Fallopian tube swelling is a sign of pregnancy

The health of the fallopian tubes has always been a concern for everyone. Issues related to the fallopian tubes are also worth learning about. For many people, soreness and swelling of the fallopian tubes are a sign of pregnancy. This may also include inflammation of the fallopian tubes or tubal pregnancy. These will cause patients to feel discomfort in the fallopian tubes, and the most obvious symptom is always feeling soreness and swelling on one side of the abdomen or in the abdomen.

Blocked fallopian tubes

The patency of the fallopian tube is one of the main essential conditions for conception. The lumen of the fallopian tube is relatively narrow, and the diameter of the lumen of the narrowest part is only 1~2mm. When salpingitis or pelvic inflammatory disease occurs, the narrowest part and fimbria of the fallopian tube are prone to adhesion or complete atresia. In this way, sperm and egg cannot meet in the lumen, thus causing infertility. There are generally three types of fallopian tube obstruction: one is that the fallopian tube is completely blocked and severely damaged; the second is that the fallopian tube is blocked, but the damage is relatively minor; the third is that the fallopian tube is unobstructed.

Tubal pregnancy

The egg is fertilized in the ampulla of the fallopian tube. For some reason, the fertilized egg is blocked in the fallopian tube, and implants and develops in a certain part of the fallopian tube, resulting in tubal pregnancy. The most common pregnancy is in the ampulla, accounting for 50-70%; followed by the isthmus, accounting for 30-40%; the infundibulum and interstitial parts are the least common, accounting for 1-2%.

Fallopian tube inflammation

Salpingitis is more common in infertile women. Its cause is due to infection by pathogens, mainly Staphylococcus, Streptococcus, Escherichia coli, Gonorrhea, Proteus, Pneumococcus, Chlamydia, etc. The most vulnerable time to infection is after childbirth, miscarriage or menstruation.

Damage to the birth canal and placental detachment surface caused during delivery or abortion, or wounds caused by endometrial exfoliation during menstruation, are all pathways for pathogens to infect the internal reproductive organs. Sometimes infection is related to lax aseptic surgical procedures, such as placement of an intrauterine device, curettage, tubal insufflation, and iodized oil angiography. Frequent sexual intercourse and sexual intercourse during menstruation can also cause infection and lead to salpingitis. In a small number of patients, the infection is directly spread from inflammation of adjacent organs, such as appendicitis or infection foci in other parts of the body that spread through the bloodstream to the fallopian tubes and cause infection.

Hydrosalpinx

Hydrosalpinx refers to the inflammation of the fallopian tube caused by pathogen infection, which leads to swelling of the endometrium, interstitial edema, exudation, shedding of the tubal mucosal epithelium, and accumulation of secretions of mucosal cells in the tubal lumen. It also refers to the adhesion of the isthmus and fimbria due to fallopian tube inflammation, which leads to blockage and formation of pus in the tubal lumen. When the pus cells in the tubal lumen are absorbed, they eventually become watery liquid. It is a common type of chronic fallopian tube inflammation.

Patients often have a history of abdominal pain during the acute stage of fallopian tube inflammation. Generally, after the fallopian tube pus turns into serous, that is, hydrosalpinx, or the water is absorbed by the body, the inflammation is often cured long ago. Therefore, patients with hydrosalpinx usually do not have abdominal pain symptoms. Because when hydrosalpinx occurs, the lumens of the dilated and non-dilated parts of the fallopian tube are still connected, patients often have intermittent vaginal discharge, and infertility is often the only manifestation of hydrosalpinx.