Risks of bilateral salpingectomy

As the connection between the uterus, ovaries and uterus, the bilateral fallopian tubes play an extremely important role. Once both fallopian tubes become diseased and have to be removed, it will inevitably have a great impact on the reproductive health of women.

1. Although bilateral salpingectomy does not affect the volume of the uterus and ovaries in the short term, it reduces the reserve function of the uterus and ovaries in the same direction. Once the fallopian tubes are removed, it will undoubtedly affect the functioning of sperm and eggs to achieve pregnancy, greatly reducing the probability of a woman becoming pregnant. For women whose fallopian tubes on both sides have been removed, artificial insemination is definitely not possible. In clinical medicine, if bilateral fallopian tubes are diseased or congenitally dysplastic, it can directly affect women's pregnancy and cause infertility.

2. However, for the treatment of female infertility caused by bilateral fallopian tube factors, fallopian tube removal is generally not chosen in clinical medicine. For more serious diseases such as hydrosalpinx and fallopian tube adhesions, fallopian tube removal is still required, and sometimes bilateral fallopian tube removal is also required.

3. So far, there are different suggestions on bilateral salpingectomy for tubal pregnancy and hydrosalpinx. The short period after the operation will naturally not affect the volume of the uterus and ovaries, but it will reduce the reserve function of the uterus and ovaries in the same direction. In addition, surgical treatment may continue to affect the blood supply to the uterus and ovaries, and even cause adverse effects during the superovulation period.

4. Therefore, in clinical medicine, for patients with tubal pregnancy who are ready to have children, the bilateral fallopian tubes of the affected limbs should be preserved as much as possible to avoid affecting any normal pregnancy in the future.

5. The condition that usually requires fallopian tube removal is the situation that women have ectopic pregnancy, which is also known as ectopic pregnancy. It means that the combination of a woman's sperm and egg cannot normally implant the embryo in the uterus, but can only conceive in the fallopian tubes. In the case of uterine insufficiency, many patients will choose to use fallopian tube removal surgery for treatment. If all of the patient's bilateral fallopian tubes are removed, it will have a great impact on the woman's fertility. Even if one side of the bilateral fallopian tubes can be preserved, the woman's chances of becoming pregnant will be greatly reduced, and even if she becomes pregnant, the chances of ectopic pregnancy will increase.

What are the harms of having fallopian tube removed?

6. Although fallopian tube removal is quick and convenient, it has a serious impact on women's late fertility. In recent years, many families have broken their fallopian tubes because women were unable to conceive. Therefore, fallopian tube removal will not only affect women's fertility, but also affect family harmony. Therefore, experts recommend that women should avoid having their fallopian tubes removed during surgery, especially those who are not pregnant.