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Tubal Blockage

Tubal blockage:- Fallopian tubes are female reproductive organs that connect the ovaries and the uterus. The fallopian tubes carry an egg from ovary to the uterus. Fallopian tubes are the site where fertilization occurs after fertilization zygote moves through fallopian tubes to the uterus for implantation. If fallopian tube is blocked the passage for to sperm the fertilized the egg and path back to the uterus for the fertilized egg is blocked than it cause infertility. Mostly, there are no symptoms of blocked fallopian tubes. Many women don’t know that they have blocked tubes until they tried to get pregnant. But in some cases blocked fallopian tubes can cause mild regular pain on one side of abdomen. Diagnosed by hysterosalpingography test.

Hysterosalpingography:- is a radiologic procedure to investigate the shape of the uterine cavity and the shape and patency of the fallopian tubes. A doctor place a cylinder catheter inside the uterus cervix. It release liquid contrast material that flow into uterus the dye traces the shape and outline the inner size of uterus cavity and fallopian tube and make them visible on x-ray films. If, dye doesn’t cross the tubes that clearly mean the tubes are blocked. That can judge bye doctor with the help of x-ray films.

Common reason for block fallopian tubes

  • Scar tissue
  • Infection
  • Pelvic adhesion
  • Endometriosis
  • Past Ectopic pregnancy history

Treatments of tubal blockage:-

If fallopian tubes are blocked by small amount of scar tissue or adhesions. Laparoscopy with HSG can be done to open that type of blockage. Laparoscopy is minor operation performed in abdomen using small incision with the help of camera.

If fallopian tubes are blocked by large amount of tissues than some surgeries are required to open fallopian tubes. These are tubal reanastomosis; repair portion of fallopian tubes which is damage by any infection, salpingotomys is done when the end of fallopian tube is blocked by with in fluid of ovary. This procedure creates a new opening in apart of tube closed to ovaries. The possibilities of getting pregnant after this procedure are less than 5%. So, the best is patient must go for IVF.

IVF for Blocked Fallopian Tube:-Taking fertility drugs to stimulate the ovaries. Then, using an ultrasound-guided needle through the vaginal wall, your doctor retrieves the eggs directly from the ovaries. In the lab, the eggs are put together with sperm from the male partner or a sperm donor. Hopefully, some of the eggs fertilize and some healthy embryos result. One or two healthy embryos are chosen and transferred to the uterus. IVF completely avoids the fallopian tubes so blockages don't matter.

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