after laparoscopy is very rare, the sutures usually heal quickly, without causing discomfort, – painkillers take pills in extreme cases, as prescribed by the doctor.
Laparoscopy of the ovarian cyst is not an easy operation. Choose a good doctor, because often the accuracy of the operation depends on the appearance of cysts in the future, as well as the possibility of pregnancy.
Laparoscopy of the uterus.
Laparoscopy of the uterus is an effective way to treat fibroids. The operation is also prescribed for the treatment of various malformations of the uterus.
Laparoscopy of uterine fibroids.
The determining factors in choosing a method for treating uterine fibroids are the intention to have children, the size of the uterus, the size of the myomatous nodes, and their location. Laparoscopy is a good option for removing small fibroids.
Laparoscopy of uterine fibroids is not performed in such cases.
the size of the uterus is larger than the fetus at the 11-12th week of pregnancy.
Multiple myomatous nodes developed.
the size of the nodes is large.
nodes of myoma are located low.
In these cases it is better to use other methods of removal, for example laparotomy.
Treatment of fallopian tubes with laparoscopy.
Laparoscopy of tubes is a method in which anesthesia is used, and the occurrence of spasm is excluded. Therefore, testing the tubes with laparoscopy gives very accurate results. Laparoscopy of the fallopian tubes allows the removal of adhesions. Operation laparoscopy is prescribed if it is necessary to treat the fallopian tubes and their pathologies.
Laparoscopy of tubes can be prescribed in cases.
the formation of clasts of the fallopian tubes.
obstruction of the fallopian tubes.
diagnosis of female infertility.
Monthly after laparoscopy.
If menstruation is painful, the first months after laparoscopy usually go with a greater loss of blood than usual, and longer duration. This is due to the fact that the internal organs heal longer than the incisions on the abdominal wall. In this regard, the first menstruation is usually more painful. But nevertheless at a strong menstrual pain it is necessary to consult with the doctor.
Pregnancy after laparoscopy.
After laparoscopy is done, you can get pregnant within a few months, but immediately after the operation for 2-3 weeks you need to completely abandon sex. After this, you can plan to conceive. Pregnancy after laparoscopy is quite possible in the near future.
Women who have had pregnancy after laparoscopy for several months, are observed at the gynecologist. Often, pregnancy is accompanied by drug treatment, the woman takes medication to support the normal hormonal background of pregnancy. If pregnancy after laparoscopy has not occurred, this operation can be repeated several times.
Laparoscopy – reviews.
If you are assigned a laparoscopy, the forum is not the best source of information. It can be useful in one case: if you want to choose a clinic or a doctor: patients who have undergone laparoscopy, leave the reviews very readily.
Is it worth to restore the patency of pipes.
It is possible to become pregnant approximately within a year after restoration of patency of pipes – the probability that they will soon become impassable again is very high. In addition, the pipe should not only be passable: it must move the fertilized egg into the uterus. If she does not do this, an ectopic pregnancy is formed.
Any operation to restore the patency of pipes increases the risk of ectopic pregnancy. Thus, restoring patency is far from a guarantee that you will be able to become pregnant. In addition, any operation can start the process of formation of adhesions.
If you are young, and there are no more factors that prevent you from becoming pregnant, it makes sense to operate the tubes. If you are more than 35 years old, and you have been trying to get a child without result, think about artificial insemination. With each ovulation, the “quality” of the eggs deteriorates, and it is not worth losing months to rebuild the tubes – time is playing against you. Proceeding from everything that we described above, consult your doctor to find out whether you should be involved in repairing the patency of pipes.