Is blocked fallopian tubes treatable?

We all know that a fertilized egg is the combination of sperm and egg. The sperm is naturally ejaculated from the male's body, while the egg needs to pass through the fallopian tube from the ovary before it can merge with the sperm. But for some unknown reason, some women’s fallopian tubes are blocked, resulting in infertility. So, if the fallopian tubes are already blocked, can they be treated?

According to the degree of blockage of the fallopian tube, there are three types:

1. The fallopian tube is obstructed. The cause is blockage by debris, shed cells or blood clots in the tube; or the fallopian tube is too thin and curved; or the fallopian tube is adhered to the pelvic wall and adjacent organs, pulling the movement of the fallopian tube. Treatment can be done by laparoscopy. Adhesions outside the fallopian tube can also be cut and broken down through laparoscopy to "loosen" the fallopian tube. With treatment, most patients can become pregnant.

2. The fallopian tubes are blocked and the damage is relatively minor, but most of the fallopian tubes are normal. In this case, the fallopian tube can be cleared or the catheter can be placed for 24 hours through combined uterine and abdominal surgery. If there is hydrosalpinx, an incision can be made on it to drain the fluid, and then the tube can be turned over and sutured to prevent adhesion again. Generally speaking, the surgery is effective and the success rate can reach over 90%.

3. The fallopian tubes are completely blocked and severely damaged. This situation is mostly caused by delayed treatment due to a long course of illness or fallopian tube tuberculosis infection. Because the fallopian tubes become scarred, contracted, and stiff, and their functions undergo irreversible changes, it is difficult to conceive naturally even if they are successfully unblocked. Generally, in vitro fertilization is required after surgery.

It is recommended to first use dynamic digital hysterosalpingography to understand the specific location of fallopian tube obstruction and then provide symptomatic treatment.

Blockage or poor obstruction of the fallopian tubes is an important cause of female infertility, with inflammation being the main cause of the disease. Its formation can be caused by incomplete or inadequate treatment of acute salpingitis.

Sometimes it causes adhesion of the fallopian tube mucosa, such as incomplete miscarriage or retained placenta causing inflammation. Some people with intrauterine devices may develop chronic salpingitis. Long-term inflammatory stimulation causes the fallopian tube to thicken and harden, and the lumen to adhere and narrow, and even adhere to the surrounding tissues, thereby affecting the fallopian tube's ability to pick up eggs and transport sperm and eggs. Most patients with fallopian tube obstruction have symptoms of chronic pelvic inflammatory disease, such as pain on one or both sides of the lower abdomen, prolapse, excessive secretions, and low back pain.