Conservative treatment of fallopian tube obstruction

In the case of blocked fallopian tubes, the fallopian tubes must be actively cleared, because only in this way can the normal pregnancy function of women be guaranteed. However, some people do not want to take surgical treatment when clearing the fallopian tubes, because the risk of surgery is relatively high, so they want conservative treatment of traditional Chinese medicine. During traditional Chinese medicine treatment, they can take Chinese medicine, or cooperate with acupuncture and massage.

Treatment for blocked fallopian tubes

1. Blockage of the fallopian tube in the interstitial part and isthmus

The first choice should be X-ray interventional tubal recanalization. If recanalization fails, in vitro fertilization treatment should be performed. Since under normal circumstances there is only one chance for X-ray interventional recanalization of the fallopian tube, the attending physician must have this concept, that is, to do a good job in the details of each interventional treatment link to maximize the patient's chances and wishes of achieving natural conception. Therefore, it is crucial for a doctor to improve his or her medical skills.

2. Blockage of the Fallopian Tube Ampulla

Treat blocked fallopian tubes with IVF.

3. Blockage of the fallopian tube fimbria

One is to undergo laparoscopic salpingostomy or open salpingostomy, and the other is to undergo in vitro fertilization to treat fallopian tube blockage, but the success rate is not very high, only 20%.

4. Adhesions around the fallopian tube

It can cause blockage of the fallopian tubes and egg transport dysfunction, leading to infertility. The main treatment method is laparoscopic separation of fallopian tube adhesions.

5. Fallopian tube tuberculosis

The fallopian tube blockage caused by this condition is contraindicated for fallopian tube recanalization treatment. If the endometrium is still good, in vitro fertilization treatment can be performed.

6. Fallopian tube insufflation

It can be done 3 days after the menstruation is over. Dissolve 160,000 units of gentamicin, 2 ml of procaine, 5 mg of dexamethasone, and 5 mg of α-chymotrypsin in 20 ml of normal saline and inject into the uterine cavity through the fallopian tube catheter. Take the treatment once every other day until before ovulation and stop treating fallopian tube obstruction. Continuous treatment can be performed for 2 to 3 menstrual cycles. This therapy is still used by most medical institutions, but it has poor efficacy and a high false positive rate.

7. Surgical treatment

For those whose fallopian tube obstruction is not effective with conservative treatment, the diseased fallopian tube can be treated with salpingostomy, adhesion separation, fallopian tube anastomosis, uterine fallopian tube implantation, etc. Conventional surgery requires large incisions and slow recovery after surgery.

Causes of Fallopian Tube Blockage

Above we know the methods to treat fallopian tube blockage, but what causes fallopian tube blockage? If you want to know, let’s take a look.

1. The fallopian tube is blocked due to inflammation

Inflammation is a common cause of fallopian tube obstruction. Inflammation can cause the fallopian tube to become thicker, with obvious edema, congestion, swelling of the fallopian tube lining, congestion and exudate, closure of the fallopian tube fimbria, and stiffness of the fallopian tube, resulting in the swinging of the fallopian tubes and weakened fallopian function, thus causing infertility. The inflammation spreads directly to the uterus through the vagina, and may also affect the lymph nodes of the cervix and parauterine tissues.

2. Twisted fallopian tubes

Twisted and blocked fallopian tubes are mostly caused by poor physical constitution, qi deficiency, blood deficiency, spleen deficiency, kidney deficiency, and a combination of four deficiencies, which lead to low fallopian tube peristalsis function. A few people may also experience uterine displacement, uterine prolapse, ovulation bleeding, low libido, and irregular menstruation. Patients with severe fallopian tube obstruction will experience excessive menstruation due to qi deficiency and failure to consolidate blood, and are prone to anemia over time.

3. Fallopian tube adhesion

Fallopian tube adhesion blockage can be mild or severe and is divided into three degrees. Adhesions at the isthmus of the fallopian tube are first degree, adhesions at the junction of the fallopian tube and the uterine cornu are second degree, and adhesions between the ampulla and the fimbria of the fallopian tube are third degree. Most people have excessive inflammation after miscarriage, which causes continuous bleeding for several days, or they suffer from chronic pelvic inflammatory disease, endometritis, adnexitis, etc., which are not treated in time and lead to adhesions and blockage of the fallopian tubes.