Fallopian tube soreness

Many people feel soreness and swelling in the fallopian tube area from time to time and feel very uncomfortable. This requires examination to see if there is fallopian tube blockage or adhesion. If so, it cannot be ruled out that it may be related to physical illness. Planned examinations and proper treatment are needed, so that recovery from the disease can be more effective.

Inspection method

1. Combined hysteroscopy and laparoscopy. Hysteroscopy can quickly find the cause of the patient's infertility. During the examination, it can also carefully explore whether there are adhesions between the fallopian tubes. The inside of the fallopian tubes will also be checked for blockages and adhesions. This fallopian tube examination method can thoroughly examine the patient's lesions.

2. Fallopian tube endoscopy. This method does not cause any trauma when examining patients and will not cause harm to the patient's body. It can clearly determine the cause of fallopian tube disease. In addition, this fallopian tube examination technology can also effectively treat fallopian tube diseases.

3. Hysterosalpingography. When using this inspection device, we can clearly observe the position, shape and size of the uterine cavity. The contrast agent in the fallopian tubes will also extend beyond the fimbria of the fallopian tubes, allowing doctors to identify fallopian tube disease.

4. In addition, interventional B-ultrasound examination can also be used. This method is the best way to check fallopian tube disease. Almost every patient will receive the most definitive diagnosis.

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.